What is a sarcoma ‘Specialist center’?: Multidisciplinary research finds an answer

The management of sarcomas in specialist centers delivers significant benefits. In much of the world, specialists are not available, and the development of expertise is identified as a major need. However, the terms ‘specialist’ or ‘expert’ center are rarely defined. Our objective is to offer a defi...

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Main Authors: Wilson, Roger (Author) , Reinke, Denise (Author) , van Oortmerssen, Gerard (Author) , Gonzato, Ornella (Author) , Ott, Gabriele (Author) , Raut, Chandrajit P. (Author) , Guadagnolo, B. Ashleigh (Author) , Haas, Rick L. M. (Author) , Trent, Jonathan (Author) , Jones, Robin (Author) , Pretorius, Lauren (Author) , Felser, Brandi (Author) , Basson, Mandy (Author) , Schuster, Kathrin (Author) , Kasper, Bernd (Author)
Format: Article (Journal)
Language:English
Published: 13 May 2024
In: Cancers
Year: 2024, Volume: 16, Issue: 10, Pages: 1-16
ISSN:2072-6694
DOI:10.3390/cancers16101857
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.3390/cancers16101857
Verlag, kostenfrei, Volltext: https://www.mdpi.com/2072-6694/16/10/1857
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Author Notes:Roger Wilson, Denise Reinke, Gerard van Oortmerssen, Ornella Gonzato, Gabriele Ott, Chandrajit P. Raut, B. Ashleigh Guadagnolo, Rick L. M. Haas, Jonathan Trent, Robin Jones, Lauren Pretorius, Brandi Felser, Mandy Basson, Kathrin Schuster, Bernd Kasper

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520 |a The management of sarcomas in specialist centers delivers significant benefits. In much of the world, specialists are not available, and the development of expertise is identified as a major need. However, the terms ‘specialist’ or ‘expert’ center are rarely defined. Our objective is to offer a definition for patient advocates and a tool for healthcare providers to underpin improving the care of people with sarcoma. SPAGN developed a discussion paper for a workshop at the SPAGN 2023 Conference, attended by 75 delegates. A presentation to the Connective Tissue Oncology Society (CTOS) and further discussion led to this paper. Core Principles were identified that underlie specialist sarcoma care. The primary Principle is the multi-disciplinary team discussing every patient, at first diagnosis and during treatment. Principles for optimal sarcoma management include accurate diagnosis followed by safe, high-quality treatment, with curative intent. These Principles are supplemented by Features describing areas of healthcare, professional involvement, and service provision and identifying further research and development needs. These allow for variations because of national or local policies and budgets. We propose the term ‘Sarcoma Intelligent Specialist Network’ to recognize expertise wherever it is found in the world. This provides a base for further discussion and local refinement. 
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