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 for this work

Department of Clinical Medicine - Department of Urology

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Review › Research › 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.

Original language	English
Journal	European Urology Focus
Volume	7
Issue	5
Pages (from-to)	924-928
Number of pages	5
DOIs	https://doi.org/10.1016/j.euf.2021.09.019
Publication status	Published - Sept 2021

Keywords

Health service centralization
Lymph node evaluation
Penile cancer
Prognosis

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10.1016/j.euf.2021.09.019

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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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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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SN - 2405-4569

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JO - European Urology Focus

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

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Keywords

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