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ICO Sustainability Report PREVIEW

2017 your text goes here 2 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

THE INSTITUTE

The Catalan Institute of Oncology (ICO) is a public monographic cancer center. It treats the disease comprehensively, as the organization covers prevention, patient care, specialist training and 16 research; it is the first center of this kind in . 17 It is a public company, which was created in 13 1995 by the Department of Health of the Catalan 19 Government and began operations in 1996 in Duran 18 i Reynals Hospital in L’Hospitalet de . ICO was inaugurated in 2002 and ICO , 02 14 15 the following year. ICO Camp de and 03 09 11 Terres de l’Ebre was inaugurated in 2014. 08 10 04 05 12 06 22 01 ICO has its own regional model, with a multicenter 07 organization structured as a network, with four 20 monographic cancer centers that work together with four university hospitals - Bellvitge, Dr. Josep Trueta, Germans Trias i Pujol and Joan XXIII, and 21 20 other hospitals. The goal of ICO is to bring the specialist to where the patient is and to ensure the highest quality provision of health care. ICO is currently the referral cancer center for almost 45% 01. ICO l’Hospitalet-Hospital Universitari de Bellvitge 12. Fundació Hospital de l’Esperit Sant of the adult population of . 02. Hospital d’ 13. ICO Girona-Hospital Universitari de Girona Dr. Josep Trueta 03. Hospital Sant Joan de Déu de 14. Hospital Comarcal de 04. Hospital de 15. Hospital Sant Jaume de 05. Hospital de Sant Joan Despí Moisès Broggi 16. Hospital de Figueres 06. Hospital Residència Sant Camil 17. Hospital Sant Jaume d’Olot 07. Hospital de 18. Hospital de Palamós 08. Hospital Comarcal de l’Alt Penedès 19. Hospital provincial Santa Caterina 09. ICO Badalona-Hospital Universitari Germans Trias i Pujol 20. ICO Camp de Tarragona i Terres de l’Ebre-Hospital Universitari Joan XXIII 10. Hospital Municipal de Badalona 21. Hospital Verge de la Cinta de Tortosa 11. Hospital de Mataró 22. Pius Hospital de Valls 3 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

MISSION, VISION AND VALUES

Mission Adhesions

To work to reduce the impact of cancer in Catalonia.

Vision

To become an internationally recognized comprehensive cancer center.

Values

We think like patients. Quality with human warmth. Decisions with knowledge. Teams at your side. Research and innovation to make the future better.

Certifications 4 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

A DAY IN ICO

L’HOSPITALET BADALONA GIRONA TARRAGONA-TORTOSA TOTAL RESOURCES Beds 85 43 36 19 183 Day-hospital points 40 27 23 22 112 Accelerators 5 3 3 - 11 ACTIVITY New cases 26 13 11 8 58 Hospital discharges 9 4 3 1 17 Outpatient consultations 530 254 189 63 1036 (initial visits + follow-up visits) (75+455) (29+225) (20+168) (10+53) (134+901) Day-hospital sessions 206 102 91 29 428 Brachytherapy 5 - - - 5 Radiosurgery 1 - - - 1 Outpatient radiation therapy 11 7 5 - 23 discharges Radiation therapy sessions 213 132 116 - 461 HPT/month 7 4 1 3 15 5 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

