Nieva-Posso Daniel Andrés, Spiess Philippe E, García-Perdomo Herney Andrés
UROGIV Group Research, School of Medicine, Universidad del Valle, Cali, Colombia.
Department of Genito-Urinary Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, United States.
Can Urol Assoc J. 2024 Jul;18(7):E240-E246. doi: 10.5489/cuaj8655.
Urologic cancers are among the leading causes of morbidity and mortality in the world, representing more than 10% of the total number of new cancer cases worldwide. These complex diseases are linked to several issues related to their diagnosis, management, monitoring, and treatment - issues that require multidisciplinary solutions that encompass and manage patients as complex entities. In response to this, the so-called cancer centers of excellence (CCEs) emerged, defined as multidisciplinary institutions specialized in the diagnosis, management, monitoring, and treatment of specific diseases, including cancer. Different institutions, such as the European Association of Urology (EAU), have proposed and encouraged its consolidation, especially for the management of prostate cancer. These institutions must be composed of three areas: healthcare, education, and research, which have complementary interactions and relationships, stimulating research and problem-solving from a multidisciplinary approach and also covering elements of basic science and mental health. The implementation of these CCEs has generated positive results; therefore, it is necessary to stimulate their implementation with a uro-oncologic approach.
泌尿系统癌症是全球发病和死亡的主要原因之一，占全球新增癌症病例总数的10%以上。这些复杂的疾病与它们的诊断、管理、监测和治疗等几个问题相关，这些问题需要多学科解决方案，将患者作为复杂个体进行全面考量和管理。对此，所谓的卓越癌症中心（CCEs）应运而生，它被定义为专门从事特定疾病（包括癌症）的诊断、管理、监测和治疗的多学科机构。不同的机构，如欧洲泌尿外科学会（EAU），已经提出并鼓励其整合，特别是在前列腺癌的管理方面。这些机构必须由医疗保健、教育和研究三个领域组成，它们具有互补的相互作用和关系，通过多学科方法促进研究和解决问题，同时涵盖基础科学和心理健康要素。这些卓越癌症中心的实施已经产生了积极的成果；因此，有必要采用泌尿肿瘤学方法来推动其实施。
