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1 Oncology Quality
TM
Care Symposium
st

Towards Excellence
in Oncology Care

PROGRAM
November 15-16, 2019
Venue:
Riu Plaza de España Hotel
Madrid, Spain

#ECOQLTY19
www.eco-quality.org

1

2

Contents
Overview

4

Honorary Committee

5

Planning and Scientific
Committee

7

Scientific Program Day 1

8

Scientific Program Day 2

10

Abstracts Directory

11

Sponsors

13

Scientific Endorsements

14

Upcoming ECO Meetings

15

3

Overview
The 1st Oncology Quality Care SymposiumTM brings together top leaders in the quality field to share
strategies and methods for improving the measurement and implementation of quality and safety in
cancer care. The ECO Foundation, on behalf of ASCO, has made possible the development of this
symposium in Europe.
This symposium is a multidisciplinary program of educational sessions, panel discussions, abstract
presentations and poster sessions, also including highlights from the 2019 ASCO Annual Meeting
and the 2019 ASCO Quality Care Symposium. World-renowned faculty will promote innovation and
collaboration in quality measurement and health services research. Learn and share strategies as we
address value in quality intervention, implementation of patient-centered care in clinical practices,
avoiding common quality pitfalls and disparities in cancer care.

Target Audience
+ Oncologists
+ Pharmacists
+ Nurses
+ Health researchers
+ Quality specialists

+ Hospital managers
+ Payers
+ Patients advocates
+ College students

Learning Objectives
Upon participation in this symposium, the attendees will be able to:
+D
iscuss best practices and value-creation strategies for quality interventions in a clinical setting.
+R
eview and incorporate tools to implement patient-centered care in practice, as appropriate.
+C
ompare and contrast models for effective team-based care to leverage the benefits of evidencebased team-based care delivery.
+ I dentify common challenges in quality improvement and evaluate mechanisms to overcome them.

4

5

Chair of the Honorary Committee
Their Royal Highnesses D. Felipe VI de España and Dª. Letizia Ortiz

Honorary Committee
Dª. María Luisa Carcedo Roces
Spanish Minister of Health
D. José Luis Martínez-Almeida Navasqüés
Comunidad de Madrid President
D. Enrique Ruiz Escudero
Comunidad de Madrid Health Counselor
Dª. Pilar Aparicio Azcárraga
Director of Public Health and Quality. Spanish Ministry of Health
Dª. Patricia LaCruz -Gimeno
General Director of the Basic Service Portfolio of the National Health System
and Pharmacy of the Spanish Ministry of Health
D. Alberto Tomé González
Comunidad de Madrid General Director of Humanization
and Patient Care
D. Alberto Pardo
Comunidad de Madrid Deputy Director of Healthcare Quality
of the Ministry of Health

6

Planning committee
Dr. Antonio Antón (ECO)

Dr. Eduardo Díaz Rubio (ECO)

Dr. Carlos Camps (Co-Chair)
(ECO)

Hospital Universitario Miguel Servet
(Zaragoza)

Oncology Emetirus Professor.
Full Academic Member

Consorcio Hospital General
Universitario de Valencia

Dr. Enrique Aranda (ECO)

Dr. Jesús García Foncillas (ECO)

Hospital Universitario Reina Sofía (Córdoba)

Dr. Rafael López (Co-Chair)
(ECO)

Dr. Alfredo Carrato (ECO)

Hospital Universitario Fundación Jiménez
Díaz (Madrid)

Hospital Clínico Universitario de
Santiago de Compostela

Hospital Universitario Ramón y Cajal
(Madrid)

Dr. Juan Jesús Cruz (ECO)
Hospital Universitario de Salamanca

Dr. Pere Gascón (ECO)
Laboratory of Molecular & Translational
Oncology-CELLEX (Barcelona)

Dr. Vicente Guillem (ECO)
Fundación Instituto Valenciano de
Oncología

Scientific committee
Dr. Carlos Camps (Co-Chair)
(ECO)
Consorcio Hospital General
Universitario de Valencia

Dr. Julio de la Torre-Montero
(SEEO)
SEEO (Sociedad Española de Enfermería
Oncológica)

Dr. Eduardo Díaz Rubio (ECO)

Dr. John Ovretveit (ISQua)
ISQUA (The International Society for
Quality in Health Care)

