Wang G Q, Wei W W
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Cancer Registry Office, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2019 Nov 6;53(11):1084-1087. doi: 10.3760/cma.j.issn.0253-9624.2019.11.002.
The screening, early diagnosis and early treatment project of the upper gastrointestinal cancer had achieved good results since its launch. However, from a national perspective, the endoscopic screening of upper gastrointestinal cancer was still not optimistic, such as the poor rate of the early diagnosis, the low rate of 5-year survival in rural areas, and the disparity of the standardized screening and diagnosis in different areas. Therefore, the situation of upper gastrointestinal cancer prevention and treatment is still severe. Under the guidance of the "Healthy China 2030" plan, based on the international experience and domestic actual circumstance, it is suggested that the screening of high-risk population in high-risk areas should be changed into the opportunistic screening in primary medical institutions. The opportunistic screening could expand the coverage of the screening, early diagnosis and early treatment project of the upper gastrointestinal cancer, and increase the early diagnosis rate in rural areas and primary medical institutions, which could improve the 5-year survival rate of patients with the upper gastrointestinal cancer, and then achieve the sustainable development of the cancer prevention and treatment in China.
上消化道癌筛查及早诊早治项目自启动以来取得了良好成效。然而，从全国范围来看，上消化道癌的内镜筛查情况仍不容乐观，如早期诊断率低、农村地区5年生存率低以及不同地区规范筛查和诊断存在差异等。因此，上消化道癌防治形势依然严峻。在“健康中国2030”规划的指导下，基于国际经验和国内实际情况，建议将高危地区高危人群筛查转变为基层医疗卫生机构的机会性筛查。机会性筛查可扩大上消化道癌筛查及早诊早治项目的覆盖范围，提高农村地区及基层医疗卫生机构的早期诊断率，进而提高上消化道癌患者的5年生存率，实现我国癌症防治的可持续发展。
