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Dr Andrea Micheli Descriptive Epidemiology and Health Planning Unit

EUROCHIP: EUROpean Cancer Health Indicator Project. EUROCHIP-3. www.tumori.net/eurochip. Dr Andrea Micheli Descriptive Epidemiology and Health Planning Unit Fondazione IRCCS “Istituto Nazionale dei Tumori” Milan. Public Health Programme

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Dr Andrea Micheli Descriptive Epidemiology and Health Planning Unit

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  1. EUROCHIP: EUROpean Cancer Health Indicator Project EUROCHIP-3 www.tumori.net/eurochip Dr Andrea Micheli Descriptive Epidemiology and Health Planning Unit Fondazione IRCCS “Istituto Nazionale dei Tumori” Milan Public Health Programme EUROPEAN COMMISSION: HEALTH & CONSUMER PROTECTION DIRECTORATE-GENERAL

  2. EUROCHIP-3 TO AVOID AVOIDABLE DEATHS Adherence to cervical screening in 5 Eastern EU countries TO EXTEND CANCER SURVEILLANCE Population-based Cancer Registry ECHI indicators TO DISCUSS ON CANCER PATIENT NEEDS List of cancer rehabilitation indicators TO DISCUSS INNOVATIONS IN CANCER MANAGEMENT Consensus conferences on cancer costs & outcome

  3. EUROCHIP-3 PLAN 4 MAIN WORK PACKAGES + 3 HORIZONTAL WORK PACKAGES coordination (A. Micheli), evaluation (Z. Valerianova), dissemination (A. Costa)

  4. EUROCHIP-1, -2: THE ORGANISATION Steering Committee GS: Groups of specialists Discussion at national and domain level Working Team Operational work Panel of Experts Discussion & organisation at national level EUROCHIP-1 Methodological Group Methodological aspects of indicators GS GS GS GS GS GS GS

  5. EUROCHIP-3: ORGANISATION CHANGES Steering Committee Panel of Experts DGS DGS DGS DGS NGS NGS NGS NGS NGS Working TeamWP-Coordination WP-Evaluation WP Screening WP Registration WP Rehabilitation WP Costs WP-Dissemination WP: Work package NGS: National Group of Specialists DGS: Domain Group of Specialists (European coverage)

  6. WP on CERVICAL SCREENING ACTIVITIES IN 5 COUNTRIES (LAT, LIT, EST, ROM, BUL) • MAIN AIM: Use of questionnaires to investigate attendance rates to screening (recommendations of cervical cancer guidelines) • Dissemination of information: according to the European Guidelines for Cervical Cancer Screening guidelines in collaboration with the ECCA • Promotion of screening so that targeted attendance rates are reached among women, and key professional groups, and policy makers are alerted (through campaigning and production and dissemination of information)

  7. WP on Population-based CR indicators ACTIVITIES • Restart the discussion and promotion of results of EUROCHIP2 pilot studies on indicators of “diagnosis and treatment delay” and “compliance with guidelines” • Continuation of CR promotion in Greece and Luxembourg • Identification of European CRs that do not produce adequate data; identification of major problems; promotion of solutions • Identification using qualitative questionnaire of European CRs that routinely collect indicators suggested by EUROCHIP1 • Reports on cancer registry indicators lacking data in various countries

  8. WP on Cancer rehabilitation indicatorsOBJECTIVES • Define a list of cancer patient rehabilitation indicators (initial list 30-40, final 5-6 high priority indicators) • Four main domains: • Diagnostic-clinical domain • Psychological domain • Nutritional domain • Social domain • Methods: using the experience of EUROCHIP-1 through the organization of consensus groups and conferences

  9. WP ON CANCER COST&OUTCOME OBJECTIVES • Consensus conferences on re-thinking cancer management in the direction of reducing costs, while maintaining or improving cancer outcomes (both in terms of cancer survival and quality of live) • Focus on breast cancer and childhood cancer • Convene consensus conferences (EUROCHIP-1 APPROACH) to draw up a list of “procedures” on which the WP can focus on • Perform literature searches to assist drawing up procedures (defined in consensus conferences) • Draw up report on cost&outcome. This/these report/s may also include suggestion for studies on the theme and indications for future FP7 calls for proposals

  10. EUROCHIP NEXT PUBLICATIONS AS FIRST RESULTS OF EUROCHIP-3 • Chapter on cancer for the EUGLOREH (European Global Report on Health) – in press • Chapter in an international book on cancer control – draft version • Articles on EUROCHIP-2 cervical cancer screening activities in 5 Eastern European countries – to discuss today • Articles on EUROCHIP-2 pilot studies – to start • Other articles on EUROCHIP-2 actions

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