National Institute of Public Health of Slovenia, Trubarjeva 2, 1000, Ljubljana, Slovenia.
World J Urol. 2021 Jan;39(1):37-39. doi: 10.1007/s00345-020-03258-0. Epub 2020 May 24.
National cancer control plans cf. programmes (NCCPs) are policy instruments to structure, map and organise comprehensive cancer policies in a country or its region. One of their important objectives is improvement of quality in cancer care and control.
We explored several methodological papers on NCCPs and analyses on their implementation in the European Union as well as recommendations and guidelines concerning prostate cancer screening and management.
Quality is still not a very common feature of NCCPs as an independent, self-standing issue. Only a handful of countries structured and implemented specific activities to monitor quality of cancer care in their policy documents. In others, quantitative approaches focusing on epidemiology and provision of care are dominant, not focusing on indicators, especially those of process and outcome. In view of that and exploring its position in a broader sense, prostate cancer is poorly represented and insufficiently addressed, in particular with respect to screening, but also in after-care and survivorship challenges.
Given that methodological tools on NCCPs envisage quality as a separate chapter and an overarching topic in NCCPs, the current situation shows that we are still a long way away from the goals set. Absence of structured approaches for a cancer, such as prostate cancer, in NCCPs demonstrates the lack of consistency on all phases of comprehensive control on a frequent cancer, where practices and outcomes show unacceptable variations.
国家癌症控制计划（NCCP）是一种政策工具，用于在一个国家或地区构建、映射和组织全面的癌症政策。其重要目标之一是改善癌症护理和控制的质量。
我们探讨了关于 NCCP 的若干方法学论文，以及欧盟对其实施情况的分析，以及有关前列腺癌筛查和管理的建议和指南。
质量仍然不是 NCCP 的一个非常常见的特征，它是一个独立的、自成一体的问题。只有少数几个国家在政策文件中构建并实施了具体的活动来监测癌症护理的质量。在其他国家，定量方法侧重于流行病学和护理的提供，而不是关注指标，特别是过程和结果的指标。鉴于这一点，并从更广泛的意义上探讨其地位，前列腺癌的代表性很差，而且没有得到充分解决，特别是在筛查方面，但在后续护理和生存挑战方面也是如此。
鉴于 NCCP 的方法学工具将质量视为 NCCP 的一个单独章节和一个总体主题，目前的情况表明，我们离设定的目标还有很长的路要走。在 NCCP 中，对于前列腺癌等癌症缺乏结构化的方法，表明在综合控制的所有阶段都缺乏一致性，而实践和结果显示出不可接受的差异。
