Translating knowledge into policy: Organizational model and minimum requirements for the implementation of a regional pancreas unit network

IF 4 3区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Digestive and Liver Disease Pub Date : 2025-02-01 DOI:10.1016/j.dld.2024.05.022

Gianpaolo Balzano , Michele Reni , Maria Di Bartolomeo , Marta Scorsetti , Augusto Caraceni , Piero Rivizzigno , Alessandro Amorosi , Alessandro Scardoni , Mohammad Abu Hilal , Giovanni Ferrari , Roberto Labianca , Massimo Venturini , Claudio Doglioni , Luca Riva , Riccardo Caccialanza , Silvia Carrara

{"title":"Translating knowledge into policy: Organizational model and minimum requirements for the implementation of a regional pancreas unit network","authors":"Gianpaolo Balzano , Michele Reni , Maria Di Bartolomeo , Marta Scorsetti , Augusto Caraceni , Piero Rivizzigno , Alessandro Amorosi , Alessandro Scardoni , Mohammad Abu Hilal , Giovanni Ferrari , Roberto Labianca , Massimo Venturini , Claudio Doglioni , Luca Riva , Riccardo Caccialanza , Silvia Carrara","doi":"10.1016/j.dld.2024.05.022","DOIUrl":null,"url":null,"abstract":"<div><div><span>Pancreatic and periampullary cancers pose significant challenges in oncological care due to their complexity and diagnostic difficulties. Global experiences underscore the crucial role of multidisciplinary collaboration and centralized care in improving patient outcomes in this context. Recognizing these challenges, Lombardy, Italy's most populous region, embarked on establishing pancreas units across its territory to enhance clinical outcomes and organizational efficiency. This initiative, driven by a multistakeholder approach involving the Lombardy Welfare Directorate, clinicians, and a patient association, emphasizes the centralization of complex care in high-volume hospitals, adopting a hub-and-spoke model and a multidisciplinary approach. This article outlines the process and criteria set forth for pancreas unit implementation, aiming to provide a structured framework for enhancing </span>pancreatic cancer care. Central to this initiative is the establishment of structured criteria and minimal requirements, not only for surgery but also for other essential components of care, ensuring a comprehensive approach to pancreatic cancer management. The Lombardy model offers a structured framework for enhancing pancreatic cancer care, with potential applicability to other regions and countries seeking to improve their cancer care infrastructure</div></div>","PeriodicalId":11268,"journal":{"name":"Digestive and Liver Disease","volume":"57 2","pages":"Pages 370-377"},"PeriodicalIF":4.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Digestive and Liver Disease","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S159086582400776X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Pancreatic and periampullary cancers pose significant challenges in oncological care due to their complexity and diagnostic difficulties. Global experiences underscore the crucial role of multidisciplinary collaboration and centralized care in improving patient outcomes in this context. Recognizing these challenges, Lombardy, Italy's most populous region, embarked on establishing pancreas units across its territory to enhance clinical outcomes and organizational efficiency. This initiative, driven by a multistakeholder approach involving the Lombardy Welfare Directorate, clinicians, and a patient association, emphasizes the centralization of complex care in high-volume hospitals, adopting a hub-and-spoke model and a multidisciplinary approach. This article outlines the process and criteria set forth for pancreas unit implementation, aiming to provide a structured framework for enhancing pancreatic cancer care. Central to this initiative is the establishment of structured criteria and minimal requirements, not only for surgery but also for other essential components of care, ensuring a comprehensive approach to pancreatic cancer management. The Lombardy model offers a structured framework for enhancing pancreatic cancer care, with potential applicability to other regions and countries seeking to improve their cancer care infrastructure

查看原文本刊更多论文

将知识转化为政策：实施地区胰腺单位网络的组织模式和最低要求。

胰腺癌和胰腺周围癌因其复杂性和诊断困难，给肿瘤治疗带来了巨大挑战。全球经验表明，多学科协作和集中治疗在改善患者预后方面发挥着至关重要的作用。认识到这些挑战后，意大利人口最多的伦巴第大区开始在全境建立胰腺科，以提高临床疗效和组织效率。这一举措由伦巴第大区福利局、临床医生和患者协会等多方共同推动，强调将复杂的医疗服务集中到大容量医院，采用中心辐射模式和多学科方法。本文概述了胰腺单元的实施过程和标准，旨在为加强胰腺癌护理提供一个结构化框架。这一举措的核心是建立结构化的标准和最低要求，不仅针对手术，还针对其他重要的护理环节，确保以全面的方法管理胰腺癌。伦巴第模式为加强胰腺癌治疗提供了一个结构化框架，有可能适用于寻求改善癌症治疗基础设施的其他地区和国家。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Digestive and Liver Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

2.20%

发文量

632

审稿时长

19 days

期刊介绍： Digestive and Liver Disease is an international journal of Gastroenterology and Hepatology. It is the official journal of Italian Association for the Study of the Liver (AISF); Italian Association for the Study of the Pancreas (AISP); Italian Association for Digestive Endoscopy (SIED); Italian Association for Hospital Gastroenterologists and Digestive Endoscopists (AIGO); Italian Society of Gastroenterology (SIGE); Italian Society of Pediatric Gastroenterology and Hepatology (SIGENP) and Italian Group for the Study of Inflammatory Bowel Disease (IG-IBD). Digestive and Liver Disease publishes papers on basic and clinical research in the field of gastroenterology and hepatology. Contributions consist of: Original Papers Correspondence to the Editor Editorials, Reviews and Special Articles Progress Reports Image of the Month Congress Proceedings Symposia and Mini-symposia.