International Psycho-Oncology Society (IPOS); Clinical Department of Oncology, University Medical Centre of Internal Medicine, Medical University of Graz, Graz, Austria.
European School of Oncology, Milan, Italy.
Crit Rev Oncol Hematol. 2017 Feb;110:94-105. doi: 10.1016/j.critrevonc.2016.12.002. Epub 2016 Dec 8.
ECCO essential requirements for quality cancer care (ERQCC) are checklists and explanations of organisation and actions that are necessary to give high-quality care to patients who have a specific tumour type. They are written by European experts representing all disciplines involved in cancer care. ERQCC papers give oncology teams, patients, policymakers and managers an overview of the elements needed in any healthcare system to provide high quality of care throughout the patient journey. References are made to clinical guidelines and other resources where appropriate, and the focus is on care in Europe. Sarcoma: essential requirements for quality care • Sarcomas - which can be classified into soft tissue and bone sarcomas - are rare, but all rare cancers make up more than 20% of cancers in Europe, and there are substantial inequalities in access to high-quality care. Sarcomas, of which there are many subtypes, comprise a particularly complex and demanding challenge for healthcare systems and providers. This paper presents essential requirements for quality cancer care of soft tissue sarcomas in adults and bone sarcomas. • High-quality care must only be carried out in specialised sarcoma centres (including paediatric cancer centres) which have both a core multidisciplinary team and an extended team of allied professionals, and which are subject to quality and audit procedures. Access to such units is far from universal in all European countries. • It is essential that, to meet European aspirations for high-quality comprehensive cancer control, healthcare organisations implement the requirements in this paper, paying particular attention to multidisciplinarity and patient-centred pathways from diagnosis and follow-up, to treatment, to improve survival and quality of life for patients.
Taken together, the information presented in this paper provides a comprehensive description of the essential requirements for establishing a high-quality service for soft tissue sarcomas in adults and bone sarcomas. The ECCO expert group is aware that it is not possible to propose a 'one size fits all' system for all countries, but urges that access to multidisciplinary teams is guaranteed to all patients with sarcoma.
ECCO 癌症护理质量基本要求（ERQCC）是检查表和组织及行动的说明，这些是为特定肿瘤类型的患者提供高质量护理所必需的。它们由代表参与癌症护理的所有学科的欧洲专家编写。ERQCC 文件为肿瘤团队、患者、政策制定者和管理人员提供了任何医疗保健系统提供整个患者治疗过程高质量护理所需的元素概述。在适当的情况下，会参考临床指南和其他资源，重点是欧洲的护理。肉瘤：高质量护理的基本要求 • 肉瘤 - 可分为软组织肉瘤和骨肉瘤 - 较为罕见，但所有罕见癌症在欧洲癌症中占比超过 20%，并且在获得高质量护理方面存在巨大的不平等。肉瘤有许多亚型，对医疗保健系统和提供者构成了特别复杂和苛刻的挑战。本文提出了成人软组织肉瘤和骨肉瘤的高质量癌症护理基本要求。 • 高质量的护理只能在专门的肉瘤中心（包括儿科癌症中心）进行，这些中心既有核心多学科团队，也有扩展的专业联盟团队，并接受质量和审核程序。在所有欧洲国家，并非所有国家都能普遍获得这些单位。 • 至关重要的是，为了实现欧洲对高质量综合癌症控制的期望，医疗保健组织必须实施本文中的要求，特别关注多学科性和以患者为中心的途径，从诊断和随访到治疗，以提高患者的生存率和生活质量。
综上所述，本文介绍的信息全面描述了建立成人软组织肉瘤和骨肉瘤高质量服务的基本要求。ECCO 专家组意识到，不可能为所有国家提出一个“一刀切”的系统，但敦促确保所有肉瘤患者都能获得多学科团队的服务。
