Financial support from:

Transcription

1 2 Financial support from: EU INTERREG IVA, Fehmarnbelt Region Europäischer Fonds für Regionale Entwicklung European Regional Development Fond 3 1

2 PROJECT PARTNERS Lead partner: Oncology Department Næstved Hospital Chief consultant Niels Henrik Holländer Cooperation partner: Clinic for Radiotherapy Universitätsklinikum Schleswig-Holstein, Lübeck Director Prof. Dr. Jürgen Dunst Project period: ONCOLOGY DEPARTMENT, NÆSTVED Activities 150 employees patient visits/year in outpatient cl patient visits/year in radiotherapy admissions/year ward 12 DRG surplus 80 Mio! 5 2

3 Oncological treatments in Næstved Breast cancer (radiotherapy + medical) Colon cancer (medical) Colorectal cancer (radiotherapy + medical) Lung cancer (radiotherapy + medical) Pancreatic cancer (radiotherapy + medical) Urinary bladder cancer (radiotherapy) Prostate cancer (radiotherapy) 6 Expansion of radiotherapy in Næstved 3 accelerators in full operation New treatments Prostate cancer Urinary bladder cancer Plans for further expansion 4. and 5. accelerator PPP cooperation Autonomy Næstved responsible for professional expertise Linearbeschleuniger Varian Trilogy in Naestved 7 3

4 CLINIC FOR RADIOTHERAPY, LÜBECK Activities 40 employees patient visits/year in radiotherapy (treatments) 300 in-patient radiotherapy-cases/year Complete spectrum of treatments all tumor kinds all treatment techniques 3 professors for radiotherapy Prof. Dunst: general radiotherapy Prof. Rades: palliative radiotherapy Prof. Kovacs: brachytherapy 8 Facilities of radiotherapy in Lübeck 2 linear accelerators in full operation (same units as in Naestved) 2 brachytherapy units PET-CT for radiotherapy treatment planning Linearbeschleuniger Varian Trilogy i Lübeck Research activities Breast cancer, lung cancer Prostate cancer new treatment methods 9 4

5 Good basis for further cooperation between University Hospital Lübeck and Oncology Department in Næstved "Neighboring clinics" identical technical equipment in radiotherapy similar core areas in cancer treatment/care acceptance of cooperation in all occupational groups infrastructure for clinical research available 10 KFFB SUB PROJECTS (Work packages WP) WP1 Joint research in clinical trials WP 2 Cross-border documentation of cancer treatment outcomes WP 3 Organization of cancer care and competencies of medical staff 11 5

6 WP 1 JOINT RESEARCH SCOT Short Course Oncology Therapy Adjuvant chemotherapy against colorectal cancer Randomisation STANDARD 24 weeks XELOX/ OxMdG chemotherapy [4750 patients] EXPERIMENTAL 12 WEEKS XELOX/ OxMdG chemotherapy [4750 patients] 12 SCOT Denmark 226 patients randomised in Danish cancer departments 7 June uger 24 uger Totalt 13 6

7 WP1 Joint Research OLGA study: Radiation study in metastatic colorectal cancer Joint Standard Operation Procedure Prevention and treatment of adverse effects of radiation therapy First cross-border Danish-German treatment recommendation planned with the participation of nurses and doctors 14 WP 2 QUALITY OF CANCER TREATMENT In cooperation with Danish Cancer Society Cancer Registry Schleswig-Holstein (IKE Institut für klinische Epidemiologie) 15 7

8 Highest incidence and highest mortality All cancers except skin (2008) ASR (N), age (0-85 +) 16 WP 2 Quality of Cancer Treatment What are the problems in DK? High incidence Highest mortality in the North Lowest survival Lowest mean live time Investment in health care system? Late diagnoses? Treatment? Comorbidity? Lifestyle? 17 8

9 WP 2 Quality of Cancer Treatment Cooperation with Danish Cancer Society / Cancer Registry SH Analysis and comparison of treatment results and documentation: Cancer incidence Mortality Survival Prevalence Breast, lung, colorectal cancer diagnosed Region Sjælland and Schleswig-Holstein (Landkreis Ostholstein, Landkreis Plön, Hansestadt Lübeck) 18 WP 3 ORGANIZATION OF CANCER CARE AND STAFF COMPETENCIES Contract with GfK Task Comparison Næstved Hospital University Hospital Lübeck - Organization cancer care - Expertise and responsibilities of medical staff - Differences in education and work areas 19 9

10 . 20 WP 3 Kick-off Lübeck 9/

11 Structure of relevant departments/clinics at Næstved Hospital Breast Cancer Lung Cancer Colorectal Cancer Oncology & Hematology Department management Ward Outpatient clinic Radiotherapy Department staff (development nurses, coordinator, academic staff etc.) Patients treated at Næstved oncological & haematological department 2011: Colorectal cancer: 458 Lung cancer: 530 Breast cancer: 2289 Catchment area: radiotherapy , medical treatment: Structure of relevant departments/clinics at Lübeck Hospital 3 wards Radiation Therapy Breast Cancer Clinic for gynecology & obstetrics Policlinic Chemo Pavilion Breast Center Clinic for radiation therapy Ward Functional area (in-/out-patient) Imaging 1 ward Clinic for radiology & nuclear medicine Lung Cancer Medical clinic III Pulmonology Policlinic Ward Functional area (in-/out-patient) Pharmacy Chemo Pavilion Pharmacy of UK-SH Colorectal Cancer Medical clinic I 3 wards Policlinic/Chemo Pavilion Oncology Policlinic/Chemo Pavilion Gastro Hematology Oncology Gastroenterology Clinical Studies Center for clinical studies (ZKS) Pathology Institute for pathology 11

12 KFFB UPDATE HIGHLIGHTS Very good development of cooperation Progress in all sub projects Administrative challenges o WP 1: delayed approval in Germany for SCOT study, in DK for radiation research Highlights of cooperation o WP 1: study participation by Denmark temporarily world's third largest additions to the SCOT study o WP 1: first joint binational SOP for concomitant treatment of radiotherapy patients (in collaboration with nurses) Highlights of cooperation o WP 2: - New findings through cooperation between Cancer Registries of Denmark and Schleswig-Holstein. - Important basis for improving cancer care and future research. - Scientific publication planned! o WP 3: - Different organization of health care in both regions. - High readiness of all professional groups to learn from each other. - Exchange visits and internships. 12

13 Increased research cooperation between Univ. Lübeck / UKSH and Univ. Copenhagen / Næstved o J. Dunst honorary professor o Joint strategy paper in preparation o Transboundary PhD theses o Student exchange Vital Sign Project (new application) NEW EU INTERREG APPLICATION Vital Sign Use of inexpensive technology to detect a critical condition in outpatients and inpatients More security for outpatients at home Measurement of respiration, pulse and body movements Prevention of unexpected deaths Cancer patients in Næstved, Odense, Lübeck / Kiel 27 13

14 KFFB FINAL CONFERENCE 10. October 2013 in Lübeck 28 14