Dr. Luis Paz Ares (ECO)
Hospital Universitario 12 de Octubre
(Madrid)

Dr. Arif Kamal (Co-Chair)
(ASCO)

Oncology Emetirus Professor.
Full Academic Member

Duke University School of Medicine
(USA)

Dr. Emilio Esteban (ECO)

Hospital Clínico San Carlos (Madrid)

Hospital Universitario Central de Asturias
(HUCA)

Dr. Josep M. Piera (ECO)

Dr. Rafael López (Co-Chair)
(ECO)
Hospital Clínico Universitario de
Santiago de Compostela

Dr. Dolores Fernández (Nursing)
Complejo Hospitalario Universitario de
Ourense

Dr. Pilar García Alfonso (ECO)
Dr. Antonio Antón (ECO)
Hospital Universitario Miguel Servet
(Zaragoza)

Dr. Enrique Aranda (ECO)
Hospital Universitario Reina Sofía
(Córdoba)

Dr. Manuel Benavides (ECO)
Hospital Universitario Regional y Virgen
de la Victoria (Málaga)

Hospital General Universitario Gregorio
Marañón (Madrid)

Dr. Jesús García Foncillas (ECO)
Hospital Universitario Fundación Jiménez
Díaz (Madrid)

Dr. Pere Gascón (ECO)
Laboratory of Molecular & Translational
Oncology-CELLEX (Barcelona)

Dr. Vicente Guillem (ECO)

Dr. Pedro Pérez Segura (ECO)

Hospital Universitario de Donostia
(San Sebastián)

Dr. Philip Poortmans (ECCO)
ECCO (European CanCer Organisation)

Dr. José Luis Poveda
Hospital Universitario y Politécnico
de La Fe (Valencia)

Dr. Mariano Provencio (ECO)
Hospital Universitario Puerta de Hierro
(Madrid)

Dr. Evangelia Razis (Hygeia Hospital)
Hygeia Hospital (Greece)

Dr. Ana Rodríguez Cala (SEDISA)
SEDISA (Sociedad Española de Directivos
de la Salud)

Dr. Walter Birch (ASCO)

Fundación Instituto Valenciano de Oncología

Practice Management Direction at ASCO

Dr. Carolyn Hendricks (ASCO)

Dr. Douglas Blayney (ASCO)

Maryland Oncology Hematology (USA)

Stanford University Medical Center (USA)

Dr. Mohammad Jahanzeb (ASCO)

Dr. Fernando Caballero (UFV)

21st Century Oncology (USA)

SEOM (Sociedad Española de Oncología
Médica)

Universidad Francisco de Vitoria (Madrid)

Dr. Bruce Johnson (ASCO)

Dr. Inmaculada Mediavilla (SECA)

Dr. Miguel Ángel Calleja (SEFH)

Dana-Farber Cancer Institute (USA)

SEFH (Sociedad Española de Farmacia
Hospitalaria)

Dr. Michael Keng (ASCO)

SECA (Sociedad Española de Calidad
Asistencial)

Dr. Alfredo Carrato (ECO)
Hospital Universitario Ramón y Cajal
(Madrid)

Dr. Javier Cassinello (ECO)
Hospital Universitario de Guadalajara

Dr. Andrés Cervantes (ESMO)
ESMO (European Society for Medical
Oncology)

Dr. Manuel Constenla (ECO)
Hospital Provincial de Pontevedra

Dr. Juan Jesús Cruz (ECO)
Hospital Universitario de Salamanca

University of Virginia Health System (USA)

Dr. Ana Lluch (ECO)
Hospital Clínico Universitario de Valencia

Dr. Guillermo López Vivanco (ECO)
Hospital Universitario de Cruces (Bilbao)

Dr. Salvador Martín Algarra (ECO)
Clínica Universidad de Navarra

Dr. Estela Moreno (GEDEFO)
GEDEFO (Grupo Español para el
Desarrollo de la Farmacia Oncológica)

Dr. Álvaro Rodríguez Lescure
(SEOM)

Dr. Josep Tabernero (ECO)
Hospital Universitario Vall D’Hebron
(Barcelona)

Dr. Adrian Udrea (Medisprof)
Medisprof (Romania)

Dr. Ruth Vera (ECO)
Complejo Hospitalario de Navarra

Dr. Juan A. Virizuela (ECO)
Hospital Universitario Virgen Macarena
(Sevilla)

