Only treat throat cancer in specialised hospitals, says KCE

Summary

Throat and laryngeal cancers should only be treated in specialist hospitals with a team of specialists such as mouth surgeons, radiotherapists and speech therapists, according to a new report

Complex care

The Belgian Health-care Knowledge Centre (KCE) has advised in a new report that throat and laryngeal cancer should only be treated in specialised hospitals with a multidisciplinary team. The report emphasises that patients’ quality of life depends on the teamwork and experience of various specialists.

In 2012, 871 people in Belgium were diagnosed with throat and laryngeal cancer, most of them men in their 60s. Smoking and alcohol consumption are the most significant risk factors and also impede the healing process. About half of patients die within five years after the diagnosis.

Currently, all of the about 100 hospitals in Belgium treat throat and laryngeal cancers. The KCE, however, advises that this care should only be provided by reference centres, or hospitals that have the whole range of necessary expertise.

Throat and laryngeal cancers are very complex. The input of various specialists can make a substantial difference for a patient’s quality of life.

“Mouth and jaw surgeons, ear, nose and throat therapists, radiotherapists, oncologists, pathologists and radiologists should be involved,” said KCE project leader Joan Vlayen. “Because of the risks of speech and swallowing problems and facial deformity, speech therapists, dentists, nutrition experts and psychologists should also be involved.”

According to the KCE, the reference centres should also build up a network with peripheral hospitals closer to the homes of patients, where patients can receive less complex care.

Photo: Ingimage

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Health-care system

The health-care system is federally organised in Belgium. Competing health insurance providers and a proportional contribution-based system ensure that healthcare is accessible to virtually all citizens and costs remain relatively low.
Law - From the age of 25, Belgian citizens and residents – both employees and those self-employed – are legally obliged to have health insurance.
Insurance providers - The mutualiteiten or mutual insurance associations are typically Christian, liberal, socialist or independent.
Services - Refunds are given for services such as doctor’s consultations, prescribed medication and hospital care costs.
1 945

national health-care system is born

13

percent of salary employees contribute to social security

50

to 75% of healthcare costs reimbursed by mutuality

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