Selby P, Gillis C, Haward R
Imperial Cancer Research Fund Cancer Medicine Research Unit, St James's University Hospital, Leeds UK.
Lancet. 1996 Aug 3;348(9023):313-8. doi: 10.1016/s0140-6736(96)02482-8.
The Expert Advisory Group's recommendations to establish cancer centres, cancer units, and a network involving primary care for the treatment of cancer patients in the UK is based on the view that specialisation in cancer care will improve outcomes. Evidence to support the various aspects of specialisation (eg, training, caseload, and the formation of multidisciplinary teams) is strongest for breast cancer, ovarian cancer, and some haematological malignant diseases. There is evidence to support the view that some specialised care can be successfully delivered by a network of district hospitals and main general or teaching hospitals and does not always require referral to cancer centres.
专家咨询小组关于在英国建立癌症中心、癌症治疗单位以及一个涉及初级保健的网络以治疗癌症患者的建议,是基于这样一种观点,即癌症护理专业化将改善治疗效果。支持专业化各个方面(如培训、病例数量以及多学科团队的组建)的证据,在乳腺癌、卵巢癌和一些血液系统恶性疾病方面最为有力。有证据支持这样一种观点,即一些专科护理可以由地区医院和主要的综合或教学医院网络成功提供,并并非总是需要转诊至癌症中心。