La rinascita della Scala, 80 anni dopo
di Carla Moreni
by Health Editor
More care in specialised facilities, activation of prevention pathways, definition of regional reference centres, availability of national minimum standards for access to treatment pathways, increased funding for research, and more attention to quality of life. The goal: to make ovarian cancer a public health priority, with measurable goals, definite timeframes, and verifiable responsibilities. This is the message at the heart of World Ovarian Cancer Day, celebrated today in Rome in the Auditorium of the Ministry of Health and with public events in Piazza del Popolo. During the meeting, the first National Commitment Agenda for Women with Ovarian Cancer was presented, promoted by the Insieme di Insiemi campaign, conceived by the patient associations ACTO Italia, LOTO, aBRCAdabra, ALTo and Mai più sole, with the scientific groups MITO and MANGO, and under the patronage of AIOM, the World Ovarian Cancer Coalition and the Ovarian Cancer Committee.
"Every day, in Italia, 15 women are diagnosed with ovarian cancer, for a total of more than 5,400 diagnoses each year: the structure in which they choose to be followed is fundamental in order to be able to benefit from the best treatments," explains Sandro Pignata, founder of the MITO Group and director of medical oncology in the department of Uro-gynaecology at Pascale Napoli. Unfortunately, however, 73% of patients are not aware of the importance of specialised, high-volume care, and believe that any clinical or hospital facility can guarantee the same quality of care'. This is unfortunately not the case, which is why, according to Pignata, there are facilities that are more dedicated to the treatment of this neoplasm and can guarantee much more effective care with high volumes. This is why, according to Pignata, 'it is essential that all regions identify reference centres for ovarian cancer, guaranteeing patients an increasingly centralised and multidisciplinary pathway. The goal is that by 2028 75 per cent of cases of ovarian cancer will be treated in a specialised facility, reaching at least 90 per cent by 2030'.
"High specialisation must not be a privilege, but the standard for every patient," adds Sandra Balboni, president of LOTO OdV. "The ovarian cancer treatment pathway must be based on structured oncology networks, centres with proven expertise, and multidisciplinary pathways capable of accompanying the woman from diagnosis to follow-up, ensuring timeliness, continuity, and support."
Alongside the centralisation of care, the Agenda calls for equity of access. Indeed, territorial differences continue to affect patients' ability to receive timely diagnoses, appropriate tests, innovative therapies and comprehensive care pathways.
"The right to treatment cannot depend on the region in which one lives," emphasises Ilaria Bellet, president of ACTO Italia. "Today, personalised medicine requires timely and homogeneous access to drugs, genetic, molecular and immunohistochemical tests, including those necessary to identify relevant therapeutic targets, such as the folate receptor when clinically indicated. National standards, maximum waiting times, therapeutic continuity and certified laboratory networks are needed. And we also need clearer and more transparent access to clinical trials: for many women they represent not just research, but a real possibility of treatment."