ACTIVITY

TOTAL L’HOSPITALET BADALONA GIRONA TARRAGONA-TORTOSA 2017 2016 2017 2016 2017 2016 2017 2016 2017 2016 HOSPITALIZATION Admissions 6.478 6.597 3.417 3.355 1.420 1.521 1.128 1.233 513 488 Mean stay 9,2 9,2 7,8 8,2 11,0 11,0 10,4 9,2 10,7 9,7 Major outpatient surgery MOS 1.412 1.355 1.412 1.355 ------OUTPATIENT CONSULTATIONS Initial visits 33.506 31.755 18.675 17.820 7.202 6.598 5.099 5.121 2.530 2.216 Subsequent/Follow-up visits 225.250 216.740 113.714 107.436 56.209 54.859 42.061 41.415 13.266 13.030 Total 258.756 248.495 132.389 125.256 63.411 61.457 47.160 46.536 15.796 15.246 Ratio of follow-up to initial visits 4,00 4,84 3,60 3,60 4,90 5,30 3,80 3,80 5,20 5,90 DAY HOSPITAL Treatment sessions 80.016 76.115 37.722 35.529 18.803 17.677 17.079 16.665 6.412 6.254 Other sessions 27.085 38.536 13.838 14.617 6.681 13.245 5.691 9.082 875 1.592 HPT Autologous 128 119 50 49 24 29 17 17 37 24 Familial allogenic 39 36 24 19 15 17 - - - - Non-familial allogenic 18 19 9 6 9 13 - - - - RADIATION THERAPY Outpatients 5.790 5.744 2.812 2.717 1.665 1.597 1.313 1.430 - - Brachytherapy 1.149 1.101 1.149 1.101 ------Radiosurgery 165 162 165 162 ------CONTINUOUS CARE In situ care 3.287 4.379 2.877 4.379 330 - 80 - - - ICO 24h. 11.801 11.693 6.885 7.102 2.278 2.138 2.504 2.394 134 59 HEMATOLOGY AND CYTOGENETICS - MOLECULAR BIOLOGY Cytogenetic techniques 5.589 5.107 - - 5.589 5.107 - - - - Molecular biology analyses 4.425 3.978 - - 4.425 3.798 - - - - NURSING VISITS Total visits 40.134 46.024 25.242 24.327 9.243 14.169 5.611 7.295 38 1 GENETIC COUNSELLING Initial visits 2.522 2.355 1.243 1.154 695 631 584 570 - - Follow-up visits 3.927 3.356 2.070 1.708 808 720 1.049 928 - - GENETIC TESTING Total studies 1.876 1.608 1.876 1.608 ------6 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

Network Activity

CENTER OUTPATIENT CONSULTATIONS DAY HOSPITAL Visits Treatment sessions 2017 2016 2017 2016 CSI Moisès Broggi Hospital - Sant Joan Despí 14.344 13.496 11.251 9.458 CSI L’Hospitalet General Hospital 622 645 1 1 Health Care Consortium - Igualada Hospital - - - - Sant Camil Residence Hospital - 6.706 6.341 3.665 4.027 Sant Llorenç Hospital, Viladecans - - - - Alt Penedès County Hospital - - - - Esperit Sant Hospital Foundation - - - - - Maresme Health Care Consortium - Mataró Hospital - - - - Badalona Patient-Care Services - - - - Blanes County Hospital 1.734 1.649 947 704 Sant Jaune County Hospital, Calella 5.775 4.918 1.948 1.400 Figueres County Hospital 2.488 1.934 1.676 1.230 IAS 3.621 2.319 1.301 978 Palamós Hospital 5.534 5.287 1.846 1.800 Pius Hospital, Valls 1.452 - 307 - TOTAL 42.276 36.589 22.942 19.598

Complaints and Acknowledgements

L’HOSPITALET GIRONA BADALONA TOTAL Complaints 161 28 38 227 Suggestions 45 19 8 72 Acknowledgements 129 62 18 209 7 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

Prevention Programs

EARLY DETECTION OF BREAST CANCER Screening mammograms Intermediate follow-up examinations* Invited population 79.266 1.439 Participating population 49.744 1.256 Participants with normal results 48.541 662 Participants with results indicating intermediate follow-up 922 580 Women called for additional tests 2.590 80 Number of cancers diagnosed 250 13 High risk disease and others 31 1

* Women who have undergone more than one mammogram a year

EARLY DETECTION OF BOWEL CANCER Invited population 305.382 Participating population (fecal occult blood test - FOBT) 97.111 Participants with positive results (positive FOBT) 5.891 People with diagnosis of adenoma 2.877 People with diagnosis of cancer 187

SMOKING CESSATION CONSULTATIONS Total visits 1.416 Initial visits 283 Follow-up visits 1.133 Telephone follow-up consultations 376 Referrals 29 8 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

