New approach to implement cancer patient care: The valutazione percorso rete oncologica campana (ValPeROC)-experience from an Italian oncology network
Anna Crispo
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorGiorgia Rivieccio
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorLuca Cataldo
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorSergio Coluccia
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorAssunta Luongo
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorElisabetta Coppola
Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS ‘Fondazione G. Pascale’, Naples, Italy
Search for more papers by this authorMaria Grimaldi
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorCorresponding Author
Concetta Montagnese
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Correspondence
Concetta Montagnese and Assunta Luongo, Epidemiology and Biostatistics Unit, National Cancer Institute IRCCS Pascale Foundation, Via Mariano Semmola s.n.c., 80131 Naples, Italy.
Email: [email protected] and [email protected]
Search for more papers by this authorFlavia Nocerino
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorDavide D'Errico
Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS ‘Fondazione G. Pascale’, Naples, Italy
Search for more papers by this authorEgidio Celentano
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorRocco Saviano
National Cancer Institute IRCCS Pascale Foundation, Naples, Italy
Search for more papers by this authorAnna Bastone
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorGiovanni Baglio
AGENAS - Italian National Agency for Regional Healthcare Services, Rome, Italy
Search for more papers by this authorCarmine De Angelis
Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
Search for more papers by this authorFortunato Ciardiello
Oncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania ‘L. Vanvitelli’, Naples, Italy
Search for more papers by this authorAntonio Avallone
Experimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorAntonino Cassata
Medical Oncology Unit, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorRaffaele Costanzo
Thoracic Department, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorAlessandro Morabito
Thoracic Department, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorPaolo Maione
Division of Medical Oncology, S.G. Moscati Hospital, Avellino, Italy
Search for more papers by this authorCesare Gridelli
Division of Medical Oncology, S.G. Moscati Hospital, Avellino, Italy
Search for more papers by this authorSilvio Cigolari
Hospital Health Direction, Azienda Ospedaliera Universitaria ‘San Giovanni di Dio e Ruggi d'Aragona’, Salerno, Italy
Search for more papers by this authorAnna Borrelli
Hospital Health Direction, Azienda Ospedaliera Universitaria ‘San Giovanni di Dio e Ruggi d'Aragona’, Salerno, Italy
Search for more papers by this authorSabino De Placido
Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
Search for more papers by this authorFrancesco Schiavone
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorAttilio A. M. Bianchi
Directorate-General for Management, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorSandro Pignata
Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS ‘Fondazione G. Pascale’, Naples, Italy
Search for more papers by this authorValPeROC Group
Search for more papers by this authorAnna Crispo
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorGiorgia Rivieccio
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorLuca Cataldo
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorSergio Coluccia
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorAssunta Luongo
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorElisabetta Coppola
Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS ‘Fondazione G. Pascale’, Naples, Italy
Search for more papers by this authorMaria Grimaldi
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorCorresponding Author
Concetta Montagnese
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Correspondence
Concetta Montagnese and Assunta Luongo, Epidemiology and Biostatistics Unit, National Cancer Institute IRCCS Pascale Foundation, Via Mariano Semmola s.n.c., 80131 Naples, Italy.
Email: [email protected] and [email protected]
Search for more papers by this authorFlavia Nocerino
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorDavide D'Errico
Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS ‘Fondazione G. Pascale’, Naples, Italy
Search for more papers by this authorEgidio Celentano
Epidemiology and Biostatistics Unit, Istituto Nazionale Tumori IRCCS 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorRocco Saviano
National Cancer Institute IRCCS Pascale Foundation, Naples, Italy
Search for more papers by this authorAnna Bastone
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorGiovanni Baglio
AGENAS - Italian National Agency for Regional Healthcare Services, Rome, Italy
Search for more papers by this authorCarmine De Angelis
Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
Search for more papers by this authorFortunato Ciardiello
Oncologia Medica, Dipartimento di Medicina di Precisione, Università degli Studi della Campania ‘L. Vanvitelli’, Naples, Italy
Search for more papers by this authorAntonio Avallone
Experimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorAntonino Cassata
Medical Oncology Unit, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorRaffaele Costanzo
Thoracic Department, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorAlessandro Morabito
Thoracic Department, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorPaolo Maione
Division of Medical Oncology, S.G. Moscati Hospital, Avellino, Italy
Search for more papers by this authorCesare Gridelli
Division of Medical Oncology, S.G. Moscati Hospital, Avellino, Italy
Search for more papers by this authorSilvio Cigolari
Hospital Health Direction, Azienda Ospedaliera Universitaria ‘San Giovanni di Dio e Ruggi d'Aragona’, Salerno, Italy
Search for more papers by this authorAnna Borrelli
Hospital Health Direction, Azienda Ospedaliera Universitaria ‘San Giovanni di Dio e Ruggi d'Aragona’, Salerno, Italy
Search for more papers by this authorSabino De Placido
Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples, Italy
Search for more papers by this authorFrancesco Schiavone
Department of Managerial Studies and Quantitative Methods, University of Naples Parthenope Faculty of Economics, Naples, Italy
Search for more papers by this authorAttilio A. M. Bianchi
Directorate-General for Management, Istituto Nazionale Tumori 'Fondazione G. Pascale', Naples, Italy, Naples, Italy
Search for more papers by this authorSandro Pignata
Department of Urology and Gynecology, Istituto Nazionale Tumori IRCCS ‘Fondazione G. Pascale’, Naples, Italy
Search for more papers by this authorValPeROC Group
Search for more papers by this authorFunding information:
5x1000 project titled ‘Valutazione percorso rete oncologica campana ValPeROC’, Istituto Nazionale Tumori IRCCS Fondazione G. Pascale, Naples, Italy; BMS Bristol Meyer Squibb; Astrazeneca.
Abstract
Objective
The primary goal of the Campania Oncology Network (ROC) was to reduce cancer delay and care fragmentation through the establishment of cancer-specific multidisciplinary oncologic groups (GOMs) and diagnostic and therapeutic assistance paths (PDTAs).
Methods
Five cancer centres of the ROC, with their own cancer specific GOM, were selected. In our analysis, we have focused on four neoplasms: lung, colon, ovarian and prostate cancers. The median time for pre-GOM and GOM Times was calculated for each tumour site. Univariate and multivariate logistic regressions were performed to individuate risk factors for pre-GOM and GOM Time.
Results
Significant differences were observed for prostate cancer compared to other patients either for pre-GOM or GOM Times. Significant risks were found for ovarian and prostate cancers in pre-GOM time and for prostate cancer in GOM-Time.
Conclusions
This experience will produce knowledge and data to guide decision-making and to manage more effectively the challenges of fighting cancer in Campania region. The Valutazione Percorso Rete Oncologica Campana (ValPeROC) study evaluates, for the first time, the ROC activity, through the analysis of key performance indices. Pre-GOM and GOM Time represent the quality of the entire regional health system and are useful to define models, which can evaluate the performance of the ROC over time.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data presented in this study are openly available in Zenodo at https://doi.org/10.5281/zenodo.6322994
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