Cancer Care Archives

Language in cancer care: why words are never neutral

Language used in cancer care is never neutral. The words chosen to describe a diagnosis can significantly shape how a person experiences illness, especially during a highly vulnerable period of life. Depending on how they are used, words may either reinforce fear and stigma or support dignity, psychological safety, and empowerment.

This perspective is highlighted in a recent interview with Evangeli Bista, co-founder of the Cancer Guidance Center (Kapa3), published on iatronet.gr, where she discusses the findings of a study exploring how patients themselves perceive the language used around cancer.

The study, conducted by Kapa3, examined how people living with cancer experience terms such as “cancer patient,” “oncology patient,” or simply “patient,” and how these labels influence their emotional response and sense of identity.

Findings suggest that many patients feel that labels directly linking them to their disease can increase emotional burden and reinforce the idea that cancer defines their entire identity. In contrast, more neutral or person-first expressions (“person with cancer”) appear to offer greater psychological comfort, allowing individuals to maintain a sense of self beyond the diagnosis.

The qualitative analysis also highlights the crucial role of healthcare professionals. Clear, honest, and compassionate communication—without exaggeration or dramatic framing—is consistently described by patients as a key element of trust and emotional support. Communication, in this sense, is not simply a soft skill but an essential part of clinical care.

The study further reinforces the importance of a person-first approach, where the individual comes before the illness. At the same time, participants expressed resistance both to stigma and to excessive heroisation, calling instead for balanced, respectful, and realistic communication.

Ultimately, language in oncology is not just descriptive—it actively shapes the patient experience and becomes part of the care process itself.

Read the full interview with Evangeli Bista on iatronet.gr:
https://www.iatronet.gr/article/139695/karkinopathhs-ogkologikos-asthenhs-h-apla-asthenhs-o-antiktypos-ton-lexeon-ston-karkino

Read the related scientific publication by the Cancer Guidance Center (Kapa3):
https://www.kapa3.gr/nea-epistimoniki-dimosieysi-gia-to-kapa3/

Text/Adaptation: Ifiyenia Anastasiou for Kapa3

Mapping the efficiency of cancer care in Greece: findings from the All.Can Greece report

Cancer care efficiency in Greece remains one of the most complex and pressing challenges for the Greek health system — not only in terms of its clinical burden, but also in how care is organized around the patient.

With approximately 63,000 new cancer cases diagnosed annually and more than 32,000 cancer-related deaths each year, Greece faces a steadily increasing oncological burden. Projections suggest that cancer incidence will rise by around 23% by 2040, further intensifying pressure on health services.

Against this backdrop, All.Can Greece has published a landmark report titled “Mapping the Efficiency of Cancer Care in Greece”, based on the pilot implementation of the All.Can Action Guide for Efficient Cancer Care.

Rather than simply describing the current situation, the report aims to measure it — identifying where efficiency is lost across the cancer care pathway and where targeted reforms could make the greatest impact.

Cancer care efficiency in Greece: delays in care delivery

One of the most critical findings of the report relates to delays in the patient journey.

Despite the existence of modern infrastructure and highly specialized oncology centres, significant delays persist between initial suspicion, diagnosis, and the start of treatment.

These delays are not the result of a single bottleneck, but of systemic fragmentation:

fragmented referral pathways,
limited coordination between levels of care,
and the absence of standardized clinical protocols.

A key structural weakness is the lack of systematic monitoring of waiting times and time-to-treatment indicators. As a result, inefficiencies remain partially invisible to the system itself, limiting the ability to implement targeted improvements.

Fragmentation across the care continuum

The report highlights a broader issue of fragmentation in cancer care delivery.

The patient journey from primary care to specialist oncology services is often not clearly structured or consistently coordinated. Referral pathways depend heavily on individual practice rather than standardized national protocols.

A major gap is the absence of structured patient navigation services. In practice, this means that patients and families are often left to navigate a complex system on their own, increasing delays and adding unnecessary psychological burden.

At the same time, multidisciplinary tumor boards represent a positive development, supporting collaborative clinical decision-making across specialties. However, systematic monitoring of their performance remains limited.

The development of Comprehensive Cancer Centers is identified as a promising step forward, although further regulatory strengthening and clearer governance structures are still needed to maximize their impact.

