Initial Project Information: ECOLE/GRIP
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Updated: Jun 3, 97  

ECOLE/GRIP

Telematics applications for development, dissemination and implementation of best cancer practice

[ Coordinator(s) ] [ Participants ] [ Project Objectives, ... ] [ Other Characteristics ]

Project Nr: HC 1013 Group: II Project Duration: 30 months
Key words:
Category:Research Transfer for Cancer Treatment
Summary: This project is intended to improve transfer of cancer research findings into practice and treatment by using telematic applications on an collaborative European level. State of the art care for all patients with cancer in Europe is the final target.
Mission:The purpose of ECOLE/GRIP is to transfer the latest findings in cancer research into routine clinical practice. Applied telematics will underpin concerted national and international reviews of ongoing research literature and the development and publication of clinical guidelines. Project results are expected to include an internationally validated methodology for these activities, as well as a European database for literature reviews aimed at guidelines developers and the health care sector. Also planned are a cancer guidelines database and knowledge bases for electronic patient record and decision support systems. ECOLE-GRIP participates in the project cluster entitled: ACTION for Telematics Applications for Cooperative work of Healthcare Professionals.
URL: www.acl.icnet.uk/lab/rteg_home.html

Coordinator(s)

  • Mr. Jean-Louis Renaud-Salis
    Institut Bergoni
    Rue de St. Genes 180
    F-33076 Bordeaux
    France
    tel: +33 56 33 33 33
    fax: +33 56 33 33 30
    100610.542@compuserve.com
    url:

Participants:

Name of InstitutionCity+Postal CodeCountryRegion
MARI Computer Systems Ltd. Boldon, NE35 9PE GB UK13
Clinical Information Science Unit, University of Leeds Leeds, LS2 9NZ GB UK24
Agence Nationale pour le Développement de l’Evaluation Médicale Paris, 75013 France FR1
Deutche Krebsgesellschaft e.V. Frankfurt, D-60596 Germany DE92
Istituto Nazionale per lo Studio e la Cura dei Tumori Milan, 20133 Italy IT2
Verening van Integrale Kankercentra Utrecht, DA 3501 Netherlands NL31
Institut National de la Santé et de la Recherche Médicale Paris, 75654 France FR1
The Italian Cochrane Centre (Istituto di Ricerche Farmacologiche Mario Negri) Milan, 20157 Italy IT2

Project Objectives, Summary Description and Anticipated Results

Guidelines and protocols are increasing in importance throughout clinical practice. From primary care to specialist care, there is growing recognition of the existence of avoidable and potentially unacceptable delays in the implementation of research findings into routine care, and of variations in the quality of treatment for similar conditions across different European countries. Indeed, it has been established that the implementation of state-of-the-art practice in he routine care of cancer patients could achieve a 10% decrease in mortality within a decade.

The main goal of ECOLE/GRIP is to enable state-of-the-art research findings to be transferred into routine clinical practice. Concentrating on the field of cancer care, the project will develop telematics tools and services to enable national and international collaborative literature reviews and clinical guidelines development. Clinical experts will test and validate these tools and produce high quality, internationally validated literature reviews and hypermedia guidelines databases. Applications will be developed using the latest technologies including the Internet and the World Wide Web to maximise dissemination potential in the form of hypermedia databases accessible either on line or via CD-ROM. Applications will be designed to support collaborative groups in all phases of the cancer knowledge production and dissemination life-cycle from collection of evidence, analysis, review and reporting of critical literature, consensus forming, guidelines development and dissemination.

To maximise uptake of best available knowledge, electronic versions of cancer guidelines will be integrated with clinical workstation technology to enable access to patient data, decision support in patient management, and guidance in collection of clinical data for clinical audit, quality assessment and epidemiological research. This latter work will be undertaken in collaboration with other Health Telematics projects, particularly PROMPT. Applications will be developed to conform with standards in medical terminology, knowledge representation, electronic publishing and network interoperability. Methods, tools, and services will be designed to be generic and so applicable to a number of clinical areas including primary care, in which they will be tested.