Dr. Deirdre O’Mahony (ISMO)
ISMO (Irish Society of Medical Oncology)

7

Conference Program Day 1

1 Oncology Quality Care SymposiumTM
st

AGENDA. Friday, November 15th, 2019

10:00-10:30

13:00-14:00

Welcome and Introduction

Oral Abstract Session

Dr. Vicente Guillem
Fundación Instituto Valenciano de Oncología

Dr. Pilar García Alfonso (Chair)
Hospital General Universitario Gregorio Marañón
(Madrid)

Dr. Bruce Johnson
ASCO (American Society of Clinical Oncology)
Dª. Bárbara Fernández Álvarez-Robles
Comunidad de Madrid Hospital Care Assistance
Manager

10:30-12:00
GENERAL SESSION 1: What is Quality
of Care?
Dr. Carlos Camps (Chair)
Consorcio Hospital General Universitario de Valencia
Dr. Rafael López (Chair)
Hospital Clínico Universitario de Santiago de
Compostela
– Defining a Standard of Quality Care in Oncology.
Dr. Arif Kamal
ASCO (American Society of Clinical Oncology)
– The High Cost of Not Having Quality.
Dr. John Ovretveit
ISQUA (The International Society for Quality
in Health Care)
– Best practices in Quality: QOPI program.
Dr. Mohammad Jahanzeb
ASCO (American Society of Clinical Oncology)
– Quality Initiatives Around the World.
Dr. Deirdre O’Mahony
ISMO (Irish Society of Medical Oncology)

- “ Inaugural Quality Training Program in Spain”
and “Successful coaching mentorship program
in a Spanish Quality Training Program”.
Dr. Michael Keng
ASCO. American Society of Clinical Oncology
- “Slow Oncology”: How out-from-hospital follow-up
helps achieving a better symptom control.
Dr. Alberto Cunquero-Tomás
Consorcio Hospital General Universitario de Valencia.
- “Optimization of screening tools in patients eligible
to receive Immune Checkpoint Inhibitors”.
Dr. Oliver Higuera
Hospital Universitario La Paz (Madrid).
Panel Questions and Answers

14:00-15:00
Lunch
Poster Session A - Poster walking (Complementary
lunch and beverages)
Reviewers:
Dr. Pere Gascón
Laboratory of Molecular & Translational OncologyCELLEX (Barcelona)

Panel Questions and Answers

Dr. Adrian Udrea
Medisprof (Romania)

12:00-12:30

Dr. Javier Casinello
Hospital Universitario de Guadalajara

Coffee break

12:30-13:00
MASTER LECTURE: How can quality
improve an oncology department?
Dr. Alfredo Carrato (Presenter)
Hospital Universitario Ramón y Cajal (Madrid)
Dr. Douglas Blayney (Speaker)
ASCO (American Society of Clinical Oncology)

8

Dr. Eduardo Díaz Rubio (Chair)
Oncology Emetirus Professor. Full Academic Member

Dr. Guillermo López Vivanco
Hospital Universitario de Cruces (Bilbao)

Conference Program Day 1

1 Oncology Quality Care SymposiumTM
st

AGENDA. Friday, November 15th, 2019

15:00-16:30

17:30-18:30

GENERAL SESSION 2: Equity and Drug
Access

ROUND TABLE DISCUSSION: Quality
as a driver for patient safety

Dr. Marta Trapero-Bertrán (Chair)
UIC (Universitat Internacional de Catalunya, Barcelona)

Dr. Enrique Aranda (Chair)
Hospital Universitario Reina Sofía (Córdoba)

Dr. Mariano Provencio (Chair)
Hospital Universitario Puerta de Hierro (Madrid)

Panel:

– How to better evaluate clinical benefit?.