Patient-centered care: progress with remaining gaps

Greece has made notable progress in collecting Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs), reflecting a growing commitment to integrating patient perspectives into care delivery.

However, patients’ access to their own clinical data remains limited, restricting their ability to actively participate in decision-making processes.

In addition, patient education and shared decision-making are not yet systematically embedded across the health system.

Another important gap concerns survivorship care. As cancer survival rates improve, the lack of structured long-term follow-up pathways leaves many patients without continuous support after active treatment ends.

Key policy directions

The report outlines several strategic priorities for improving cancer care efficiency in Greece:

Development of a comprehensive national cancer strategy with clear targets and governance mechanisms
Strengthening coordination across all levels of care
Implementation of standardized clinical pathways with defined time-to-treatment and quality indicators
Investment in oncology workforce capacity, particularly in shortage specialties
Establishment of structured patient navigation programmes
Acceleration of Comprehensive Cancer Center development
Systematic use of health data for monitoring performance and accountability
Greater patient engagement through PROMs, PREMs, and shared decision-making

Conclusion: a system with strong foundations but limited integration

Greece has many of the essential building blocks for a high-performing cancer care system — including infrastructure, clinical expertise, and emerging digital health capabilities.

However, the key challenge lies not in the existence of these components, but in their integration.

The All.Can Greece report highlights a system that is still operating in silos: strong individual elements that do not yet function as a fully connected care pathway.

In oncology, this lack of integration is not merely an organizational issue. It directly affects timeliness, patient experience, and ultimately outcomes.

The opportunity now lies in moving from fragmented capacity to coordinated care — where patients no longer have to bridge the gaps between system components themselves.

Source: Mapping-the-Efficiency-of-Cancer-Care-in-Greece-FINAL

Text/adaptation: Ifiyenia Anastasiou for Kapa3

Kapa3 in the second half of April: Information, collaborations and strengthening patient care

Kapa3 in April

Throughout April, Kapa3 continued to develop actions and initiatives aimed at improving access to care for oncology patients and their families, with a strong focus on information, prevention, and the development of innovative collaborations.

This period’s activities focused on raising awareness about key cancer types, improving patients’ daily lives through policy and systemic developments, and expanding partnerships that enhance the quality of care and services provided.

In an ever-evolving healthcare environment, the connection between reliable information, human support, and technology remains a key pillar for a more accessible and effective care system.

Below are the main initiatives and developments that marked the second half of the month.

Awareness

April is an awareness month for head and neck cancer as well as testicular cancer, highlighting the importance of prevention and early diagnosis. Although these types of cancer are often underrepresented in public discourse, awareness plays a crucial role in reducing late diagnoses and improving patients’ quality of life.

Patients’ rights

Important developments took place in the field of patients’ rights, including the establishment of the National Registry for Hospital-at-Home Care (NOSPI), aiming to better organise and ensure the safety of home-based care.

At the same time, the new framework for Public Administration introduces changes that directly affect citizens’ daily lives, enhancing transparency, reducing bureaucracy, and improving access to public services.

Collaborations

During April, Kapa3 further strengthened its network of collaborations through significant partnerships.

The collaboration with the PRAXI Network/FORTH, within the European smartHEALTH hub, enhances participation in innovation and health policy initiatives, opening new opportunities at European level.

In addition, the partnership with Karkinaki focuses on supporting children, adolescents, and families living with cancer, promoting a holistic approach to care.

Furthermore, the collaboration with SimasiaAI for the development of “Myrto”, an AI-powered digital assistant, highlights the importance of technology in empowering patients and improving access to reliable information and services.

Research & knowledge

A new international report on person-centred cancer care highlights the need for a holistic model that places the patient at the centre. This approach recognises not only clinical needs but also psychosocial dimensions, reinforcing the importance of patient involvement in decision-making.

Patients & society

On the occasion of European Patients’ Rights Day (18 April), Kapa3 highlighted the importance of equal access to quality care. Despite progress, challenges such as inequalities and delays remain, making the continued strengthening of support structures essential.

Supporting our work

Kapa3’s collection of handmade scarves continues to serve as a creative way of supporting the organisation’s mission, combining aesthetics with meaningful contribution to people living with cancer.

We continue to monitor developments and work towards improving patients’ daily lives — more news coming soon.

