On January 28, 2020 MSD, tradename of Merck & Co., Inc., Kenilworth, N.J., USA (NYSE: MRK), reported preliminary results from a study carried out by The Economist Intelligence Unit (The EIU) on lung cancer, which show a fragmented policy approach across Europe (Press release, Merck & Co, JAN 28, 2020, View Source [SID1234553625]). The study underlines that awareness needs to be addressed on multiple fronts to fight the stigma associated with this disease and to ensure patients receive timely access to the best possible care. The data were presented days before the European Commission’s official launch of the stakeholders’ consultation on Europe’s Beating Cancer Plan.
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"There is no room for complacency in lung cancer; 1 out of 5 of all cancer deaths in Europe is caused by lung cancer and it kills as many Europeans as breast, colon and prostate cancer combined. The study uncovers actionable solutions to empower countries and their health systems to better manage lung cancer, and ultimately, improve the lives of people living with a diagnosis of this treatable disease," commented Mary Bussell, Associate at The Economist Intelligence Unit.
The study shows that of the 27 countries participating, 15% (4 countries) do not have a National Cancer Control Plan (NCCP). 14 countries with existing NCCPs have not updated them within the past five years, and only one has a lung cancer-specific control plan.
National Lung Cancer Clinical Guidelines (NLCCGs) should include timeframes for fast-tracking people suspected of having lung cancer for diagnostic testing and provide a rapid referral for secondary or tertiary treatment for those diagnosed with lung cancer. Although 26 of the 27 countries covered in the study have national clinical guidelines for lung cancer, discrepancies remain:
11 countries do not include fast-tracking of suspected lung cancer patients to receive diagnostic testing;
12 do not include a timeframe within which diagnostic testing should be given to suspected lung cancer patients;
15 do not include rapid referral to secondary or tertiary care, once a diagnosis of lung cancer has been made; and
3 countries do not include fast-tracking for diagnosis within timeframes or rapid referral to secondary or tertiary care in their lung cancer clinical guidelines. However, they are included in government policies, national agreements, or are mandated by law.
"The presentation of this data is quite timely. While Europe has agreed on the need for a European Cancer Plan, the study draws attention to specific issues around lung cancer and its burden. Clearly, prevention and health promotion have important roles to play. At the same time, we know that early detection and fast referral to treatment are crucial to improve patient outcomes – lung cancer is a race against time. The study shows that we have plenty of work to do there," said Deepak Khanna, Senior Vice President and Regional President Oncology for Europe, Middle East, Africa and Canada, MSD.
"The data presented helps us understand the specificities of lung cancer better. As we design a European Cancer Plan aiming at reducing the cancer burden for patients, their families and health systems, and addressing cancer related inequalities, it is important to gather available information on best practices and knowledge from research and clinical experience, that can help us build a robust evidence base for better policy making", added Martin Seychell, Deputy Director General, DG SANTE, European Commission.
About the Study
The study analysed 17 performance indicators across 27 countries – Austria, Belgium, Bulgaria, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Israel, Italy, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland and the United Kingdom. The indicators were categorised into five domains focused on the degree to which a country considers lung cancer to be a strategic priority and a public health issue, ensures timely diagnostic and treatment services and the quality of cancer registries which can help to facilitate high-quality research. Each country received a score for all 17 indicators. Once draft scores were assigned to each country, national workshops were conducted with external country-based experts to discuss the findings and develop recommendations for policy and programme improvements. Preliminary results of the first phase of the study were presented at the 2018 European Cancer Forum in Brussels. An additional 16 countries are being analysed and the preliminary results of this second phase were presented at the 2020 European Cancer Forum in Brussels. The final report with a full analysis of the results is expected in Spring 2020. The Economist Intelligence Unit benchmarking study is supported by MSD. Editorial decisions are the responsibility of The Economist Intelligence Unit.
About Lung Cancer
Lung cancer, which forms in the tissues of the lungs, usually within cells lining the air passages, is the leading cause of cancer death worldwide. According to WHO, in 2018 470,000 Europeans were diagnosed with lung cancer, and 388,000 Europeans died of the disease that year. The two main types of lung cancer are non-small cell and small cell. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer, accounting for about 85% of all cases. Small cell lung cancer (SCLC) accounts for about 10 to 15% of all lung cancers.