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 EUROCHIP-3 EUROCHIP: EUROpean Cancer Health Indicator Project

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

EUROCHIP-3 PLAN Ahti Anttila Adherence to cervical screening in 5 Eastern EU countries Renée Otter Population-based CR indicators: dissemination and promotion Piret VeerusCancer rehabilitation indicators Andrea Micheli Same outcome at lower cost in cancer control 4 MAIN WORK PACKAGES + 3 HORIZONTAL WORK PACKAGES coordination (A. Micheli), evaluation (Z. Valerianova), dissemination (A. Costa)

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

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

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)

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

 Define a list of cancer patient rehabilitation indicators (initial list 30-40, final 5-6 high priority indicators)  Four main domains: 1)Diagnostic-clinical domain 2)Psychological domain 3)Nutritional domain 4)Social domain  Methods: using the experience of EUROCHIP-1 through the organization of consensus groups and conferences WP on Cancer rehabilitation indicators OBJECTIVES

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

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