Moser Elizabeth Charlotte, Meunier Françoise
Champalimaud Cancer Centre, Lisbon, Portugal.
EORTC Headquarters, Brussels, Belgium.
EJC Suppl. 2014 Jun;12(1):1-4. doi: 10.1016/j.ejcsup.2014.03.001. Epub 2014 May 29.
Over the past decades, early diagnosis, new drugs and more personalised multi-modality treatment have led to impressive increases in survival rates of patients with cancer. This success in treating cancer has resulted in a large and rapidly increasing number of cancer survivors, yet life after cancer is often compromised by a broad spectrum of late adverse treatment effects. Some encounter cardiovascular, second malignancies, cognitive or other morbidities which impair normal life in an important way. Some patients are confronted with societal discrimination due to slower performance, chronic fatigue or partial inability and these things can adversely affect employment, education, insurance or mortgage opportunities. In 2012, the European Organisation of Research and Treatment of Cancer (EORTC) Survivorship Task Force was created to focus research efforts on late morbidity of cancer treatment and its impact on society. On 30-31st January 2014, the 1st EORTC Cancer Survivorship Summit was organised to facilitate interaction between clinicians, researchers, social workers, patients, insurers, bankers and policy makers. This important event addressed the needs of cancer survivors, and new collaborations between academic groups, patient advocates, financial and political representatives were formed to guide future European research and health policies in this field. This special issue of the European Journal of Cancer is entirely dedicated to this Summit and addresses, respectively, second malignancies, cardiovascular disease, cognitive dysfunction, infertility/sexuality and psycho-social problems following cancer treatment.
在过去几十年里,早期诊断、新药以及更具个性化的多模式治疗使癌症患者的生存率显著提高。癌症治疗的这一成功导致癌症幸存者的数量大幅且迅速增加,然而癌症后的生活往往受到广泛的晚期不良治疗影响的损害。一些人会遭遇心血管疾病、二次恶性肿瘤、认知问题或其他疾病,这些疾病严重影响正常生活。一些患者由于表现迟缓、慢性疲劳或部分功能丧失而面临社会歧视,这些情况会对就业、教育、保险或抵押贷款机会产生不利影响。2012年,欧洲癌症研究与治疗组织(EORTC)生存问题特别工作组成立,旨在将研究工作重点放在癌症治疗的晚期发病率及其对社会的影响上。2014年1月30日至31日,举办了第一届EORTC癌症生存峰会,以促进临床医生、研究人员、社会工作者、患者、保险公司、银行家和政策制定者之间的互动。这一重要活动满足了癌症幸存者的需求,并形成了学术团体、患者权益倡导者、金融和政治代表之间的新合作,以指导该领域未来的欧洲研究和卫生政策。《欧洲癌症杂志》的这一特刊完全致力于此次峰会,分别探讨了癌症治疗后的二次恶性肿瘤、心血管疾病、认知功能障碍、不孕不育/性功能以及心理社会问题。