THE TEAM

L’HOSPITALET BADALONA GIRONA TARRAGONA TORTOSA General Total Patient Care 480,06 195,33 150,89 10,70 3,30 840,28 Auxiliary staff 77,84 25,78 18,71 122,33 Doctors 153,37 80,58 56,51 9,7 3,3 303,46 Nurses 167,14 67,87 51,61 1 287,62 Technicians 61,59 19 21,06 101,65 Porters 20,12 2,1 3 25,22 Non-Patient Care 215,72 40,88 29,00 1,10 0,10 286,80 Administrative Staff 90,14 25,65 21,8 1 138,59 Executive Management 17,8 2 1 0,1 0,1 21,00 Staff with basic degrees 21 5,73 3,2 29,93 Staff with higher degrees 86,78 7,5 3 97,28 General Total 695,78 236,21 179,89 11,80 3,40 1127,08

Permanent 59,37% Female 77,60%

DONA 77,60%

HOME 22,40% Temporary 40,63% Male 22,40% 9 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

ECONOMIC RESULTS AND INVESTMENTS

INCOME TREND PROFIT-AND-LOSS ACCOUNT 2016 2017 2009 153,74 Generated economic value 196.035.296 206.687.685 2010 153,23 Income 196.035.296 206.687.685

2011 139,19 Distributed economic value 195.967.726 206.487.749 2017 Overheads 131.910.302 140.843.071 2012 142,97 Personnel costs 63.825.022 65.440.222 146,19 2013 Payment to capital suppliers 215.610 187.702 206,68 158,21 Payments to governments 16.792 16.753 2014 In millions of euros Result 67.570 199.936 2015 175,95

2016 196,03 INVESTMENT 2016 2017

2017 206,68 Infrastructure and facilities ICO L’Hospitalet 966.244 808.032 Investments due to replacement (L’Hospitalet, Girona and Badalona) 443.416 511.284 INVESTMENT TREND Remodeling of outpatient area (new outpatient consulting rooms) ICO 300.420 193.684 L’Hospitalet 2009 5,97 Remodeling and expansion: new ICO Girona pharmacy 0 271.292 2010 10,22 Remodeling and expansion: ICO Badalona hospitalization wing 100.840 115.484 2017 Systems plan 70.363 241.025 2011 6,36 TOTAL INVERSIONES 1.810.921 2.140.800 2012 6,92 Definitive data In euros 2,14 2013 4,02 In millions of euros 2014 3,56 SUPPLIERS 2016 2017 2015 4,87 Local suppliers (%) 78,01% 73,39%

2016 1,81 Calculated based on the number of suppliers in Catalonia

2017 2,14 10 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

ENVIRONMENT

ENVIRONMENT ECONOMIC EXPENDITURE Electricity consumption (kWh) 2012 2013 2014 2015 2016 2017 2012 14.154.455 Electricity 1.694.515 1.605.313 1.506.238 1.457.962 1.232.184 1.092.081 2013 13.722.221 Gas 304.126 311.161 294.096 249.067 177.846 193.080 2014 13.758.058 Water 174.852 169.005 184.995 198.877 201.901 179.467 2015 12.736.231 Data for Duran i Reynals Hospital In euros 2016 10.939.297 2017 11.455.305

Gas consumption (kWh) 2012 6.186.407 2013 5.948.114 2014 5.832.341 2015 5.362.633 2016 4.561.477 2017 4.554.683

Water consumption (m3) 2012 72.803 2013 62.790 2014 63.865 2015 66.914 2016 67.903 2017 61.255 11 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

TRAINING AND TEACHING

TEACHING No. of courses carried out 36 No. of hours taught 4.900 Total students 597 No. of undergraduate stays 276 No. of postgraduate stays and visits 323

CORPORATE TRAINING Students 6.659 Different activities 258 Hours of training/person 36

ONLINE PLATFORM www.e-oncologia.org: Active students in the past 4 years 21.680* *Registered students who reapplied in 2017 Courses 82 Grants in progress 10 12 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

RESEARCH

Number of publications with impact factor Number of Publications 518 566

125 179 208 168 219 295 318 365 357 379 334 303 398 566 Number of publications in 1st decile 153 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Number of publications led 18