ECOLE/GRIP results will include

  • an internationally agreed and validated methodology for literature review and guidelines development and publishing;
  • validated services and tools for workgroup management and collaborative authoring
  • European database (demonstrator) of literature reviews for use by guideline developers, healthcare professionals and healthcare authorities
  • a European hypermedia database (demonstrator) of cancer guidelines which can be adapted for local dissemination by national and regional cancer organisations and
  • a set of cancer knowledge bases for integration with electronic patient record and decision support systems.

The ECOLE/GRIP consortium comprises five European national cancer organisations with wide experience in collaboratively reviewing cancer literature and developing guidelines; technical organisations experienced in the development of workgroup networking applications, information engineering, pharmaceutical, industrial and publishing companies who will participate in the specification, validation and exploitation of project methods, tools and services. Pilot and demonstration sites will include Euro-wide and national cancer organisation networks, and regional health information networks involving oncologists, general practitioners and home care organisations.

Other Characteristics of the Project:

Users involved
Primary care physicians, oncologists, specialists, primary care and hospital nurses; cancer organisations; network operators, database providers and publishers, clinical protocol authors.
Technologies and/or approach used
Telematics services and tools for (i) collaborative work on cancer literature and guidelines, (ii) guideline dissemination and use. Multimedia databases for the dissemination of best cancer knowledge accessible over telematics networks (inc. WWW) or CD-ROM.
Expected benefits for the citizen
Provision of more consistent, high quality healthcare based on best clinical practice (state-of-the-art guidelines and protocols) made possible by the wide dissemination of authoritative information on cancer and cancer care.
Expected benefits for the users of the application
Provision of state-of-the-art guidelines and protocols representing best clinical practice. Tools and services to facilitate Euro-wide guidelines authoring and literature reviews. Technology will enable: literature searches, co-operative editing and reviewing, cost effective dissemination and maintenance of literature.
Expected benefits for the European Industries
ECOLE/GRIP will be involved in development of services and tools to help meet the rising demand for new software and telematics products for healthcare, including medical knowledge, guidelines databases.
Contribution to EU-policies
ECOLE/GRIP will be involved in the development of healthcare telematics services and tools so will be supporting the development of healthcare networks (stressed in the Bangermann report), and emergent European new technology industries. ECOLE/GRIP will be supporting the Health Telematics programme mainly in the following areas:
  • Increasing the Resources Available to the Medical Professions and Improving Health Service Management
  • Telemedicine and New Telematics Services. ECOLE/GRIP is directly supporting EU cancer policies: (i) 1995-1999 action plan to combat cancer, (ii) strategy for research under Europe against cancer.

Validation Sites

Deutsche Krebsgesellschaft Frankfurt Darmstadt DE
Istituto Nazionale per lo Studio e la Cura dei Tumori Milan Lombardia IT
Verening van Integrale Krankercentra Utrecht Utrecht NL
Institut National de la Santé et de la Recherche Médicale Paris Ile de France FR
Université de Bordeaux II Bordeaux Aquitaine FR
Union Régionale des Médecins Libéraux d'Aquitaine Bordeaux Aquitaine FR
Association des Sociétés Nationales Européenes et Mediterranéenes de Gastroentérologie Thessaloniki Kentriki Makedonia GR
Centre Alexis Vautrin Vandœuvre-les-Nancy FR
Centre Antoine Lacassagne Nice Provence-Alpes Cote d'Azur FR
Centre Claudius Regaud Toulouse Midi-Pyrénées FR
Centre Francois Baclesse Caen Basse-Normandie FR
Centre Léon Bérard Lyon Rhône-Alpes FR
Institut Bergonié Bordeaux Aquitaine FR
Institut Gustave Roussy Villejuif Ile de France FR
European Organisation for Research and Treatment of Cancer London Greater London UK
Centro Nazionale per l'Applicazione delle Biotechnologie in Oncologia Venice Veneto IT
Instituto di Ricovero e Cura a carattere Scientifico San Matteo Pavia Lombardia IT
Instituto Nazionale per la Ricerca sul Cancro Genova Liguria IT
European School of Oncology Milan Lombardia IT

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