Centralization and Equitable Care in Rare Urogenital Malignancies: The Case for Penile Cancer

Jakob K. Jakobsen; Curtis A. Pettaway; Benjamin Ayres

doi:10.1016/j.euf.2021.09.019

Centralization and Equitable Care in Rare Urogenital Malignancies: The Case for Penile Cancer

Jakob K. Jakobsen^*, Curtis A. Pettaway, Benjamin Ayres

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Urinvejskirurgi

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Review › Forskning › peer review

Abstract

Centralization of specialized care for rare cancers can improve patient outcomes. Inguinal lymph node evaluation is the most important clinical aspect of penile cancer care and is often neglected in a decentralized setting. Centralization of care may reduce system delays, improve guideline adherence, provide access to a wider team of specialists, and improve prognosis, albeit with some inconveniences for patients. Patient summary: We reviewed evidence for the centralization of care for penile cancer. Patients may have to travel greater distances to receive specialized care in expert centers. However, centralization means that rare cancers can be treated by more experienced surgeons, which can yield better outcomes in terms of survival and penis-preserving or reconstruction surgery.

Originalsprog	Engelsk
Tidsskrift	European Urology Focus
Vol/bind	7
Nummer	5
Sider (fra-til)	924-928
Antal sider	5
DOI	https://doi.org/10.1016/j.euf.2021.09.019
Status	Udgivet - sep. 2021

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title = "Centralization and Equitable Care in Rare Urogenital Malignancies: The Case for Penile Cancer",

abstract = "Centralization of specialized care for rare cancers can improve patient outcomes. Inguinal lymph node evaluation is the most important clinical aspect of penile cancer care and is often neglected in a decentralized setting. Centralization of care may reduce system delays, improve guideline adherence, provide access to a wider team of specialists, and improve prognosis, albeit with some inconveniences for patients. Patient summary: We reviewed evidence for the centralization of care for penile cancer. Patients may have to travel greater distances to receive specialized care in expert centers. However, centralization means that rare cancers can be treated by more experienced surgeons, which can yield better outcomes in terms of survival and penis-preserving or reconstruction surgery.",

keywords = "Health service centralization, Lymph node evaluation, Penile cancer, Prognosis",

author = "Jakobsen, {Jakob K.} and Pettaway, {Curtis A.} and Benjamin Ayres",

note = "Publisher Copyright: {\textcopyright} 2021 European Association of Urology",

year = "2021",

month = sep,

doi = "10.1016/j.euf.2021.09.019",

language = "English",

volume = "7",

pages = "924--928",

journal = "European Urology Focus",

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TY - JOUR

T1 - Centralization and Equitable Care in Rare Urogenital Malignancies

T2 - The Case for Penile Cancer

AU - Jakobsen, Jakob K.

AU - Pettaway, Curtis A.

AU - Ayres, Benjamin

PY - 2021/9

Y1 - 2021/9

N2 - Centralization of specialized care for rare cancers can improve patient outcomes. Inguinal lymph node evaluation is the most important clinical aspect of penile cancer care and is often neglected in a decentralized setting. Centralization of care may reduce system delays, improve guideline adherence, provide access to a wider team of specialists, and improve prognosis, albeit with some inconveniences for patients. Patient summary: We reviewed evidence for the centralization of care for penile cancer. Patients may have to travel greater distances to receive specialized care in expert centers. However, centralization means that rare cancers can be treated by more experienced surgeons, which can yield better outcomes in terms of survival and penis-preserving or reconstruction surgery.

AB - Centralization of specialized care for rare cancers can improve patient outcomes. Inguinal lymph node evaluation is the most important clinical aspect of penile cancer care and is often neglected in a decentralized setting. Centralization of care may reduce system delays, improve guideline adherence, provide access to a wider team of specialists, and improve prognosis, albeit with some inconveniences for patients. Patient summary: We reviewed evidence for the centralization of care for penile cancer. Patients may have to travel greater distances to receive specialized care in expert centers. However, centralization means that rare cancers can be treated by more experienced surgeons, which can yield better outcomes in terms of survival and penis-preserving or reconstruction surgery.

KW - Health service centralization

KW - Lymph node evaluation

KW - Penile cancer

KW - Prognosis

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U2 - 10.1016/j.euf.2021.09.019

DO - 10.1016/j.euf.2021.09.019

M3 - Review

C2 - 34593356

AN - SCOPUS:85118537866

SN - 2405-4569

VL - 7

SP - 924

EP - 928

JO - European Urology Focus

JF - European Urology Focus

IS - 5

ER -

Centralization and Equitable Care in Rare Urogenital Malignancies: The Case for Penile Cancer

Abstract

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