Public Health Research Branch, Center for Global Health, US National Cancer Institute, Rockville, MD, USA.
Regional Cancer Centre, Kunjaban, Agartala, Tripura, India.
Lancet Oncol. 2018 Feb;19(2):e113-e122. doi: 10.1016/S1470-2045(18)30003-2.
The reductions in cancer morbidity and mortality afforded by population-based cancer screening programmes have led many low-income and middle-income countries to consider the implementation of national screening programmes in the public sector. Screening at the population level, when planned and organised, can greatly benefit the population, whilst disorganised screening can increase costs and reduce benefits. The International Cancer Screening Network (ICSN) was created to share lessons, experience, and evidence regarding cancer screening in countries with organised screening programmes. Organised screening programmes provide screening to an identifiable target population and use multidisciplinary delivery teams, coordinated clinical oversight committees, and regular review by a multidisciplinary evaluation board to maximise benefit to the target population. In this Series paper, we report outcomes of the first regional consultation of the ICSN held in Agartala, India (Sept 5-7, 2016), which included discussions from cancer screening programmes from Denmark, the Netherlands, USA, and Bangladesh. We outline six essential elements of population-based cancer screening programmes, and share recommendations from the meeting that policy makers might want to consider before implementation.
人群癌症筛查项目减少了癌症发病率和死亡率，这使得许多低收入和中等收入国家考虑在公共部门实施国家筛查项目。在规划和组织人群水平的筛查时，可以使人群大大受益，而无组织的筛查会增加成本并降低效益。国际癌症筛查网络（ICSN）的创建是为了分享在有组织的筛查项目国家中癌症筛查的经验、教训和证据。有组织的筛查项目为可识别的目标人群提供筛查，并使用多学科服务团队、协调的临床监督委员会以及由多学科评估委员会定期进行审查，以最大限度地使目标人群受益。在本系列论文中，我们报告了 2016 年 9 月 5 日至 7 日在印度阿加尔塔拉举行的 ICSN 第一次区域磋商的结果，其中包括来自丹麦、荷兰、美国和孟加拉国的癌症筛查项目的讨论。我们概述了基于人群的癌症筛查项目的六个基本要素，并分享了会议提出的建议，决策者在实施前可能需要考虑这些建议。
