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需要采取全面和综合的方法来制定欧洲的肺癌政策。

The need for a comprehensive and integrated approach to lung cancer policy in Europe.

机构信息

The Health Policy Partnerships, 68-69 St Martin's Lane, London WC2N 4JS, United Kingdom.

The Health Policy Partnerships, 68-69 St Martin's Lane, London WC2N 4JS, United Kingdom.

出版信息

Eur J Cancer. 2022 Nov;175:54-59. doi: 10.1016/j.ejca.2022.08.001. Epub 2022 Sep 8.

DOI:10.1016/j.ejca.2022.08.001
PMID:36088672
Abstract

Lung cancer is the leading cause of cancer-related deaths in Europe. Europe's Beating Cancer Plan calls for a comprehensive approach to the disease in general but not specifically to lung cancer. Such a comprehensive approach, integrating efforts to strengthen anti-tobacco policies, early detection and underlying models of care, is sorely needed for lung cancer - particularly considering disruptions to care during the COVID-19 pandemic. In a recently published think piece, a multidisciplinary group of experts proposed four key policy priority areas. First, to reduce stigma and improve awareness of potential symptoms, there is a need to foster a better understanding of lung cancer - among the public and healthcare professionals. Second, opportunities for early detection should be enhanced, and the implementation of targeted screening through low-dose computed tomography should be encouraged as a complement to smoking cessation services. This complementarity should be recognised and built into joint policy proposals, with development and better integration of screening and smoking cessation programmes on the ground. Third, the socioeconomic inequalities underpinning disparities in outcomes in people with lung cancer must be addressed, with targeted approaches to overcome barriers to access Finally, the overall quality of lung cancer care must be improved, making multidisciplinary care available to all and ensuring survivorship is given due attention.

摘要

肺癌是欧洲癌症相关死亡的主要原因。欧洲抗癌计划呼吁对该疾病采取全面的方法,但并非专门针对肺癌。对于肺癌来说,迫切需要这样一种综合方法,将加强反烟草政策、早期发现和基础护理模式的努力结合起来,特别是考虑到在 COVID-19 大流行期间护理中断的情况。在最近发表的一篇专题文章中,一个多学科专家小组提出了四个关键的政策优先领域。首先,为了减少对肺癌的污名化和提高对潜在症状的认识,需要增进公众和医疗保健专业人员对肺癌的了解。其次,应加强早期发现的机会,并鼓励通过低剂量计算机断层扫描进行有针对性的筛查,作为戒烟服务的补充。这种互补性应该得到认可,并纳入联合政策提案中,在实地制定和更好地整合筛查和戒烟方案。第三,必须解决肺癌患者结果存在差异的社会经济不平等问题,采取有针对性的方法克服获得服务的障碍。最后,必须提高肺癌护理的整体质量,使所有患者都能获得多学科护理,并确保适当关注生存者的情况。

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The need for a comprehensive and integrated approach to lung cancer policy in Europe.需要采取全面和综合的方法来制定欧洲的肺癌政策。
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