Kerner Jon F, Cazap Eduardo, Yach Derek, Pierotti Marco A, Daidone Maria Grazia, de Blasio Pasquale, Geary Peter, Schacter Brent, Sant Milena, Habbema J Dik F, Sankaranarayanan Rengaswamy, Sutcliffe Catherine, Sutcliffe Simon
Canadian Partnership Against Cancer, 1 University Avenue, Suite 300, Toronto, Ontario, Canada M5J 2P1.
Tumori. 2009 Sep-Oct;95(5):610-22. doi: 10.1177/030089160909500504.
Comprehensive cancer control is defined as an integrated and coordinated approach to reducing cancer incidence, morbidity, and mortality across the cancer control continuum from primary prevention to end-of-life care. This approach assumes that when the public sector, non-governmental organizations, academia, and the private sector share with each other their skills, knowledge, and resources, a country can take advantage of all its talents and resources to more quickly reduce the burden of cancer for all its population. One critical issue for comprehensive cancer control is the extent to which the private sector can contribute to cancer prevention and control programs and policies that have historically been lead by the public health sector, and similarly how can the public sector increase its investment and involvement in clinical research and practice issues that are largely driven by the private sector worldwide? In addition, building capacity to integrate research that is appropriate to the culture and context of the population will be important in different settings, in particular research related to cancer control interventions that have the capacity to influence outcomes. To whatever extent cancer control research is ultimately funded through the private and public sectors, if investments in research discoveries are ultimately to benefit the populations that bear the greatest burden of disease, then new approaches to integrating the lessons learned from science with the lessons learned from service (public health, clinical, and public policy) must be found to close the gap between what we know and what we do. Communities of practice for international cancer control, like the ones fostered by the first three International Cancer Control Congresses, represent an important forum for knowledge exchange opportunities to accelerate the translation of new knowledge into action to reduce the burden of cancer worldwide.
综合癌症控制被定义为一种从初级预防到临终关怀的癌症控制连续过程中,旨在降低癌症发病率、发病率和死亡率的综合协调方法。这种方法假定,当公共部门、非政府组织、学术界和私营部门相互分享其技能、知识和资源时,一个国家能够利用其所有的人才和资源,更快地减轻全体民众的癌症负担。综合癌症控制的一个关键问题是,私营部门能够在多大程度上为历史上由公共卫生部门主导的癌症预防和控制计划及政策做出贡献;同样,公共部门如何能够增加其在全球范围内主要由私营部门推动的临床研究和实践问题上的投资和参与?此外,在不同环境中,建设整合适合人群文化和背景的研究能力将很重要,特别是与有能力影响结果的癌症控制干预措施相关的研究。无论癌症控制研究最终是由私营部门还是公共部门资助,如果对研究发现的投资最终要使疾病负担最重的人群受益,那么就必须找到新的方法,将从科学中学到的经验教训与从服务(公共卫生、临床和公共政策)中学到的经验教训结合起来,以弥合我们所知与我们所做之间的差距。国际癌症控制实践社区,就像前三届国际癌症控制大会所培育的那些社区一样,是一个重要的知识交流论坛,为加速将新知识转化为行动以减轻全球癌症负担提供机会。