ASST Papa Giovanni XXIII

Transcription

1 ASST Papa Giovanni XXIII General info Unit Director: Marco Roscigno, Interdisciplinary and Multiprofessional Team Core Team Urologists, Radiation Oncologists, Medical Oncologists, Pathologists, Data Managers Non Core Team and Associated Services Imaging specialists, Palliative care service, professionals authorized to offer regular psychological support, Clinical trial coordinator, Physiotherapist, Sexual therapist or urologist trained in andrological urology or certified andrologist or clinical nurse specialist (supervised by sexual therapist, clinical psychologist or urologist trained in andrological urology) specially trained in using interventions that can minimize post-therapeutic sexual complications and promote rehabilitation Interdisciplinary and Multiprofessional Case Management: Team Meetings held on a regular basis, Multidisciplinary clinic for newly referred prostate cancer patients Treatments available: Radical prostatectomy, External Radioterapy, Brachytherapy, Hormonal therapy, Chemotherapy Observational programs available: Active Surveillance, W atchful W aiting ASST Papa Giovanni XXIII Piazza OMS Bergamo, Italy Phone: Fax: Web-site: 1/7

2 Multiprofessional management Interdisciplinary Multiprofessional Team Core Team Urologists Radiation Oncologists Medical Oncologists Pathologists Nurses Data Managers Non Core Team and Associated Services Imaging specialists Medical physicists Radiation technologists Palliative care service Clinical psychologists with experience in uro-oncology professionals authorized to offer regular psychological support Clinical trial coordinator Physiotherapist Sexual therapist or urologist trained in andrological urology or certified andrologist or clinical nurse specialist (supervised by sexual therapist, clinical psychologist or urologist trained in andrological urology) specially trained in using interventions that can minimize post-therapeutic sexual complications and promote rehabilitation Geriatrician Patient advocates or advocacy group members Clinics At least one clinic per week for newly referred prostate cancer patients Discussion of the newly referred cases in the Interdisciplinary and Multiprofessional Team Meeting W ritten information on the disease and possible therapeutic and observational options handed out to patients W ritten information on sperm preservation handed out to patients Clinic for the follow up of patients who undergo treatment at the Prostate Cancer Units Follow up supervised either by one of the Prostate Cancer Unit members responsible for the initial treatment or by professionals formally collaborating with the Prostate Cancer Unit in a network Dedicated clinic for patients with recurrent/advanced prostate cancer Interdisciplinary and Multiprofessional Case Management Interdisciplinary and Multiprofessional Team Meetings are held on a regular basis Cases in which the diagnosis/staging is uncertain are discussed Cases with a diagnosis of cancer to be considered for radical therapy or observational strategies are discussed Cases following surgery on receipt of the pathologic report are discussed Cases in follow up after radical treatment or in observational settings or who have undergone diagnostic investigations for possible symptoms/signs of recurrent or advanced disease are discussed N. cases discussed last year 145 Physicians and health professionals participating in the meetings Radiation Oncology Medical Oncology Pathology Imaging Psychology and Mental Health Specialties Palliative Care Geriatric Care Physiotherapy Sexual Health Counselling Nurse Clinical Trial Manager Data Manager Social worker Patient Secretary Patient advocacy 2/7

3 features Interdisciplinary and multiprofessional curative and supportive care for patients across their prostate cancer pathways, from newly diagnosed through to advanced disease Evidence-based written guidelines for the diagnosis and management of prostate cancer all stages W ritten protocols for treatment and observation strategies Discussion and sharing of protocols and protocol amendments within the Interdisciplinary and Multiprofessional Team Database for registering clinical information Interdisciplinary and multiprofessional continuous education on all aspects of prostate cancer care for junior staff and students Clinical trials and research W ritten and electronic information sheets for patients Services Prostatectomies performed each year Two or more urologists trained in prostate disease diagnosis and treatment Diagnosis of prostate communicated to the patient in a face to face meeting Patients referred to sexual health counseling, when Diagnosis of prostate communicated to the patient in a face to face meeting 110 Patients referred to rehabilitation programmes, when For urinary incontinence Intensive pelvic floor training Male sling Urethral prosthesis For erectile dysfunction Penile injection therapy PDE-5 inhibitors Penile prosthetic surgery Radiation Therapy Prostatectomies performed each year Two or more specialized radiation oncologists trained in prostate cancer radiotherapy or brachytherapy Two or more radiation technologists primarily dedicated to uro-oncology N. units Simulator Computerized planning system Quality assurance programme Patients referred to rehabilitation programmes, when Patients referred to sexual health counseling, when Patients referred to psychological counseling, when 60 2 Radiotherapy techniques available for prostate cancer External RT 3-D Conformal RT IMRT IGRT Hypofractionated RT Stereotactic RT Brachytherapy High Dose Rate (HDR) Brachytherapy Low Dose Rate (LDR) Brachytherapy 3/7

4 Medical Oncology Chemotherapy performed each year Two or more medical oncologists or specialists in internal medicine, haematology and oncology trained in the treatment of prostate cancer 40 Pathology One or more pathologists in charge of uropathology, responsible for prostate diseas Quality assurance programme Available equipment Processors Microtomes Staining machines Immunostainers Imaging One or more imaging specialist fully trained and with continuing experience in genito-urinary disease Quality assurance programme Available services Conventional radiology Ultrasound (with the possibility of performing biopsies) Ultrasound (without the possibility of performing biopsies) MRI Multiparametric MRI CT Choline PET-CT Fluorodeoxyglucose PET CT Bone scan Bone density scan 4/7

5 Contacts Clinical Director Marco Roscigno,, Staff Member Marco Roscigno Staff Member, Radiation Therapy Luigi Franco Cazzaniga Chief, Radiation Therapy Medical Oncology Caterina Messina Staff Member, Medical Oncology Pathology Daniela Chinaglia Staff Member, Pathology Imaging Marco Roscigno Staff Member, Medical Physics Stefano Andreoli Staff Member, Medical Physics Palliative Care Rosalba Cortinovis Staff member, Palliative Care Supportive Care Cinzia Begnis Nurse, Psychology Maria Simonetta Spada Chief, Psychology Physiotherapy 5/7

6 Rossana Rinaldi Nurse, Sexual Health Counselling Antonino Saccà Staff member, /7

7 W here we are ASST Papa Giovanni XXIII Piazza OMS Bergamo, Italy Phone: Fax: Web-site: 7/7