Total impact factor 3.024,4 496,6 793,1 872,2 870,5 1.157,2 1.511,7 1.840 2.034,9 2.027,7 2.174,4 1.900,47 1.721,15 1.741,53 3.024,4 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Total impact factor of publications in 1st decile 1.792,64 Mean impact factor 5,84 Mean impact factor of publications in 1st decile 11,72 3,97 4,43 4,19 5,18 5,20 5,12 5,79 5,58 5,68 5,73 5,68 7,20 5,92 5,84

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Research in ICO is carried out through three foundations: CLINICAL TRIALS Active clinical trials (in follow-up + recruiting): 802 IDIBELL in L’Hospitalet, IDIBGi in Girona and IGTP in Badalona. ICO is the promotor in 13 trials Patients in clinical trials: 1.123 13 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

NEWS

IMPACT IN THE PRESS MEDIA REQUESTS PRESS RELEASES 2014 960 2014 120 2015 1.093 2015 136 2016 2.241 2016 136 2017 2.265 2017 160 26 22 13 58

2014 2015 2016 2017

SOCIAL MEDIA

Facebook 4.076 likes (761 more than previous year)

Twitter Twitts 895

Followers 5.143 (1.077 more than in 2016)

Linkedin Followers1.480 (276 more than in 2016) 14 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

News

JANUARY MARCH Breast brachytherapy reduces treatment time from seven weeks to one Two Europe-wide studies published in ICO L’Hospitalet: a benchmark center for treatment of spinal ICO: a European reference in hereditary and rare tumors in the Lancet and Lancet Oncology, in which cord compression using emergency radiation therapy on wee- adults ICO took part, show that there is no diffe- kends for the whole of Catalonia The European Commission has accredited rence five years after treatment between The goal of this circuit is to provide a pa- ICO as one of the reference centers in rare brachytherapy and traditional radiation tient-care service that makes it possible to and complex diseases: rare adult tumors, therapy. Patients with breast cancer with administer emergency radiation therapy EURACAN project, and in tumors of here- a good prognosis who undergo brachythe- to this type of patient in order to improve ditary origin, project GENTURIS. The latter is within the framework rapy not only have their treatment time their prognosis and quality of life. This new of the Oncological Network of Catalonia. The European Reference shortened from seven weeks to one but they also present lower service will be available with continuous te- Networks (ERN) are unique, innovative platforms for international skin toxicity and better quality of life. lephone access from 08:00 to 22:00 on Sa- cooperation between specialists for diagnosing and treating rare turdays and Sundays. and complex diseases.

ICO receives €83,890 from the Oncolliga Foundation, raised in APRIL FEBRUARY the latest edition of Oncotrail Agreement between ICO-IC and IGTP: a fundamental step in The money raised in the latest edition of research on leukemia at the Can Ruti Campus Successful attendance and participation in the 1st Conference the Oncotrail charity race was used to buy This is a major step for research into leuke- on Innovation in Oncological Care 19 new, fully automated and articulated mia, as it will provide the different research Over 100 nursing professionals attended beds and 17 sofas that can be converted to teams of the Josep Carreras Institute with the 1st Conference on Innovation in On- beds, thereby making the stay of hospita- access to a large number of samples and cological Care on 17 February. At the end lized patients and their companions much the opportunity to work with physicians of the conference, the three best ideas on more comfortable. Oncotrail is a 100-km who provide patient care in order to ex- innovation in the INNOICO Project develo- charity team race that has been held since tend the research to all phases: clinical, ped in 2015-2016 received awards. Given 2013. It is organized by the Oncolliga Giro- translational and basic. At the same time, the level of interest and the good reception na Foundation, with the help of the Palafrugell Athletics Club and clinicians will be able to take advantage of by the institution’s professionals, this con- the Palafrugell Hiking Association. the narrow specialization of the most basic researchers, such as ference is expected to be held again in the near future. biologists and biochemists, to perfect the therapies they apply. 15 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