Text/adaptation: Ifigenia Anastasiou for Kapa3

Kapa3 and Karkinaki join forces to support children, adolescents, and families living with cancer

The Cancer Guidance Center – Kapa3 announces its new collaboration with the non-profit organization “Karkinaki”, aiming to strengthen information, psychosocial support, and awareness around childhood and adolescent cancer, as well as to support families experiencing the disease.

Karkinaki is a specialized organization working in the field of childhood and adolescent cancer, focusing on reliable information, empowering parents and caregivers, and fostering a supportive environment around children and teenagers affected by cancer. Through community-based actions and awareness initiatives, it seeks to reduce the sense of isolation that often accompanies diagnosis, while also enhancing understanding, social awareness, and access to available support resources for families.

Within the framework of this collaboration, the two organizations will develop joint initiatives focused on information and awareness-raising, with an emphasis on actions addressing both families and healthcare and support professionals. The partnership will also include the co-organization of informational events, the exchange of good practices, and the exploration of participation in national and European programs that promote a holistic approach to patient care, with an emphasis on continuity of support across all stages of the disease experience.

The Cancer Guidance Center – Kapa3 is dedicated to informing, guiding, and empowering people affected by cancer, providing practical support and access to reliable information and services. At the same time, it develops initiatives that strengthen patients’ active participation in managing their health and promotes a more accessible and human-centered model of care.

In this context, Kapa3 is also involved in European collaborations focusing on the psychosocial dimension of cancer across different stages of life, such as the MELODIC project, which addresses the mental health of young adults with lived experience of cancer. This work further enhances the organization’s ability to recognize needs that emerge throughout the cancer journey, from childhood to adulthood.

This collaboration with Karkinaki reflects the shared vision of both organizations to strengthen a support network that goes beyond medical treatment, extending into families’ daily lives, information access, and psychosocial empowerment, with the aim of providing a more stable and meaningful presence for those who need it most.

Our Press Release here: KARKINAKI PRESS RELEASE

Text: Ifiyenia Anastasiou for Kapa3

Evangeli Bista on DION TV: Social Support and Kapa3’s Role in Guiding Oncology Patients

On March 19, 2026, Evangeli Bista, Co-founder of Kapa3, gave an interview to Christos Thanasainas, journalist and Scientific Director of Forlife Clinic, on Central Macedonia’s DION TV, during the daily program All About Health, which covers topics on health, nutrition, autoimmune diseases, and recent scientific developments.

The discussion highlighted the importance of social support for cancer patients and their families, both inside and outside the hospital, as well as the critical role of Kapa3 in guiding and providing holistic support to patients.

WHAT IS SOCIAL SUPPORT – TWO WORLDS:

Social support in cancer care is not a single, uniform concept. Inside the hospital, it mainly concerns assistance with the public healthcare system and bureaucratic procedures. Outside the hospital, real life begins: family, caregivers, and decisions the patient must make.

MAJOR SYSTEM CHALLENGES:

As Ms. Bista noted, hospitals face a significant shortage of social workers and related professionals. International literature suggests that there should be 10 social workers for every 2,500 residents—but this is not the case in Greece. In 92 municipalities, there is not a single social worker, while in areas where social workers exist, most are on fixed-term contracts or funded through programs (such as ESIF). The result is a maze of bureaucracy and uncertainty for the patient, who must understand medical and legal terms, make critical decisions, and manage financial consequences—often without support.

THE ROLE OF KAPA3 – SOLUTION, NOT JUST A SERVICE:

In this environment, Kapa3 provides holistic guidance and support, helping patients navigate procedural and practical issues—either independently, if they feel capable, or with active assistance from the organization at every step. Coverage is nationwide, although the complexity and fragmented structure of the system require ongoing study and time for effective support.

THE “HEAVY” MESSAGE – UNDERSTANDING VS. INFORMATION:

As Ms. Bista emphasized:

“The patient doesn’t need more information – they need understanding.”

The process is essentially behavioral: understanding reduces uncertainty, uncertainty reduces anxiety, anxiety affects behavior, and behavior determines health outcomes.

Kapa3 operates within this “maze,” offering holistic guidance and support. Intervention can be supportive, giving patients the ability to act on their own, or active, guiding them step by step. Kapa3 covers the entire country, addressing the growing needs of patients.

