胃癌是世界常见恶性肿瘤之一。在中国,胃癌发病率与死亡率均居第3位。近年来,随着诊疗技术的提高及重点人群筛查的实施,胃癌患者的5年生存率逐渐提升,但与日韩等胃癌治疗先进国家相比仍处于较低水平,亟需一部体现中国特色的诊疗指南指...胃癌是世界常见恶性肿瘤之一。在中国,胃癌发病率与死亡率均居第3位。近年来,随着诊疗技术的提高及重点人群筛查的实施,胃癌患者的5年生存率逐渐提升,但与日韩等胃癌治疗先进国家相比仍处于较低水平,亟需一部体现中国特色的诊疗指南指导胃癌的防治工作。中国抗癌协会(CACA)整合诊治指南是在总会指导下,由胃癌专委会具体完成的。这是目前为止纳入胃癌相关学科体系最为完整的一部指南,秉承“全人、全身、全程、全息”理念,关注“防-筛-诊-治-康”全程管理,体现学科融合、技术整合、多学科整合诊疗(multi-disciplinary team to holistic integrative medicine,MDT to HIM)的理念,聚焦中国人群的流行病学特征、遗传背景、原创研究成果及诊疗防控特色,纳入国内研究,兼顾医疗可及性,突出中医特色和我国癌症防控经验,体现了“研究证据-医生经验-患者需求”的整合。本指南为全国同道推荐证据类别高、可及性好、最具临床实操指导价值的诊治方案,可以更有针对性的指导中国的胃癌防治工作,改善中国胃癌患者预后,助力健康中国战略。展开更多
According to statistics,the rates of incidence and death of gastric cancer in China have risen to the fourth worldwide,resulting in huge social burden.Regrettably,international guidelines,such as NCCN or ESMO,could no...According to statistics,the rates of incidence and death of gastric cancer in China have risen to the fourth worldwide,resulting in huge social burden.Regrettably,international guidelines,such as NCCN or ESMO,could not provide enough consideration to Chinese clinical practice,making it difficult to achieve individual therapy in China.In 2020,China Anti-Cancer Association(CACA)invited domestic multi-disciplinary experts and made the guideline of gastric cancer,involving surgeon,oncologist,pathologist,radiologist,herbalist,physiatrist and psychologist.This gastric cancer guideline recommends comprehensive treatment scheme with high-evidence and well-feasibility,which is mainly based on evidence-based medicine,Chinese experience and expert consensus.We provided MDT to HIM system of“prevention,screening,diagnosis,treatment,rehabilitation”for gastric cancer,which embodied the integration of research evidence,clinical experience and patient needs.The CACA guideline is more suitable for China’s clinical practice,reflecting scientificity,accessibility and Chinese characteristics,highlights the concept of integrated medicine,and has guiding value of clinical practice.展开更多
Cancer has become the first leading cause of death in the world, particularly in low- and middle-income countries. Facing the increasing trend of cancer incidence and mortality, China issued and implemented ＂three-ea...Cancer has become the first leading cause of death in the world, particularly in low- and middle-income countries. Facing the increasing trend of cancer incidence and mortality, China issued and implemented ＂three-early（early prevention, early diagnosis and early treatment）＂ national cancer prevention plan. As the main body and dependence of social governance, non-governmental organizations（NGOs） take over the role of government in the field of cancer prevention and treatment. American Cancer Society（ACS） made a research on cancer NGOs and civil society in cancer control and found that cancer NGOs in developing countries mobilize civil society to work together and advocate governments in their countries to develop policies to address the growing cancer burden. Union for International Cancer Control（UICC）, Cancer Council Australia（CCA）, and Malaysian cancer NGOs are the representatives of cancer NGOs in promoting cancer control. Selecting Chinese Anti-Cancer Association（CACA） as an example in China, this article is to investigate how NGOs undertake systematic cancer prevention work in China. By conducting real case study, we found that, as a NGO, CACA plays a significant role in intensifying the leading role of government in cancer control, optimizing cancer outcomes, decreasing cancer incidence and mortality rates and improving public health.展开更多
文摘胃癌是世界常见恶性肿瘤之一。在中国,胃癌发病率与死亡率均居第3位。近年来,随着诊疗技术的提高及重点人群筛查的实施,胃癌患者的5年生存率逐渐提升,但与日韩等胃癌治疗先进国家相比仍处于较低水平,亟需一部体现中国特色的诊疗指南指导胃癌的防治工作。中国抗癌协会(CACA)整合诊治指南是在总会指导下,由胃癌专委会具体完成的。这是目前为止纳入胃癌相关学科体系最为完整的一部指南,秉承“全人、全身、全程、全息”理念,关注“防-筛-诊-治-康”全程管理,体现学科融合、技术整合、多学科整合诊疗(multi-disciplinary team to holistic integrative medicine,MDT to HIM)的理念,聚焦中国人群的流行病学特征、遗传背景、原创研究成果及诊疗防控特色,纳入国内研究,兼顾医疗可及性,突出中医特色和我国癌症防控经验,体现了“研究证据-医生经验-患者需求”的整合。本指南为全国同道推荐证据类别高、可及性好、最具临床实操指导价值的诊治方案,可以更有针对性的指导中国的胃癌防治工作,改善中国胃癌患者预后,助力健康中国战略。
文摘According to statistics,the rates of incidence and death of gastric cancer in China have risen to the fourth worldwide,resulting in huge social burden.Regrettably,international guidelines,such as NCCN or ESMO,could not provide enough consideration to Chinese clinical practice,making it difficult to achieve individual therapy in China.In 2020,China Anti-Cancer Association(CACA)invited domestic multi-disciplinary experts and made the guideline of gastric cancer,involving surgeon,oncologist,pathologist,radiologist,herbalist,physiatrist and psychologist.This gastric cancer guideline recommends comprehensive treatment scheme with high-evidence and well-feasibility,which is mainly based on evidence-based medicine,Chinese experience and expert consensus.We provided MDT to HIM system of“prevention,screening,diagnosis,treatment,rehabilitation”for gastric cancer,which embodied the integration of research evidence,clinical experience and patient needs.The CACA guideline is more suitable for China’s clinical practice,reflecting scientificity,accessibility and Chinese characteristics,highlights the concept of integrated medicine,and has guiding value of clinical practice.
文摘Cancer has become the first leading cause of death in the world, particularly in low- and middle-income countries. Facing the increasing trend of cancer incidence and mortality, China issued and implemented ＂three-early（early prevention, early diagnosis and early treatment）＂ national cancer prevention plan. As the main body and dependence of social governance, non-governmental organizations（NGOs） take over the role of government in the field of cancer prevention and treatment. American Cancer Society（ACS） made a research on cancer NGOs and civil society in cancer control and found that cancer NGOs in developing countries mobilize civil society to work together and advocate governments in their countries to develop policies to address the growing cancer burden. Union for International Cancer Control（UICC）, Cancer Council Australia（CCA）, and Malaysian cancer NGOs are the representatives of cancer NGOs in promoting cancer control. Selecting Chinese Anti-Cancer Association（CACA） as an example in China, this article is to investigate how NGOs undertake systematic cancer prevention work in China. By conducting real case study, we found that, as a NGO, CACA plays a significant role in intensifying the leading role of government in cancer control, optimizing cancer outcomes, decreasing cancer incidence and mortality rates and improving public health.