Dr. José Luis Poveda
Hospital Universitario y Politécnico de La Fe (Valencia)

Dr. Enrique Grande
MD Anderson Cancer Center (Madrid)

Dr. Julio de la Torre-Montero
SEEO (Sociedad Española de Enfermería Oncológica)

– Patient benefits and use of innovative therapies.
Dr. Carolyn Hendricks
ASCO (American Society of Clinical Oncology)
– Financing for Quality and Value.
Dr. Rafael Bengoa
The Institute for Health & Strategy (SI-Health)
Panel Questions and Answers

16:30-17:30
GENERAL SESSION 3: ASCO Annual
Meeting & QCS 2019 Highlights (Part 1)
Dr. Juan Jesús Cruz (Chair)
Hospital Universitario de Salamanca

Dr. Inmaculada Mediavilla
SECA (Sociedad Española de Calidad Asistencial)
Dr. Ana Blasco
Consorcio Hospital General Universitario de Valencia
Dr. José Luis Baquero
Foro Español de Pacientes

18:30-18:45
International Quality Initiatives
Recognition

18:45
Adjourn

– ASCO Abstracts Presentation
Dr. Miguel Ángel Climent
Fundación Instituto Valenciano de Oncología
Dr. Joaquin Gavilá
Fundación Instituto Valenciano de Oncología
Panel Questions and Answers

9

Conference Program Day 2

1 Oncology Quality Care SymposiumTM
st

AGENDA. Saturday, November 16th, 2019

08:00-09:00

Panel:

MEET THE PROFESSOR
Break out session A: How to publish
in scientific journals

Dr. Michael Keng
ASCO (American Society of Clinical Oncology)

Dr. Arif Kamal
ASCO (American Society of Clinical Oncology)

Dr. Ana Rodriguez Cala
SEDISA (Sociedad Española de Directivos de la Salud)

Break out session B: How to implement
quality improvement projects.

Dr. Evangelia Razis
Hygeia Hospital (Greece)

Dr. Michael Keng
ASCO (American Society of Clinical Oncology)

09:30-11:00
GENERAL SESSION 4: Quality and Patient
Engagement
Dr. Ana Lluch (Chair)
Hospital Clínico Universitario de Valencia
Dr. Aránzazu González del Alba (Chair)
Hospital Universitario Puerta de Hierro (Madrid).
– Quality of Care and Patient Satisfaction.
Dr. Michael Keng
ASCO (American Society of Clinical Oncology)
– Patient Reported Outcomes: Where are we?.
Dr. Bartomeu Massutti
Hospital General Universitario de Alicante
– Non-Clinical Needs for oncology patients
and their families.
D. Ignacio Muñoz
AECC (Asociación Española Contra el Cáncer)
– Empowering patients in decision making.
Dr. Antonio Calles
Hospital General Universitario Gregorio Marañón
(Madrid)
Panel Questions and Answers

11:00-12:00
ROUND TABLE DISCUSSION: Challenges
of Implementing Quality Care in the
Oncology Setting
Dr. Jesús García Foncillas (Chair)
Hospital Universitario Fundación Jiménez Díaz (Madrid)
Dr. Emilio Esteban (Chair)
Hospital Universitario Central de Asturias (HUCA)
– Leveraging multidisciplinarity to ensure Quality
Cancer Care across Europe: the ERQCC approach
Dr. Philip Poortmans
ECCO (European CanCer Organisation)

10

Dª. Dolores Fernández
Complejo Hospitalario Universitario de Ourense

Dr. Adrian Udrea
Medisprof (Romania)

12:00-12:30
Coffee break
Poster Session B - Poster walking
(Complementary sandwiches and beverages)
Reviewers:
Dr. Josep Manuel Piera
Hospital Universitario de Donostia (San Sebastián)
Dr. Antonio Antón
Hospital Universitario Miguel Servet (Zaragoza)
Dr. Pedro Pérez Segura
Hospital Clínico San Carlos (Madrid)
Dr. Juan A. Virizuela
Hospital Universitario Virgen Macarena (Sevilla)

12:30-13:30
GENERAL SESSION 5: ASCO Annual
Meeting & QCS 2019 Highlights (Part 2)
Dr. Enriqueta Felip (Chair)
Hospital Universitario Vall d´Hebrón (Barcelona)
Dr. Ignacio Durán (Chair)
Hospital Universitario Marqués de Valdecilla (Santander)
– ASCO Abstracts Presentation.
Dr. Alfonso Gómez de Liaño
Complejo Hospitalario Universitario Insular
Materno-Infantil (Las Palmas de Gran Canaria)
Dr. Carlos Aguado
Hospital Clínico San Carlos (Madrid)
Panel Questions and Answers

13:30-14:00
CLOSING LECTURE: Importance of

Quality Care in a National Health System
Dª. Pilar Aparicio Azcárraga
Director of Public Health and Quality. Spanish Ministry
of Health

