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Five Country Meeting on
High Performance Cancer Systems
Sunday 24th June – Monday 25th June 2007
Efforts to Improve Cancer System Performance
The German Cancer Aid's Perspective
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
German Cancer Aid/Deutsche Krebshilfe
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•
Non Profit Organisation, founded in 1974
•
Major German cancer charity.
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Improve prevention, early diagnosis,
therapy, medical follow-up, and psychosocial
care.
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
German Cancer Aid/Deutsche Krebshilfe
Investments 1974 2005
Clinical investments (incl. clinical research)
334,7 Mio. Euros
Basic research
322,0 Mio. Euros
Paediatric cancer projects
93,3
Mio. Euros
Psychosocial projects / Patient advocacy
groups
63,7
Mio. Euros
Information and awareness campaigns
56,3
Mio. Euros
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Interdisciplinary Oncology Centers of Excellence
Goals: Better interaction of basic, translational and clinical research, in
conjunction with interdisciplinary cancer care.
‘State of the art’ treatment and care for every cancer patient.
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Interdisciplinary Oncology Centers of Excellence
Criteria for Funding (1):
 Central entry port for all cancer patients.
 Obligatory participation in structures of multidisciplinary
oncology / Integrated clinical care by a team of physicians
of different disciplines.
 Interdisciplinary tumor boards (documentation !).
 SOPs for diagnosis and treatment.
 Participation in clinical trials.
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Interdisciplinary Oncology Centers of
Excellence
Criteria for Funding (2):
 Centralized quality-controlled outpatient unit for chemotherapy.
 Quality assessment systems.
 Integrated psychosocial and palliative care.
 Interaction with extramural physicians and regional hospitals
(outreach).
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Palliative Medicine
1983:
First palliative ward in Germany funded by German Cancer Aid
(Cologne University).
Funding program: University professorships in palliative medicine.
Goal:
and
of
Integrating palliative medicine into the university environment
thus stimulating research in palliative medicine and the training
medical students.
Interlink research, training and care in palliative medicine.
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Psychosocial Oncology
Funding program: ‘Psychosocial service competence centers’- network
for cancer patients.
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Prevention
Primary prevention: reduction of cancer risk by eliminating or reducing
contact with carcinogenic agents and to encourage a change in lifestyle
to reduce the risk of cancer development.
In 2007 projects against alcohol and nicotine addiction are launched,
followed by projects on the topic of nutrition, exercise and UV protection
in 2008.
Secondary prevention: encourage the population to use early detection
methods regularly so that cancer can be detected in early stages.
Survey of secondary prevention (gynaecology, internal medicine,
urology,
dermatology)
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Five Country Meeting on
High Performance Cancer Systems
The German Cancer Aid's Perspective
Prevention – Facts and Figures
Risk Factors for Cancer:
• Smoking – 27% of the German population (over the age of 15) are
smokers.
• UV-radiation – 24 % of the German population use sun beds.
• Nutrition – 55 % of the German population are overweight.
Secondary Prevention:
• 50% of women and 18% of men take part in early detection programs.
• only 10% of those eligible for screening colonoscopy (55 years and
older) use
this method for colorectal cancer screening.
• 2,6 million PSA tests are done each year.
• high risk families for breast and colorectal cancer may apply for genetic
testing and special early detection programs.
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