The Netherlands Cancer Institute, Amsterdam, the Netherlands.
European Academy of Cancer Sciences, Stockholm, Sweden.
Mol Oncol. 2020 Aug;14(8):1589-1615. doi: 10.1002/1878-0261.12763.
A comprehensive translational cancer research approach focused on personalized and precision medicine, and covering the entire cancer research-care-prevention continuum has the potential to achieve in 2030 a 10-year cancer-specific survival for 75% of patients diagnosed in European Union (EU) member states with a well-developed healthcare system. Concerted actions across this continuum that spans from basic and preclinical research through clinical and prevention research to outcomes research, along with the establishment of interconnected high-quality infrastructures for translational research, clinical and prevention trials and outcomes research, will ensure that science-driven and social innovations benefit patients and individuals at risk across the EU. European infrastructures involving comprehensive cancer centres (CCCs) and CCC-like entities will provide researchers with access to the required critical mass of patients, biological materials and technological resources and can bridge research with healthcare systems. Here, we prioritize research areas to ensure a balanced research portfolio and provide recommendations for achieving key targets. Meeting these targets will require harmonization of EU and national priorities and policies, improved research coordination at the national, regional and EU level and increasingly efficient and flexible funding mechanisms. Long-term support by the EU and commitment of Member States to specialized schemes are also needed for the establishment and sustainability of trans-border infrastructures and networks. In addition to effectively engaging policymakers, all relevant stakeholders within the entire continuum should consensually inform policy through evidence-based advice.
一种以个性化和精准医疗为重点的全面癌症研究方法,涵盖整个癌症研究-护理-预防连续体,有可能实现 2030 年在欧盟成员国中,具有发达医疗保健系统的患者,其癌症特异性生存时间延长 10 年,达到 75%。在整个连续体中采取协调一致的行动,从基础和临床前研究到临床和预防研究再到结果研究,同时建立相互关联的高质量转化研究、临床和预防试验以及结果研究基础设施,将确保以科学为驱动的社会创新使欧盟各地的患者和处于危险中的个人受益。涉及综合癌症中心 (CCC) 和类似 CCC 实体的欧洲基础设施将为研究人员提供获取所需大量患者、生物材料和技术资源的机会,并能将研究与医疗保健系统联系起来。在这里,我们确定研究领域的优先级,以确保研究组合的平衡,并为实现关键目标提供建议。要实现这些目标,需要协调欧盟和国家的优先事项和政策,在国家、地区和欧盟各级加强研究协调,并采用更加高效和灵活的供资机制。还需要欧盟的长期支持和成员国对专门计划的承诺,以建立和维持跨境基础设施和网络。除了有效地让政策制定者参与进来之外,整个连续体中的所有相关利益攸关方都应通过循证建议一致地为政策提供信息。