Articles

27. 10. 2015 Cancer in the older population of the Czech Republic

Population ageing has become a challenge to cancer care in developed countries. Particularities of the older population must be taken into account when considering cancer treatment. However, there is a lack of consensus on guidelines for this population due to the underrepresentation of older patients in clinical trials.

15. 1. 2014 Personalised invitations of Czech citizens to cancer screening programmes

In January 2014, a project of personalised invitations for cancer screening programmes was launched in the Czech Republic. In particular, citizens are invited to participate in colorectal cancer screening (men and women), as well as breast cancer screening and cervical cancer screening (women). Personalised invitations are aimed at citizens who have not participated in cancer screening programmes in the long term, and therefore are at a higher risk of developing cancer. The project is expected to increase participation rates in Czech cancer screening programmes.

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Detail KOC

Comprehensive Cancer Centre of University Hospital Plzen

Identification data
Basic characteristics
Contractual relationships with health insurance companies
Hospital and management information systems
Healthcare quality assessment and documentation
clinical assessment

Identification data

Official title of CCC:	Comprehensive Cancer Centre of University Hospital Plzen
Head of the centre:	Prof. Jindřich Fínek, M.D., Ph.D.
Title of healthcare facility:	University Hospital Plzen
Director of the healthcare facility:	Václav Šimánek, M.D., Ph.D.
City:	Plzeň

Cooperating healthcare facilities, clinics and departments including contact data:

Name of clinic/department:	Department of Oncology and Radiotherapy, University Hospital Plzen - Lochotin
Head:	Prof. Jindřich Fínek, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 105 500
e-mail:	finek@fnplzen.cz

Name of clinic/department:	1st Department of Internal Medicine, University Hospital Plzen - Lochotin
Head:	Prof. Martin Matějovič, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň, Severní Předměstí
Phone:	+420 377 103 322
e-mail:	matejovic@fnplzen.cz

Name of clinic/department:	Department of Surgery, University Hospital Plzen - Lochotin
Head:	Prof. Vladislav Třeška, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 104 270
e-mail:	treska@fnplzen.cz

Name of clinic/department:	Department of Gynaecology and Obstetrics, University Hospital Plzen - Lochotin
Head:	Assoc. Prof. Zdeněk Novotný, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 105 232
e-mail:	novotnyz@fnplzen.cz

Name of clinic/department:	Department of Orthopaedics and Traumatology, University Hospital Plzen - Lochotin
Head:	Prof. Karel Koudela, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 103 942
e-mail:	koudela@fnplzen.cz

Name of clinic/department:	Department of Neurology, University Hospital Plzen - Lochotin
Head:	Jiří Polívka, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 103 401
e-mail:	polivka@fnplzen.cz

Name of clinic/department:	Department of Ophthalmology, University Hospital Plzen - Lochotin
Head:	Assoc. Prof. Renata Říčařová, M.D., Ph.D., FEBO
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 104 402
e-mail:	ricarova@fnplzen.cz

Name of clinic/department:	Department of Stomatology, University Hospital Plzen - Lochotin
Head:	Assoc. Prof. Antonín Zicha, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 104 705
e-mail:	zicha@fnplzen.cz

Name of clinic/department:	Department of Haematology and Oncology, University Hospital Plzen - Lochotin
Head:	Pavel Jindra, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 103 722
e-mail:	jindra@fnplzen.cz

Name of clinic/department:	Department of Neurosurgery, University Hospital Plzen - Lochotin
Head:	Assoc. Prof. Vladimír Přibáň, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 104 371
e-mail:	priban@fnplzen.cz

Name of clinic/department:	Department of Clinical Dietetics, University Hospital Plzen - Lochotin
Head:	Prof. Zdeněk Rušavý, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 103 516
e-mail:	rusavy@fnplzen.cz

Name of clinic/department:	Department of Therapeutic Rehabilitation, University Hospital Plzen - Lochotin
Head:	Hana Hladová, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 104 201
e-mail:	hladova@fnplzen.cz

Name of clinic/department:	Department of Plastic Surgery, University Hospital Plzen - Lochotin
Head:	Vlastimil Bursa, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 103 637
e-mail:	bursa@fnplzen.cz