THE BIG CHALLENGE: “MYRTO”

“Myrto” represents Kapa3’s major initiative for 2026. After five years in oncology social support, Kapa3 addresses secondary digital exclusion with “Myrto”—a Digital Health Navigator designed to transform knowledge into practical understanding and provide real-time guidance for patients, avoiding the “chaotic wandering” through the healthcare system. The platform is currently in the study and design phase, aiming to meet the real needs of patients and their caregivers.

The interview highlighted the importance of social support, understanding over mere information, and the role of digital technology in modern oncology care. Kapa3 and Myrto strive to bring care from the hospital into patients’ daily lives through a holistic, personalized, and practical approach.

For more information and to watch the full interview, see the video on YouTube here.

(Note: Video in Greek with no English subtitles).

You can dowload our Press Release here

Text/adaptation: Ifiyenia Anastasiou for Kapa3

Kapa3 at the Scientific Meeting “Cancer in 2026: Challenges and Disruptions” – Focusing on Supportive Care and Its Limits

At the scientific meeting “Cancer in 2026: Challenges and Disruptions”, held on March 13–14, 2026 at the Divani Caravel, Kapa3 actively contributed to discussions on supportive care for oncology patients, a critical area for improving quality of life and holistic patient support.

The meeting was organized by the Hellenic Oncology Patient Support Institute, under the chairmanship of Christos Panopoulos, and was held under the auspices of the Hellenic Cancer Society and the Hellenic Society of Medical Oncologists. It has become a recognized annual event for the oncology community, highlighting each year the latest challenges and rapid developments in the field.

Progress in oncology is continuous and impressive, with scientific advances steadily enhancing the possibilities for personalized treatment, while simultaneously improving patients’ quality of life and turning some forms of cancer into manageable chronic conditions.

During the two-day meeting, key developments were presented in critical areas such as precision medicine, immunotherapy, and novel therapeutic strategies, with particular emphasis on the role of artificial intelligence and molecular analysis in modern clinical practice.

Kapa3 participated in the roundtable on supportive care for oncology patients, held on Friday, March 13, represented by Ms. Evangeli Bista. She noted that attending the conference gave her the opportunity to engage with people leading initiatives in patient support and advocacy. The roundtable addressed critical topics such as the role of healthcare professionals, pain management in Greece, and the adequacy of existing care structures.

In the discussion on psychosocial support, Ms. Bista, representing Kapa3 and drawing from her daily experience with oncology patients, emphasized that addressing the challenges arising from the patient journey is particularly demanding, as the high volume of cases and the fragmentation of the healthcare and social support system create exponentially more issues to manage.

When asked whether voluntary work alone is sufficient to meet the growing needs of patients, her response was clear:

…voluntary action is a valuable and essential pillar of social support. The improvement of patients’ quality of life relies heavily on voluntary efforts that take place across the country under challenging conditions. However, it is not sufficient on its own to meet the complex and increasing needs of patients.

As highlighted during the discussion, voluntary contributions are crucial for filling gaps in the system and strengthening social protection. At the same time, a more comprehensive and institutionally supported approach is necessary. This includes:

• adequate and stable funding
• continuous training and empowerment of all stakeholders
• clear and functional legal frameworks
• a shift in mindset among healthcare professionals, patients, and administrators
• and the development of integrated policies in the field of supportive care

Kapa3’s intervention underscored the importance of psychosocial support as an integral part of oncology supportive care, promoting a more holistic, humane, and sustainable approach to patient management. As Ms. Bista noted, participating in the two-day meeting serves as a reminder that the fight to support patients requires all of us on the same side.

Kapa3 and Doctorhomie: Joining Forces to Support Cancer Patients

Kapa3 is pleased to announce the signing of a memorandum of cooperation with the digital home-care platform Doctorhomie. The Kapa3–Doctorhomie collaboration aims to strengthen support for cancer patients and their families across Greece.

Since its establishment, the Cancer Guidance Center – Kapa3 has been actively working to provide meaningful guidance to people living with cancer and their caregivers, with a strong focus on access to benefits and services, information about patients’ rights, and psychosocial support. Through Mobile Units, digital tools and educational initiatives, the organization promotes patient-centred care, creates channels of communication with beneficiaries and strengthens their participation in decisions concerning their health. Kapa3’s philosophy is grounded in building partnerships, leveraging technology and fostering collaborations with organizations that share the same vision.

