Center for Health Policy Studies, Department of Social Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Office for Zhejiang Cancer Center, Zhejiang Cancer Hospital, Hangzhou, Zhejiang Province, China.
J Dig Dis. 2018 Dec;19(12):722-729. doi: 10.1111/1751-2980.12675. Epub 2018 Nov 22.
Esophageal cancer is one of the most prevalent malignant tumors worldwide. Because of its challenging clinical characteristics, esophageal cancer is a major disease burden on the economy, society, and individuals. There is an urgent need to establish a beneficial policy to reduce the burden and to improve the health-related quality of life of patients. Primary prevention with smoking cessation and reduction of drinking alcohol are highly recommended. Screening, early diagnosis and treatment are suggested. This study intended to establish a modified future screening model from the social perspective that deploys different strategies for different populations. Risk assessment and community-based screening are proposed for high-risk populations. Health education in low-risk areas could help promote primary prevention to mitigate lifestyle factors and to increase public awareness and potentially to increase screening and early detection.
食管癌是全球最常见的恶性肿瘤之一。由于其具有挑战性的临床特征，食管癌给经济、社会和个人带来了沉重的负担。因此，迫切需要制定一项有益的政策，以减轻负担，提高患者的健康相关生活质量。强烈建议通过戒烟和减少饮酒来进行一级预防。建议进行筛查、早期诊断和治疗。本研究旨在从社会角度建立一个改良的未来筛查模型，为不同人群部署不同的策略。对高危人群进行风险评估和社区筛查。在低危地区开展健康教育，有助于促进一级预防，减轻生活方式因素的影响，提高公众意识，并可能增加筛查和早期发现的机会。