Name of clinic/department:	Institute of Clinical Biochemistry and Haematology, University Hospital Plzen - Lochotin
Head:	Prof. Jaroslav Racek, M.D., Ph.D.
Address:	alej Svobody 923/80, 323 00 Plzeň-Lochotín
Phone:	+420 377 104 234
e-mail:	racek@fnplzen.cz

Name of clinic/department:	2nd Department of Internal Medicine, University Hospital Plzen - Bory
Head:	Prof. Jan Filipovský, M.D., Ph.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 416
e-mail:	filipovsky@fnplzen.cz

Name of clinic/department:	Department of Dermatology nad Venereology, University Hospital Plzen - Bory
Head:	Prof. Karel Pizinger, M.D., Ph.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 148
e-mail:	pizinger@fnplzen.cz

Name of clinic/department:	Department of Pulmonary Medicine and Phthisiology, University Hospital Plzen - Bory
Head:	Prof. Miloš Pešek, M.D., Ph.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 406
e-mail:	pesek@fnplzen.cz

Name of clinic/department:	Department of Otorhinolaryngology, University Hospital Plzen - Bory
Head:	Assoc. Prof. Jaroslav Slípka, M.D., Ph.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 248
e-mail:	slipka@fnplzen.cz

Name of clinic/department:	Department of Urology, University Hospital Plzen - Bory
Head:	Prof. Milan Hora, M.D., Ph.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 745
e-mail:	horam@fnplzen.cz

Name of clinic/department:	Department of Diagnostic Radiology, University Hospital Plzen - Bory
Head:	Miloslava Hlaváčková, M.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 200
e-mail:	hlavackova@fnplzen.cz

Name of clinic/department:	Mammography, University Hospital Plzen – Lochotin
Head:	Miloslava Hlaváčková, M.D.
Address:	Alej Svobody 80, 304 60 Plzeň-Lochotín
Phone:	+420 377 105 710
e-mail:	hlavackova@fnplzen.cz

Name of clinic/department:	Department of Nuclear Medicine, University Hospital Plzen - Bory
Head:	Dagmar Slípková, M.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 595
e-mail:	slipkova@fnplzen.cz

Name of clinic/department:	Department of Surgery, University Hospital Plzen - Bory
Head:	Václav Karnos, M.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 401 273
e-mail:	karnosv@fnplzen.cz

Name of clinic/department:	Department of Internal Medicine – Endoscopy, University Hospital Plzen – Bory
Head:	Luděk Bouchner, M.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň, Jižní Předměstí
Phone:	+420 377 401 558
e-mail:	bouchnerl@fnplzen.cz

Name of clinic/department:	Sikl's Institute of Pathology, University Hospital Plzen - Bory
Head:	Prof. Michal Michal, M.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 251
e-mail:	michal@fnplzen.cz

Name of clinic/department:	Institute of Medical Genetics, University Hospital Plzen - Bory
Head:	Ivan Šubrt, M.D., Ph.D.
Address:	Edvarda Beneše 1128/13, 301 00 Plzeň-Bory
Phone:	+420 377 402 870
e-mail:	subrti@fnplzen.cz

Data authorization: 20. 9. 2014, doc. MUDr. Luboš Holubec (jr.), Ph.D.

Basic characteristics

Beds and outpatient departments:

Total number of beds available for cancer patients:	75
Total number of oncology outpatient departments:	8

Medical equipment:

Spiral computed tomography: number of instruments: 4		MRI: number of instruments: 2

PET: number of instruments: 1		Classical mammography machine number of instruments: 1

Digital mammography machine: number of instruments: 2		Endoscopic ultrasound (EUS): number of instruments: 3

Other equipment:

Data authorization: 20. 9. 2014, doc. MUDr. Luboš Holubec (jr.), Ph.D.

Contractual relationships with health insurance companies

Contractual relationships with healthcare payers:

111 - Všeobecná zdravotní pojišťovna ČR
201 - Vojenská zdravotní pojišťovna ČR
205 - Česká průmyslová zdravotní pojišťovna
207 - Oborová zdravotní pojišťovna zaměstnanců bank, pojišťoven a stavebnictví
209 - Zaměstnanecká pojišťovna Škoda
211 - Zdravotní pojišťovna ministerstva vnitra ČR
213 - Revírní bratrská pokladna, zdravotní pojišťovna

Data authorization: 20. 9. 2014, doc. MUDr. Luboš Holubec (jr.), Ph.D.