Abstracts Directory
Oral Abstract Session
Friday, November 15th, 2019, 13:00 - 14:00 h.
ABSTRACT 107. Inaugural Quality Training
Program in Spain.
First author: Rafael López
ABSTRACT 108. Successful coaching mentorship
program in a Spanish Quality Training Program.
First author: Michael Keng

ABSTRACT 122. “Slow Oncology”: how out-fromhospital follow-up helps achieving a better symptom
control.
First author: Alberto Jacobo Cunquero-Tomás
ABSTRACT 135. Optimization of screening tools
in patients eligible to receive Immune Checkpoint
Inhibitors.
First author: Lorena Ostios Garcia

Poster Session A and B
Friday, November 15th, 2019, 14:00 - 15:00 h and Saturday, November 16th, 2019, 12:00 - 12:30 h.
ABSTRACT 101. ASCO QOPI Certification, Why, When
and for Whom. Medisprof Cluj-Romania esperience.
First author: Anghel Adrian Udrea
ABSTRACT 102. Evaluation of the emotional state of
the oncological patient in first or second visit.
First author: Elisa García Garre
ABSTRACT 103. Identify and minimize the risks of
patients in Phase I Trials Unit: Standard operating
procedures implementation and evaluation.
First author: Marta Gil-Martín
ABSTRACT 104. Validation of a standard set of patientcentered outcomes for lung cancer in Spain.
First author: Vicente Escudero
ABSTRACT 105. Identifying factors associated with
desire for clinical trial participation among patients
with cancer.
First author: Gabrielle Rocque
ABSTRACT 106. Caregiver-provider communication
after resection of pediatric brain tumors.
First author: Alexandra Cutillo
ABSTRACT 109. Feasibility, Safety and Patient
Satisfaction of a Nurse-Delivered Community-based
Program Monitoring Patients with Metastatic Prostate
Cancer on Abiraterone and Denosumab.
First author: Darren Cowzer
ABSTRACT 110. Economic impact of cancer in Spain
First author: Fernandez Sanchez
ABSTRACT 111. Evaluation of the Inclusion Rate in
Clinical Trials of Bladder Cancer patients evaluated for
first time in the Oncology Department.
First author: Natalia Vidal Cassinello

ABSTRACT 112. Optimizing the Febrile Neutropenia
Care Process in Cancer Patients in a third Level
Spanish Hospital.
First author: Maria Pilar Solis-Hernandez
ABSTRACT 113. Strategies for safe use of immune
checkpoint inhibitors in Miguel Servet University
Hospital.
First author: Ibon Gurruchaga Sotés
ABSTRACT 114. Efficacy and clinical benefits of
psychological care in people affected by cancer.
First author: Fernandez Sanchez
ABSTRACT 115. Social networks and mobile applications
in oncological patients. Experience in our center.
First author: Sergio Sandiego
ABSTRACT 116. Concordance between patient
reported outcomes (PRO’s) and those perceived by
the oncologist. Experience in our center.
First author: Sergio Sandiego
ABSTRACT 117. Analysis of the excessive use of
cancer related treatments such as chemotherapy
or targeted therapy in the final phase of life, and the
reduction of its use in accordance with the standards
of quality assistance.
First author: Pablo Álvarez
ABSTRACT 118. Patients’ Satisfaction when visiting
Day Hospital in Santiago de Compostela.
First author: Elena Brozos
ABSTRACT 119. Management optimization in a
medical oncology outpatient area and waiting
time improvement related to systemic treatment
administration.
First author: Almudena García

11

ABSTRACT 120. Burn-Out-Syndrome among
Oncology workers: incidence and improvement
through specific interventions.
First author: Alberto Jacobo Cunquero-Tomás

ABSTRACT 133. Evaluating the quality of care
delivered to transgender cancer patients in Ireland:
results from a patient survey.
First author: Carolyn Moloney

ABSTRACT 121. Oncologist in the Highway: how a
High-Resolution System speeds up cancer diagnosis.
First author: Alberto Jacobo Cunquero-Tomás

ABSTRACT 134. Patient waiting time from the
appointment with the oncologist to the
administration of intravenous treatment in
the University Clinical Hospital of Santiago de
Compostela.
First author: Rosa Lopez

