Tumors, the best hospitals in Italy for treatment: the list by type

L’Higher Institute of Health records approximately 2 million 250 thousand cancer patients in Italy, representing approximately 4% of the population. The battle against cancer is a priority challenge for countless patients in Italy, the crucial question “Where do I get treatment?” stands as the fundamental starting point towards the hope of a complete recovery. The ROPI provides online an updated version of the best centers in Italy, divided by tumor site.

The map is designed to support patients on their journey through complex care pathways. Its objective is clear: to help people precisely and safely identify the centers of excellence for the treatment of the most common oncological diseases, thus offering a reliable guide towards the best possible treatment.

What is the “Where I get treatment” map to choose the best hospital

This tool was developed by Italian patients’ oncology network (ROPI), an organization committed to improving access to care and promoting awareness of the rights of cancer patients. The “Where do I get treatment?” map is based on data provided byNational Agency for Regional Health Services (Agenas), thus ensuring a solid information basis for patient decisions.

A fundamental principle on which this initiative is based is the importance of numbers in the analysis of a hospital’s oncology surgical activity. As the ROPI points out, the volumes of operations performed in a year represent a key indicator of quality, with numerous studies highlighting a correlation between higher volumes of activity and better therapeutic outcomes. This principle was applied in the definition of the intervention threshold volumes for each pathology, based on a meticulous analysis of the scientific literature and official databases.

The method used to measure the data and create the ranking was to consider the number of operations carried out in a year, because, as stated in the ROPI document, patients increasingly request this type of data to establish which is the most specialized in the treatment of tumors. The centers were also chosen based on the certification of the care pathways by theOECI (Organization of European Cancer Institutes).

The topic of sub-threshold interventions

The 2024 update shows that in Italy, approximately 46% of hospitals perform an insufficient number of oncological surgeries, falling below the threshold defined as optimal to guarantee the safety and quality of results. For this reason we speak of “sub-threshold interventions”.

Only 13 Italian hospital facilities are certified by the OECI for the quality of the care path offered. The positive news is that this trend is decreasing, in fact the data shows that from 2017 to 2022 the number of hospitals operating below the minimum threshold decreased by 16%, from 5,670 to 4,747. At the same time, there was a reduction in the overall volumes of oncological surgery operations in hospitals operating below the threshold: from 57,419 operations in 2017 (equal to 29% of total operations) to 47,230 in 2022 (equal to 23% of total interventions).

The ranking of the best hospitals for cancer treatment

An overview of the results highlights a clear gap between the different Italian regions, with the North of the country constantly at the top of the rankings and the South struggling to emerge. The ranking highlights a variety of hospital institutions that excel in different oncology specialties. For example, there is the recurrent presence of some structures, such as the European Institute of Oncology (IEO) in Milan, the Humanitas Institute of Rozzano and the National Cancer Institute of Milan, IRCCS foundation, which emerge as points of reference in different categories of tumors. In particular, the Humanitas Institute of Rozzano ranks first in several categories, positioning itself among the first structures to carry out a greater number of annual operations.

The geographical distribution is not uniform, with a predominance of northern structures compared to those of southern Italy, although some southern institutions, such as the G. Pascale Foundation of Naples, demonstrate a high number of operations regarding liver, lung, thyroid, kidneys, stomach.

Brain tumor

  1. Humanitas Institute of Rozzano
  2. San Martino Polyclinic in Genoa
  3. Institute of Advanced Technologies and Care Models in Oncology of Reggio Emilia

Colon cancer

  1. National Cancer Institute of Milan, IRCCS foundation
  2. San Martino Polyclinic in Genoa
  3. Humanitas Institute of Rozzano

Esophageal cancer

  1. Humanitas Institute of Rozzano
  2. European Institute of Oncology IEO in Milan

Liver tumor

  1. National Cancer Institute of Milan, IRCCS foundation
  2. Humanitas Institute of Rozzano
  3. National Cancer Institute of Naples

Laryngeal cancer

  1. San Martino Polyclinic in Genoa
  2. Queen Helena of Rome
  3. European Institute of Oncology IEO in Milan

Breast cancer

  1. European Institute of Oncology IEO in Milan
  2. Humanitas Institute of Rozzano
  3. Institute of Candiolo in the province of Turin

Ovarian cancer

  1. European Institute of Oncology IEO in Milan
  2. National Cancer Institute of Milan, IRCCS foundation
  3. Institute of Advanced Technologies and Care Models in Oncology of Reggio Emilia

Pancreatic cancer

  1. Humanitas Institute of Rozzano
  2. San Martino Polyclinic in Genoa
  3. National Cancer Institute of Milan, IRCCS foundation

Lung cancer

  1. European Institute of Oncology IEO in Milan
  2. Humanitas Institute of Rozzano
  3. National Cancer Institute of Milan, IRCCS foundation

Prostate cancer

  1. European Institute of Oncology IEO in Milan
  2. Queen Helena of Rome
  3. Sacred Heart Don Calabria Hospital in Negrar di Valpolicella (VR)

Kidney tumor

  1. Queen Helena of Rome
  2. European Institute of Oncology IEO in Milan
  3. G. Pascale Foundation of Naples

Rectal cancer

  1. G. Pascale Foundation of Naples
  2. Humanitas Institute of Rozzano
  3. European Institute of Oncology IEO in Milan

Stomach cancer

  1. European Institute of Oncology IEO in Milan
  2. Humanitas Institute of Rozzano
  3. G. Pascale Foundation of Naples

Thyroid cancer

  1. Institute of Advanced Technologies and Care Models in Oncology of Reggio Emilia
  2. G. Pascale Foundation of Naples
  3. European Institute of Oncology IEO in Milan

Uterine cancer

  1. European Institute of Oncology IEO in Milan
  2. Queen Helena of Rome
  3. National Cancer Institute of Milan, IRCCS foundation

Bladder cancer

  1. Queen Helena of Rome
  2. G. Pascale Foundation of Naples
  3. IOV of Castelfranco Veneto (TV)