Hospital and management information systems (HIS and MIS)

For the documentation of diagnostic and therapeutic processes in cancer patients, the centre employs a fully electronic Hospital Information System (HIS):

HIS identification:	WINMEDICALC verze 2014
HIS provider:	vlastní

The HIS employed in the centre enables a parametric collection of cancer data, at least in the extent of the report sent to the National Cancer Registry:

Parametrization only in the extent of the report sent to the National Cancer Registry:
Parametrization includes records beyond the report sent to the National Cancer Registry:

Which of the following data are parametrically recorded within the HIS and which of them are easily available for the centre's management:

Data	Údaj parametricky zaznamenáván v NIS	Údaj pohodlně dostupný pro vedení centra
Total number of diagnosed and/or treated patients
Number of diagnosed and/or treated patients sorted by diagnoses
Staging at the time of diagnosis (TNM, clinical stage etc.)
Results of histopathological examination (pTNM, grade etc.)
Results of laboratory examination
Results of examination by imaging methods
Records on anticancer pharmacotherapy (regimens, products, doses etc.)
Records on radiation therapy
Records on adverse drug reactions

The centre employs a Management Information System (MIS):

MIS identification:	winmedicalc verze 2014
MIS provider:	vlastní
Length of use (in months):	24

The centre employs filmless technologies and telemedicine tools:

HIS identification :	winmedicalc
HIS provider:	vlastní

The centre employs an information system controlling the preparation of anticancer pharmacotherapy:

The system enables a central drug preparation:
The system allows an on-line ordering of pharmacotherapy:

Data authorization: 20. 9. 2014, doc. MUDr. Luboš Holubec (jr.), Ph.D.

Healthcare quality assessment and documentation

The documentation of diagnostic and therapeutic processes in cancer patients is maintained:

in an existing Hospital Information System (HIS) with text records prevailing over parametric records

Documentation status of diagnostic and therapeutic processes in cancer patients:

A complete documentation is easily available on cancer patients - including the findings of examination by imaging methods either in classical or digital form, and archived histological material:

Informed consents of cancer patients are archived and available:

Documentation on all stages of anticancer therapy - i.e. operation protocols, records on radiation therapy and chemotherapy - is maintained in line with specific standards and easily available:

The centre is interested in the evaluation of its cancer diagnostics and treatment, using self-evaluation and local programmes aimed at healthcare quality check, if appropriate methodology is available:

The centre is interested in the electronic version of cancer patients' case report forms:

For the following reason: -

The centre follows recommended guidelines (standards) of cancer diagnostics and therapy:

The centre uses standards created by another authority:

of our own

The centre has its own system to monitor diagnostic and therapeutic standards:

Form:

of our own

Data authorization: 20. 9. 2014, doc. MUDr. Luboš Holubec (jr.), Ph.D.

Clinical trials and implementation of new procedures

The centre has a local ethical commision at its disposal:

The centre is willing and has the capacity to take part in new multicentre clinical trials and registries:

Number of clinical trials (being conducted in compliance with the Good Clinical Practice) in which the centre currently participates:

Phase I:	Total number: 0 Number of international projects: -
Phase II:	Total number: 2 Number of international projects: -
Phase III:	Total number: 3 Number of international projects: -
Phase IV:	Total number: 1 Number of international projects: -

The centre is involved in Czech or international clinical registries:

(out of National Cancer Registry, i.e. projects concerned with genetics etc.)

Project title	Identification of project organizers	Diagnosis of registered patients	The centre has been actively participating in the registry since
Corect	IBA MU	C18-C21	2006
Renis	IBA MU	C64	2006
NET registr	IBA MU	C80	2009
Breast	IBA MU	C50	2006

The centre actively participates in prevention programmes:

Primary prevention: -

Secondary prevention: -

The centre organizes its own projects of a nationwide significance in the following areas:

Diagnostics:	pathology: radiodiagnostics: nuclear medicine:
Therapy:	chemotherapy: radiation therapy: biological therapy:

Genomics and proteomics:
Pharmacogenetics:

Data authorization: 20. 9. 2014, doc. MUDr. Luboš Holubec (jr.), Ph.D.