Fania Luca, Massone Cesare, Cusano Francesco, Fantini Fabrizio, Dellambra Elena, Samela Tonia, Passarelli Francesca, Morese Roberto, Tartaglione Tommaso, Maggiore Marino, Gentile Piercarlo, Falchetto Osti Mattia, Sampogna Francesca, Pallotta Sabatino, Abeni Damiano, Marchetti Paolo, Naldi Luigi
IDI-IRCCS, Dermatological Research Hospital, Rome.
Galliera Hospital, Genova.
Dermatol Reports. 2021 Aug 5;13(2):9278. doi: 10.4081/dr.2021.9278. eCollection 2021 Aug 1.
The term (NMSC) refers to skin cancer different from melanoma, and it is usually restricted to basal cell carcinoma (BCC), squamous cell carcinoma (SCC) and their pre-cancerous lesions, , actinic keratosis. These conditions represent the most frequent tumors in Caucasians and are characterized by an increasing incidence worldwide and a high socio-economic impact. The term (ICP) refers to "a complex intervention for the mutual decision making and organization of care processes for a well-defined group of patients during a well-defined period". The purpose of this paper is to present a proposal from the Italian Association of Hospital Dermatologists (ADOI) for an ICP organization of care of NMSC, considering the hub-and-spoke model in the different geographical areas. This proposal is based on the most recent literature and on documents from the Italian Association of Medical Oncology (AIOM), the European consensus-based interdisciplinary guidelines from the European Association of Dermato- Oncology (EADO), and the National Comprehensive Cancer Network (NCCN). We initially discuss the NMSC outpatient clinic, the role of the multidisciplinary working groups, and the hub-and-spoke model regarding this topic. Then, we define the ICP processes specific for BCC and SCC. The ICP for NMSC is an innovative strategy to guarantee the highest possible quality of health care while the hub-andspoke model is crucial for the organization of different health care structures. Considering the importance on this topic, it is essential to create a valid ICP together with an efficient organization within the different geographical areas.
非黑色素瘤皮肤癌（NMSC）这一术语指的是不同于黑色素瘤的皮肤癌，通常局限于基底细胞癌（BCC）、鳞状细胞癌（SCC）及其癌前病变，即光化性角化病。这些病症是白种人中最常见的肿瘤，其特点是在全球范围内发病率不断上升，且具有较高的社会经济影响。综合照护方案（ICP）这一术语指的是“在明确的时间段内，针对明确的一组患者进行共同决策和护理流程组织的复杂干预措施”。本文旨在提出意大利医院皮肤科医生协会（ADOI）关于非黑色素瘤皮肤癌综合照护方案组织的建议，同时考虑不同地理区域的枢纽-辐条模式。该建议基于最新文献以及意大利医学肿瘤学协会（AIOM）的文件、欧洲皮肤肿瘤学协会（EADO）基于共识的跨学科指南和美国国立综合癌症网络（NCCN）。我们首先讨论非黑色素瘤皮肤癌门诊、多学科工作组的作用以及关于该主题的枢纽-辐条模式。然后，我们定义基底细胞癌和鳞状细胞癌特有的综合照护方案流程。非黑色素瘤皮肤癌的综合照护方案是一种创新策略，可确保尽可能高的医疗质量，而枢纽-辐条模式对于不同医疗结构的组织至关重要。鉴于该主题的重要性，在不同地理区域内创建一个有效的综合照护方案并建立高效的组织至关重要。