ICO receives nearly a million euros in PERIS grants for research ICO to renew six linear accelerators thanks to an agreement ICO and Pallapupas implement a pioneering program to im- and innovation between the Catalan government and the Amancio Ortega prove the wellbeing of adult oncological patients This first call for applications for PERIS Foundation The hospital clown NGO, Pallapupas, and (strategic plan for research and innovation The Catalan Institute of Oncology is to the Catalan Institute of Oncology (ICO) in health care) has brought together some renew six accelerators as a result of the L’Hospitalet have implemented a pro- 500 proposals that have been evaluated by agreement signed between the Catalan gram that is a pioneer in Spain and which forty independent experts, under the coor- government, via the Department of Heal- consists of visits by professional hospital dination of the Catalan Health Care Quality th, and the Amancio Ortega Foundation, clowns to improve the emotional state and Evaluation Agency (AQuAS). Of these who will join forces with the goal of impro- of the adult oncological patients who are approximately 500 proposals, a total of ving technological equipment for detec- being seen at this reference center. The 183 were chosen for their level of excellence with the goal of stimu- ting and treating cancer in Catalonia. This program, which promotes regular visits by lating research in hospitals and primary care centers in Catalonia. agreement will involve a donation of nearly 47 million euros for professional hospital clowns to the center, is the first in Spain to renewing state-of-the-art oncological equipment for the centers be put into practice with adult patients. The clowns interact and of the Catalan public comprehensive health care system (SISCAT). improvise with the patients using the proprietary methodology of MAY In the case of ICO, a total of six linear accelerators will be repla- Pallapupas, based on humor and theater. ced - two at ICO L’Hospitalet, two at ICO Badalona and two at ICO Genetic analysis is the key to treatment and survival in advan- Girona. ced ovarian cancer JULY Genetic studies of patients with this type of cancer have revealed that somewhere JUNE The ICO Camp de Tarragona Hematology Service has carried between 15% and 20% of ovarian cancers out 250 autologous hematopoietic progenitor transplants sin- are caused by germinal mutations of genes The ICO Badalona Palliative Care team sees its 10,000th pa- ce the program began in 1999 called BRCA1 and BRCA2. There are muta- tient Coinciding with the commemoration this tions in other genes associated with other The ICO Badalona Palliative Care team year of the 50th anniversary of the Joan hereditary syndromes, such as Lynch syn- has seen its 10,000th patient. This service XXIII University Hospital, Tarragona, the drome, which can also predispose patients began in 2003, coinciding with the arrival ICO Camp de Tarragona Hematology Ser- to ovarian cancer. Recently, clinical application of multigene panels of ICO at Germans Trias i Pujol University vice carried out hematopoietic progenitor has made it possible to identify mutations in other genes. Hospital. ICO Badalona Palliative Care is a transplant (HPT) number 250. The first part of the Comprehensive Support Servi- transplant was carried out in 1999 and sin- ce (SSI), along with the Social Work Units, ce then, the number of HPTs has increased Psycho-oncology, and Dietetics and Nu- gradually. In 2016, a total of 24 transplants were carried out and trition. This organization allows for considerable coordination in more than 30 are scheduled for this year. order to respond to the multiple and changing support needs of oncology patients. 16 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

