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利古里亚地区肺癌管理经验:组织模式与新视角

The Ligurian Experience in the Management of Lung Cancer: Organizational Models and New Perspectives.

作者信息

Amicizia Daniela, Marchini Francesca, Pronzato Paolo, Paoli Gabriella, Genova Carlo, Allegretti Silvia, Ansaldi Filippo

机构信息

Ligurian Regional Health Service, Piazza della Vittoria 15, 16121 Genoa, Italy.

Department of Health Sciences, University of Genoa, 16132 Genoa, Italy.

出版信息

Healthcare (Basel). 2024 Dec 18;12(24):2556. doi: 10.3390/healthcare12242556.

Abstract

BACKGROUND

Lung cancer is an oncological threat worldwide, including in Italy. New organizational approaches based on a network of cancer centers and multidisciplinary and technological innovation are required. The experience in the Liguria region, in northwestern Italy, in the management of lung cancer is presented with a focus on the organizational model.

METHODS

A retrospective observational analysis was conducted for the period from January 2019 to December 2023 using administrative regional data.

RESULTS

Of the total surgery treatments in Liguria, most were carried out at the IRCCS San Martino (about 47%), which is the hub's center. Most cases involved males aged ≥65 years ( < 0.001). Passive mobility showed a decrease in recent years. Considering the type of access to clinical structures, almost all that were finalized to receive chemotherapy were from the day hospital regimen (99%).

CONCLUSION

A comprehensive approach must be carried out for cancer patients to maintain high levels of care quality. In this challenging context, the Liguria region has implemented new organizational approaches based on the networking of cancer centers and multidisciplinary and technological innovation.

摘要

背景

肺癌是全球范围内的肿瘤学威胁,在意大利亦是如此。需要基于癌症中心网络以及多学科和技术创新的新组织方法。本文介绍了意大利西北部利古里亚地区在肺癌管理方面的经验,重点关注组织模式。

方法

利用行政区数据对2019年1月至2023年12月期间进行了回顾性观察分析。

结果

在利古里亚地区的所有手术治疗中,大部分在枢纽中心IRCCS圣马蒂诺医院进行(约47%)。大多数病例涉及年龄≥65岁的男性(<0.001)。近年来被动流动性有所下降。考虑到进入临床机构的类型,几乎所有最终接受化疗的患者都来自日间医院治疗方案(99%)。

结论

必须为癌症患者采取综合方法,以保持高水平的护理质量。在这一具有挑战性的背景下,利古里亚地区基于癌症中心网络以及多学科和技术创新实施了新的组织方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8915/11675364/23caba1f51c8/healthcare-12-02556-g001.jpg

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