Doctorhomie, on the other hand, is redefining home-based care in Greece by offering an integrated digital platform that connects patients with physicians, nurses, psychologists, physiotherapists and caregivers. Through tools that enhance monitoring and management of care at home, Doctorhomie contributes to strengthening Primary Health Care, promoting prevention, supporting families and improving both the safety and quality of care.

The new collaboration between Kapa3 and Doctorhomie opens opportunities for joint initiatives at multiple levels, including:

the organization of workshops, conferences and webinars aimed at informing patients, promoting quality of care and strengthening trust between patients and their treating physicians, particularly within the context of home-based care and Primary Health Care,
awareness and information campaigns focusing on prevention, the fight against myths and stigma, and a better understanding of patients’ symptoms and needs,
participation and collaboration in national and European programmes that promote innovation in oncology care and strengthen digital tools for patients and caregivers,
joint research initiatives on topics of shared interest, with the aim of supporting scientific evidence, disseminating knowledge and contributing to health policy development at both national and European level.

This partnership is founded on the shared belief that patient care begins with information and support, is strengthened through education and collaboration, and evolves through the combined use of technology and patient-centred practices.

Kapa3 and Doctorhomie are committed to making the most of this collaboration in order to strengthen patients’ participation in decisions regarding their health, reduce inequalities and provide timely and effective support to those who need it.

With a shared vision of quality and accessible care, Kapa3 and Doctorhomie are opening a new chapter of cooperation in support of cancer patients in Greece.

Download our Press Release in pdf or word

March – Multiple Myeloma Awareness Month

March is internationally recognized as Multiple Myeloma Awareness Month, a type of blood cancer that affects plasma cells – immune system cells responsible for producing antibodies and defending the body against infections.

This period provides an important opportunity to raise public awareness, highlight the challenges faced by patients, and enhance understanding of the disease, early diagnosis, and the importance of access to modern treatments.

What is Multiple Myeloma

Multiple myeloma develops in the bone marrow, when plasma cells grow uncontrollably and produce abnormal proteins. The presence of these cells can affect the production of healthy blood cells, cause bone damage, and impair the function of vital organs such as the kidneys. Although relatively rare, it is the second most common blood cancer worldwide.

The disease’s symptoms may be initially nonspecific and develop gradually. Fatigue, bone pain – especially in the spine or ribs – frequent infections, anemia, or kidney problems are some of the signs that may prompt further investigation. Early awareness and timely medical evaluation are therefore crucial for diagnosis and disease management.

Multiple Myeloma by the Numbers

Globally, the disease affects a significant number of people. According to international epidemiological data:

188,000 new cases were reported worldwide in 2022
Approximately 121,000 people died from the disease the same year
It is estimated that more than 540,000 people are currently living with multiple myeloma worldwide

The disease occurs more often in older adults. Most diagnoses occur in people over 60–65 years old, and around 80% of cases are reported in individuals over 65. Experts predict that the disease’s incidence may rise in the coming decades, largely due to the aging population in many countries.

The Situation in Greece

In Greece, the exact epidemiological picture of multiple myeloma is not fully clear, as there is no comprehensive national cancer registry recording all cases systematically.

However, according to available international estimates for 2022:

About 763 new multiple myeloma cases were reported in the country
Approximately 579 deaths were attributed to the disease
It is estimated that around 2,154 people in Greece are living with the disease over a five-year period

These figures highlight the importance of improving health data collection and continuously supporting patients living with the disease.

Advances in Treatments

In recent years, scientific progress has significantly changed the course of the disease.

Modern therapies include:

Immunotherapies
Monoclonal antibodies
Proteasome inhibitors
Immunomodulatory drugs
CAR‑T cell therapies (for advanced stages of the disease)

New therapeutic combinations and ongoing clinical studies are providing more treatment options, reinforcing hope for even more effective therapies in the future.

The Importance of Awareness and Support

Despite these advancements, public awareness and support for people living with the disease remain crucial. Early diagnosis, access to specialized medical care, and equitable access to modern therapies are key factors in improving disease outcomes and patients’ quality of life.