SEPTEMBER OCTOBER The ICO breast-cancer screening program celebrates its 25th anniversary The ICO breast-cancer screening pro- ICO appears in the new TV3 series, Com si fos ahir The ICO-ICS Oncologic Network covers the palliative-care gram celebrates the 25th anniversary of ICO L’Hospitalet has been chosen as one of needs of 75% of the population of Catalonia its implementation as a pilot program in the locations for filming the new early-af- The network, implemented in April 2016 by the towns of Molins de Rey, and ternoon series on TV3, which will launch the Department of Health, integrates ICO . This was the first on 11 September with the title Com si fos L’Hospitalet-Hospital Duran i Reynals, Be- breast-cancer screening program to be ahir (As if it were yesterday). In the series, llvitge University Hospital, ICO Girona-Dr. implemented in Catalonia and one of the one of the characters, Andreu, a nurse pla- Josep Trueta University Hospital, ICO Ba- first in Spain. Mammograms, which are ca- yed by the actor Marc Cartes, works at the dalona-Germans Trias i Pujol University rried out through screening programs, are a very useful tool for Catalan Institute of Oncology and when he Hospital, Arnau de Vilanova University preventing breast cancer, the most common type of cancer in wo- appears on screen, he often does so at the ICO L’Hospitalet facili- Hospital, , Vall d’Hebron University men, with a survival rate of up to 86.5%. In 1992, a pilot breast-can- ties and you can see our hospital. Hospital, and the domiciliary care program and ICS primary-care cer screening program was implemented with the installation of support teams. In 2016, the professionals who make up this allian- a mammography device in the primary care center (CAP) in Sant The ICO Clinical Research area carries out trial number 1000 in ce carried out a total of 2253 initial visits in outpatient clinics and Feliu de Llobregat, which also provides coverage for the towns of medical oncology 2007 consultations with hospitalized patients. And last year, the Molins de Rey and El Papiol, and all women between the ages of 50 In September of this year, the ICO Clinical Research area carried network’s centers discharged 1065 hospitalized patients and at- and 64 years were invited to take part on a voluntary basis. out its 1000th in medical oncology since tended nearly 47,000 patients in their homes. the service was set up in 1996. This num- ber shows the excellent evolution of this The esthetic result of breast-cancer surgery conditions the unit, whose goal is to investigate new me- type of treatment DECEMBER dications and treatments for cancer and The Breast Functional Unit of HUB and ICO Continuous Oncologic Care Unit (UACO) implemented at ICO provide patients with the best therapeu- diagnoses and treats approximately 450 Girona tic alternatives in the field of evaluation of patients with breast cancer each year, 75% The new unit is located in the day hospital new strategies for treating the disease. of whom undergo conservative surgery. on floor -1 of the ICO building. It has two This surgery has two goals: to prevent a points of care coordinated by a physician recurrence of the disease and to obtain and a nurse. This unit can attend patients the best possible esthetic result. However, from outpatient consultations, the day it has been calculated that approximately hospital and radiation-therapy oncology 20% of patients may have an unsatisfac- who require monitoring of symptoms to tory esthetic result. It is therefore important to anticipate the es- detect signs attributable to the treatment thetic result that may be obtained after surgery in order to apply toxicity or to oncologic-hematologic disea- the most appropriate technique. These results were presented at se, following acceptance by the UACO physician. a conference held on World Breast Cancer Day. 17 ICO SUSTAINABILITY REPORT 2017 PREVIEW

THE INSTITUTE A DAY IN ICO ACTIVITY THE TEAM ECONOMIC RESULTS ENVIRONMENT TRAINING AND TEACHING RESEARCH NEWS

Institutional Awards and Recognition

The company The blog Mejor sin cáncer (better The 3rd Martí Award of the Comunicaciones Hoy awards without cancer) awarded by Vallformosa and GESCO Family ICO with the prize for the the Olga Torres Foundation for Foundation goes to the ICO best ICT project in health outreach regarding bowel cancer ProCURE Program for oncological care research

ICO L’Hospitalet repeats its gold The ICO Clinical ICO is awarded the Win level in the Global Network for Nutrition Functional prize for its innovation in Tobacco Free Healthcare Services Units are awarded the area of corporate social (ENSH Global) for their NUTRISCORE responsibility with the work Convivir con cáncer (living with cancer) program

ICO is a finalist in the 5th Albert The Catalan Council of Ongoing Jovell awards in the category of Training in the Health Care institutional trajectory Professions awards E-oncología and the Teaching Department for innovation and quality of teaching 18

ICO

ICO l’Hospitalet ICO Girona ICO Badalona ICO Camp de Tarragona i http://ico.gencat.cat Hospital Duran i Reynals Hospital Doctor Trueta Hospital Germans Trias i Pujol Terres de l’Ebre Twitter: @ICOnoticies Granvia de l’Hospitalet, 199-203 Av. França s/n Ctra. del Canyet s/n Hospital Joan XXIII www.facebook.com/ICOnoticies 08908 L’Hospitalet de Llobregat 17007 Girona 08916 Badalona Carrer Dr. Mallafré Guasch, 4 Memòria 43005 Tarragona

Hospital Verge de la Cinta Carrer de les Esplanetes, 14 43500 Tortosa de sostenibilitat AVANÇ

2017 your text goes here