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专业协会之间的合作有助于中低收入国家癌症防控的能力建设和体系发展:柬埔寨宫颈癌防控项目的实践

The cooperation between professional societies contributes to the capacity building and system development for prevention and control of cancer in low- and middle-income countries: the practice of Cervical Cancer Prevention and Control Project in Cambodia.

作者信息

Kanal Koum, Fujita Noriko, Soeung Sann Chan, Sim Kruy Leang, Matsumoto Yasuyo, Haruyama Rei, Banno Kouji, Kimura Tadashi

机构信息

Cambodian Society of Gynecology and Obstetrics, Phnom Penh, Cambodia.

Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.

出版信息

Glob Health Med. 2020 Feb 29;2(1):48-52. doi: 10.35772/ghm.2020.01000.

Abstract

Globally, an estimated 570,000 women are newly diagnosed with cervical cancer, and 311,000 women die every year, with approximately 90% of the cases occurring in low- and middle-income countries (LMICs). Cervical cancer is the most common cancer in women in Cambodia, with age-standard incidence rate of 13.5/100,000 and mortality rate of 10.1/100,000. This paper introduces the educational and managerial interventions of Cambodia Cervical Cancer Project 2015-2018 by two professional societies of Cambodia and Japan. It can be categorized into three phases: health education and screening; diagnosis and treatment of precancerous lesions; and pathology service. Human papillomavirus test-based cancer screening and treatment of precancerous lesions were successfully initiated. Key factors contributed to optimal outcomes are partnership between two professional societies with strong commitment, and a comprehensive and stepwise quality-focused approach. A complementary role and joint society initiatives is a novel approach and substantial in sustainability for developing a system of cervical cancer management. This effort might serve as a good example how professional societies can contribute to capacity building and system development for prevention and control of cancer in LMICs.

摘要

全球估计每年有57万女性被新诊断为宫颈癌,31.1万女性死于宫颈癌,其中约90%的病例发生在低收入和中等收入国家(LMICs)。宫颈癌是柬埔寨女性中最常见的癌症,年龄标准化发病率为13.5/10万,死亡率为10.1/10万。本文介绍了柬埔寨和日本两个专业协会在2015 - 2018年柬埔寨宫颈癌项目中的教育和管理干预措施。该项目可分为三个阶段:健康教育与筛查;癌前病变的诊断与治疗;以及病理服务。基于人乳头瘤病毒检测的癌症筛查和癌前病变治疗已成功启动。促成最佳结果的关键因素包括两个专业协会之间坚定合作的伙伴关系,以及全面且逐步注重质量的方法。互补作用和联合协会倡议是一种新颖的方法,对于建立宫颈癌管理体系的可持续性具有重要意义。这项工作或许可以成为一个很好的范例,展示专业协会如何为低收入和中等收入国家的癌症预防和控制能力建设及体系发展做出贡献。

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本文引用的文献

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How can we strengthen pathology services in Cambodia?我们如何加强柬埔寨的病理学服务?
Glob Health Med. 2019 Dec 31;1(2):110-113. doi: 10.35772/ghm.2019.01023.
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The promise of global cervical-cancer prevention.全球预防宫颈癌的前景。
N Engl J Med. 2005 Nov 17;353(20):2101-4. doi: 10.1056/NEJMp058171.

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