Magnani Tiziana, Bracarda Sergio, D'Angelillo Rolando M, Artibani Walter, Barni Sandro, Beretta Giordano, Brausi Maurizio, Caffo Orazio, Corvò Renzo, Gallucci Michele, Gunelli Roberta, Mirone Vincenzo, Novara Giacomo, Pinto Carmine, Russi Elvio, Santoni Riccardo, Tomirotti Maurizio, Volpe Alessandro, Conti Giario, Valdagni Riccardo
1 Prostate Cancer Unit, Prostate Cancer Programme, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
2 Medical Oncology, Department of Oncology, Azienda USL Toscana Sud-Est, Istituto Toscano Tumori, Arezzo, Italy.
Tumori. 2019 Apr;105(2):161-167. doi: 10.1177/0300891618784789. Epub 2018 Jul 5.
The multidisciplinary management of oncologic patients is identified as the bottom line element of quality in tumor care.
In 2015, 7 Italian scientific societies representing the specialists involved in the diagnosis and treatment of genitourinary tumors joined efforts in the Italian uro-oncologic multidisciplinary teams (MDTs) project. The aims were to promote the reorganization of genitourinary cancer care, switching to a multidisciplinary approach, reach a consensus on the core elements for the setup of MDTs in genitourinary oncology, and support health policy makers and managers in remodeling of the assistance and care of uro-oncologic patients on a national level.
The first activity was the setup of 5 working groups, given the task of exploring selected topics: general principles, organization of MDTs, minimal requirements, economic evaluation, and relations with authorities. The groups participated in the writing of a document that was approved by the scientific societies and published on their web sites. Moreover, a few items summarizing the extensive document were approved in the first MDT Consensus Conference held in Milan in December 2015.
The experience of this initial phase led to the opening of the team to other professionals and societies, in line with a correct management of patients with genitourinary tumors, which need a multidisciplinary as well as a multiprofessional approach with emerging techniques and procedures, and with a new project work package on genitourinary paths of care and indicators.
肿瘤患者的多学科管理被视为肿瘤护理质量的关键要素。
2015年，代表参与泌尿生殖系统肿瘤诊断与治疗的专家的7个意大利科学学会共同参与了意大利泌尿肿瘤多学科团队（MDT）项目。其目标是推动泌尿生殖系统癌症护理的重组，转向多学科方法，就泌尿肿瘤学中多学科团队组建的核心要素达成共识，并支持卫生政策制定者和管理者在国家层面重塑泌尿肿瘤患者的援助与护理。
首先设立了5个工作组，负责探讨选定的主题：一般原则、多学科团队的组织、最低要求、经济评估以及与当局的关系。这些小组参与撰写了一份经科学学会批准并在其网站上发布的文件。此外，在2015年12月于米兰举行的首次多学科团队共识会议上，批准了一些总结这份详尽文件的条目。
这一初始阶段的经验促使该团队向其他专业人员和学会开放，这与正确管理泌尿生殖系统肿瘤患者相一致，这些患者需要多学科以及多专业的方法，包括新兴技术和程序，以及关于泌尿生殖系统护理路径和指标的新项目工作包。
