Rectal cancer under 30,

UntilI worked for 20 years in a public-owned hospital where I had rectal cancer under 30 had my medical training.

Cancer in My Community: Advancing Cancer Care in Romania

Romania was just getting out of communism when I began my oncology training inwith people around us having enormous hopes for the future.

Time was passing, and the expected improvements in the quality of the services in oncology—along with other types of medicine—were not even planned. Then, from toI had the chance to spend 6 months of my oncology training at the Centre Henri Becquerel in Rouen, France. That gave me the ability to observe the gap between Romania and Western countries when it came to state-of-the-art training and patient care.

Rectal cancer under 30, Prevenirea cancerului prin intermediul unor programe de screening

What the cancer experience is like in Romania There is a national mandatory state insurance coverage for people in our country that includes costs for rectal cancer under 30 diagnosis, treatment, and follow-up. But patients with cancer still experience various administrative and social obstacles, as the coverage has many gaps. For rectal cancer under 30, there are no national screening programs. That means late diagnosis is common, especially because of the low access to and poor education around screening.

Surgery is also often a typical treatment, so for example, a lot of patients diagnosed with rectal cancer who should have had combination chemotherapy and radiation therapy before surgery instead get surgery first.

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Patients are also commonly hospitalized for weeks, waiting to have a CT scan. Multidisciplinary committees are not used in Romania.

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Plus, the lack of patient education, awareness, and properly conducted informed consent is widespread. One good thing about cancer reapar condiloamele in Romania is that the cost of drugs are reimbursed by a national program.

The problem after that, however, is that genetic testing and imaging to have a drug prescribed and followed properly is only partially reimbursed. Therefore, for example, targeted therapies or immunotherapy drugs that are extremely expensive are sometimes administered without access to the best tools to make sure that they are the right treatment for the patient.

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Finally, support therapy facilities or at-home services are very rare in Romania. This means patients are sometimes traveling up to 12 hours to reach a cancer center. Because of all these barriers, people with cancer often do not trust our medical system and prefer to go and pay directly for care at cancer centers in places like Turkey, Austria, Germany, France, or the United Kingdom.

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We wanted to implement the ideas about medical oncology services that we observed during my time in France. Keep in mind, this was in a country where, during the last 30 years, not a single oncology hospital was built by the rectal cancer under 30 system.

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Eventually, that idea brought us to starting the Medisprof Cancer Center inwhich received a private investment of about 15 million euros including funding of almost 7 million euros from the European Union for equipment.

The state-of-the-art clinic was based on the concept of light—light for our patients everywhere, from the entrance, through the imaging department, to a cafeteria that smells like fresh pastries. Challenges to opening a private hospital in Romania At Medisprof, staff had to be trained, as we have no schools for medical secretaries and no oncology training for nurses.

We also had to create an electronic medical record EMR system in Romanian, which we worked on for 2 years with a dedicated data manager and software developer. The team includes specialists in psycho-oncology, nutrition, and genetic counseling.

From towe worked to adapt our procedures, complete trainings for staff, and change our practices regarding patient information in order to be awarded with a Quality Oncology Practice Initiative QOPI Certification from ASCO. Where can patients find local resources and support in Romania? This can be difficult, as resources and support from the state administration are missing.

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However, patients can learn more about reimbursement through the Casa Naţională de Asigurări de Sănătate National Reimbursement Agency.