European Association of Urology (EAU), Department of Urology, University Hospital Carl Gustav Carus, Technical University of Dresden, Dresden, Germany.
European Association of Urology (EAU), Division of Oncology / Unit of Urology; IRCCS Ospedale San Raffaele, Milan, Italy.
Eur Urol. 2019 Aug;76(2):179-186. doi: 10.1016/j.eururo.2019.01.033. Epub 2019 Feb 22.
High-quality management of prostate cancer is needed in the fields of clinics, research, and education.
The objective of this project was to develop the concept of "European Prostate Cancer Centres of Excellence" (EPCCE), with the specific aim of identifying European centres characterised by high-quality cancer care, research, and education.
DESIGN, SETTING, AND PARTICIPANTS: A task force of experts aimed at identifying the general criteria to define the EPCCE. Discussion took place in conference calls and by e-mail from March 2017 to November 2017, and the final consensus meeting named "European Association of Urology (EAU) Prostate Cancer Centre Consensus Meeting" was held in Barcelona on November 16, 2017.
The required criteria were grouped into three main steps: (1) clinics, (2) research, and (3) education. A quality control approach for the three steps was defined.
The definition of EPCCE consisted of the following steps: (1) clinical step-five items were identified and classified as core team, associated services, multidisciplinary approach, diagnostic pathway, and therapeutic pathway; (2) research step-internal monitoring of outcomes was required; clinical data had to be collected through a prespecified database, clinical outcomes had to be periodically assessed, and prospective trials had to be conducted; (3) educational step-it consists of structured fellowship programmes of 1yr, including 6mo of research and 6mo of clinics; and (4) quality assurance and quality control procedures, related to the quality assessment of the previous three steps. A limitation of this project was that the definition of standards and items was mainly based on a consensus among experts rather than being an evidence-based process.
The EAU Prostate Cancer Centre Consensus Meeting defined the criteria for the identification of the EPCCE in the fields of clinics, research, and education. The inclusion of a quality control approach represents the novelty that supports the excellence of these centres.
A task force of experts defined the criteria for the identification of European Prostate Cancer Centres of Excellence, in order to certify the high-quality centres for prostate cancer management.
临床、研究和教育领域均需要对前列腺癌进行高质量的管理。
本项目旨在制定“欧洲前列腺癌卓越中心”（EPCCE）的概念，旨在确定以高质量癌症护理、研究和教育为特色的欧洲中心。
设计、地点和参与者：一个专家组旨在确定定义 EPCCE 的一般标准。讨论于 2017 年 3 月至 11 月通过电话会议和电子邮件进行，最终的共识会议于 2017 年 11 月 16 日在巴塞罗那举行，命名为“欧洲泌尿外科学会（EAU）前列腺癌中心共识会议”。
所需标准分为三个主要步骤：（1）临床，（2）研究和（3）教育。为三个步骤定义了质量控制方法。
EPCCE 的定义包括以下步骤：（1）临床步骤-确定了五项内容，并分为核心团队、相关服务、多学科方法、诊断途径和治疗途径；（2）研究步骤-需要内部监测结果；必须通过预设数据库收集临床数据，定期评估临床结果，并进行前瞻性试验；（3）教育步骤-它包括为期 1 年的结构化研究员计划，包括 6 个月的研究和 6 个月的临床；以及（4）质量保证和质量控制程序，与前三个步骤的质量评估相关。该项目的一个局限性是，标准和项目的定义主要基于专家共识，而不是基于循证过程。
EAU 前列腺癌中心共识会议确定了临床、研究和教育领域中识别 EPCCE 的标准。纳入质量控制方法是支持这些中心卓越性的新颖之处。
一个专家组定义了识别欧洲前列腺癌卓越中心的标准，以认证高质量的前列腺癌管理中心。
