Noelle K. LoConte, University of Wisconsin Madison, Madison, WI; Abenaa M. Brewster, MD Anderson Cancer Center, Houston, TX; Judith S. Kaur, Mayo Clinic, Jacksonville, FL; Janette K. Merrill, American Society of Clinical Oncology, Alexandria, VA; and Anthony J. Alberg, University of South Carolina, Columbia, SC.
J Clin Oncol. 2018 Jan 1;36(1):83-93. doi: 10.1200/JCO.2017.76.1155. Epub 2017 Nov 7.
Alcohol drinking is an established risk factor for several malignancies, and it is a potentially modifiable risk factor for cancer. The Cancer Prevention Committee of the American Society of Clinical Oncology (ASCO) believes that a proactive stance by the Society to minimize excessive exposure to alcohol has important implications for cancer prevention. In addition, the role of alcohol drinking on outcomes in patients with cancer is in its formative stages, and ASCO can play a key role by generating a research agenda. Also, ASCO could provide needed leadership in the cancer community on this issue. In the issuance of this statement, ASCO joins a growing number of international organizations by establishing a platform to support effective public health strategies in this area. The goals of this statement are to: • Promote public education about the risks between alcohol abuse and certain types of cancer; • Support policy efforts to reduce the risk of cancer through evidence-based strategies that prevent excessive use of alcohol; • Provide education to oncology providers about the influence of excessive alcohol use and cancer risks and treatment complications, including clarification of conflicting evidence; and • Identify areas of needed research regarding the relationship between alcohol use and cancer risk and outcomes.
饮酒是多种恶性肿瘤的既定危险因素,也是癌症潜在可改变的危险因素。美国临床肿瘤学会(ASCO)癌症预防委员会认为,该学会采取积极主动的立场,将过度暴露于酒精的风险降至最低,这对癌症预防具有重要意义。此外,饮酒对癌症患者结局的影响仍处于形成阶段,ASCO 可以通过制定研究议程发挥关键作用。ASCO 还可以在这个问题上为癌症领域提供必要的领导。在发布本声明的同时,ASCO 通过建立一个平台,支持该领域的有效公共卫生策略,加入了越来越多的国际组织。本声明的目标是:
促进公众教育,提高对酗酒与某些类型癌症之间风险的认识;
通过基于证据的策略支持政策努力,以减少癌症风险,防止过度饮酒;
为肿瘤学提供者提供关于过度饮酒和癌症风险以及治疗并发症的影响的教育,包括澄清相互矛盾的证据;
确定与酒精使用和癌症风险及结局之间关系相关的研究需求领域。