Multiple Myeloma Awareness Month serves as a reminder that knowledge, research, and collective effort can make a difference. Through education, support for scientific research, and assistance to patients and their families, we can help create an environment where no one faces cancer alone.

Sources:

https://gco.iarc.fr
(Global Cancer Observatory – International Agency for Research on Cancer)

https://pubmed.ncbi.nlm.nih.gov/39658225/
(Global burden and projections of multiple myeloma)

https://www.oecd.org/health/cancer-profiles/greece.html
(EU Country Cancer Profile – Greece)

https://ehoonline.biomedcentral.com/articles/10.1186/s40164-025-00684-x
(Global epidemiology of multiple myeloma)

https://pmc.ncbi.nlm.nih.gov/articles/PMC3627436/
(Multiple myeloma epidemiology study)

Text/adaptation: Ifiyenia Anastasiou for Kapa3

Kapa3 at Athens Digital Health Week 2026 – The Role of Patient Digital Navigators in Healthcare Digital Transformation

As part of Athens Digital Health Week 2026, Kapa3, as a new member of the Hellenic Digital Health Cluster (HDHC), participated in the closed members and partners meeting as well as the panel discussion titled “Synergies to Bridge the Needs of Healthcare Services in Digital Transformation,” presenting the role of patient digital navigators and exploring how digital technologies can strengthen a patient-centered healthcare system.

The discussion focused on a key question: how can available digital solutions effectively address the real needs of the healthcare and social care system?

Special emphasis was placed on the importance of interoperability, evidence-based decision-making, transparency, and comparability, as well as connecting research and governance, promoting equality, and considering the impact of artificial intelligence in the modern healthcare ecosystem.

Kapa3 was represented by Evangeli Bista, who highlighted the critical role of patient organizations in successfully integrating digital technologies into the care journey.

As she noted:

“Digital health is not only about developing technological solutions, but about their meaningful integration into the patient’s care journey. Civil society organizations (patients, caregivers, friends, professionals) can play a crucial role as adoption partners, contributing to design, implementation, and evaluation. Through collaboration within the Cluster, an ecosystem is strengthened where innovation translates into real accessibility and continuity of care with maximum social impact. For the Cancer Patients Guidance Center – Kapa3, developing its role as patient digital navigators can only happen through such synergies.”

The panel also included representatives from Affidea Greece, Gnomon Informatics SA, and REA Maternity & Gynecology Clinic, who contributed their expertise to a productive dialogue on aligning technology, clinical practice, and data governance.

During the closed meeting, the need to strengthen joint research initiatives, interoperability, and systematic collaboration among ecosystem members was emphasized, ensuring that innovation translates into measurable value for both patients and the healthcare system.

For Kapa3, developing its role in the digital health ecosystem as patient digital navigators is a strategic priority. Through such collaborations, patient organizations are empowered to actively contribute to a more transparent, equitable, and truly patient-centered healthcare system, where technology serves as a tool for empowerment rather than an end in itself.

Download our Press Release in pdf or word

Launch of Free MELODIC Training Programme – Greece

We are pleased to announce the launch of the free eight-week online training programme implemented in Greece within the framework of the European project MELODIC, in which Kapa3 participates as one of 13 partner organisations from 6 European countries.

The programme is addressed to doctors, nurses, other health professionals, and social care professionals working in oncology.

MELODIC is an international collaboration aimed at strengthening mental health support for young adults with cancer and their families, promoting high-quality, holistic oncology care.

Through the programme, participants will have the opportunity to develop skills in:

Assessing mental health needs using validated and evidence-based tools
Supporting families and caregivers
Delivering high-quality psychosocial care
Interprofessional collaboration
Sustaining personal and professional wellbeing

The programme is divided into an asynchronous part (on the Moodle platform), which participants can complete at their own pace, and four contact lessons, constituting the synchronous part via Zoom. Upon completion, participants will receive 5 ECTS credits and a certificate of completion.

Sessions will take place from March to April 2026.

The contribution of health professionals is crucial for the accurate assessment of mental health needs of young adults with cancer and their families, as well as for delivering high-quality, person-centred care. The MELODIC programme strengthens their skills, promoting collaboration, responsibility, and sustainable professional practice in oncology.

For further information, please contact:
Ifiyenia Anastasiou
email: ifi.k3team@gmail.com | phone: 690.62.65.170