ABSTRACT 123. Acupuncture and Complementary
Therapies: baseline data to implement a pilot program.
First author: Alberto Jacobo Cunquero-Tomás
ABSTRACT 124. Waiting times for CT patients and
radiology report delays.
First author: Dora Daniela Mois
ABSTRACT 125. Ready to change the process of
treatment of breast cancer with ICHIM (International
Consortium for Health Outcomes Measures) to
improve the experience of the patients. Cruces
University Hospital (Osakidetza).
First author: Aintzane Sancho
ABSTRACT 126. Posterior Reversible Encephalopathy
Syndrome (PRES) in a patient treated with a novel
combination treatment with anti PDL1 antibody
(durvalumab) and VEGFR2 antibody (ramucirumab).
First author: Jaime Rubio
ABSTRACT 127. Oncology Nursing Roles in Spain:
a statement of Spanish Oncology Nursing Society.
First author: Nuria Domenech-Climent
ABSTRACT 128. HOOPe Study: Providing Oral Cancer
Treatments in low-income countries:
Hope for Oncology Patients.
First author: Julio C. de la Torre-Montero

ABSTRACT 137. Development of an MCDA framework
for evaluation and positioning of oncological
treatments in clinical practice.
First author: Carlos Camps
ABSTRACT 138. Non-clinical needs of cancer patients
in Spain under different perspectives. A comparative
study.
First author: Juan J. Cruz
ABSTRACT 139. Management and perception of
therapeutic adherence of breakthrough cancer pain
by oncologists in Spain.
First author: Rafael López
ABSTRACT 140. Implementation of a Quality Training
Program in Spain for Oncology teams.
First author: Rafael López
ABSTRACT 141. Acknowledging the quality of the
information given to oncology patients in a Spanish
hospital.
First author: Alfredo Carrato

ABSTRACT 129. Homogenization of data collection
in medical records in the Unit of Thoracic Medical
Oncology.
First author: Ana Lucrecia Ruiz Echeverria

ABSTRACT 142. Patient preference regarding
communication of goals of therapy.
First author: Theodore Poufos

ABSTRACT 130. Smart dialogues to empower cancer
patients (breast cancer) with lymphedema
First author: Marta Gómez Nicolas

ABSTRACT 143. “Summoning Oncologist for a
paradigm shift”, or a proposal to better evaluate new
drugs.
First author: Clara Micó

ABSTRACT 131. Feasibility of and Rationale for the
Introduction of an Outpatient Management of
Neutropaenic Fever Protocol – the Cork University
Hospital (CUH) Experience.
First author: Dara Bracken-Clarke
ABSTRACT 132. The role of service design in
improving the cancer patient´s experience.
First author: Carlos Romero Piqueras

12

ABSTRACT 136. Clinical practice evaluation of opioid
induced constipation management in cancer patients:
The EIO-Praxis project.
First author: Enrique Aranda

ABSTRACT 144. Sustainability of cancer drugs in
clinical practice: the NSLC example analysis.
First author: Alberto Jacobo Cunquero-Tomás

SPONSORS

GOLD

SILVER

BRONZE

COLLABORATORS

13

SCIENTIFIC ENDORSEMENT

Declarado de interés sanitario por:
Solicitada la acreditación a la Comisión de
Formación Continuada del Sistema Nacional de
Salud y la Consejería de Sanidad de Madrid

14

UPCOMING 2020

MEETINGS

January 27th and 28th
March 30th and 31th
July 6th

March 10th

ASCO Quality Training Program

VIII ECO Forum
The regulatory process in Spain

May (TBC)

ONCOVALOR Workshop

June (TBC)

Redesigning Healthcare Assistance in Oncology

July 7th

September 24th

November (TBC)

Immunotherapy in Oncology (BIO’20) Meeting

IX ECO Awards

2nd Oncology Quality Care SymposiumTM
ECO-ASCO

www.fundacioneco.es

15

For registration and more information:

www.eco-quality.org

1st Oncology Quality Care SymposiumTM
September, 1st to November, 15th, 2019
Standard registration: 575€ + VAT

Contact details:
ECO Foundation. C/ Alfonso XII, nº 62 – 2nd floor, 28014 Madrid
+34 91 076 70 58 - fundacioneco@fundacioneco.es

#ECOQLTY19

16


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