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Bratislava Statement: consensus recommendations for improving pancreatic cancer care.
Joan Prades1, Dirk Arnold2, Thomas Brunner3
1Catalonian Cancer Strategy, Department of Health, Barcelona, Spain; University of Barcelona (IDIBELL), Barcelona, Spain.
ESMO Open
|November 14, 2020
Summary
Pancreatic cancer, a lethal neglected cancer, requires improved care. Centralizing care in expert centers and investing in research are key recommendations to enhance patient outcomes.
Area of Science:
- Oncology
- Public Health
- Healthcare Policy
Background:
- Pancreatic cancer is a leading cause of cancer death in Europe with limited effective treatments.
- Neglected cancers, including pancreatic cancer, lack sufficient research and effective care strategies.
- The European Commission initiated a multi-stakeholder effort to improve healthcare system responses to these diseases.
Purpose of the Study:
- To develop actionable recommendations for healthcare systems to improve pancreatic cancer care.
- To address the challenges posed by neglected cancers through a targeted strategy.
- To establish a consensus on essential steps for enhancing patient outcomes in pancreatic cancer.
Main Methods:
- Convened a working group of 20 European healthcare stakeholders.
- Utilized a consensus process involving studies, research discussions, and statement development.
- Formulated 22 consensus recommendations, known as the Bratislava Statement.
Main Results:
- Centralizing pancreatic cancer care in expert reference centers with multidisciplinary teams can significantly improve outcomes.
- A comprehensive care framework including primary, palliative, and survivorship care is essential.
- Policy changes prioritizing quality criteria, performance assessments, and research investment are recommended.
Conclusions:
- A specialized control strategy is needed for neglected cancers like pancreatic cancer.
- Implementing expert-centered care models and supportive policies can enhance patient care and outcomes.
- Increased investment in research for prevention, early detection, and diagnosis is crucial.

