Division of Breast Surgery, European Institute of Oncology (IEO), IRCCS.
Department of Oncology and Hemato-Oncology, University of Milan.
Eur J Cancer Prev. 2023 May 1;32(3):203-206. doi: 10.1097/CEJ.0000000000000782. Epub 2023 Jan 31.
Epidemiological studies demonstrate the key role of cancer prevention in reducing global cancer mortality. However, within Europe there are persisting important disparities in incidence and cancer-related mortality. The future strategy of cancer prevention will aim at reducing these disparities through abolition of tobacco educational campaigns to a correct diet and lifestyle through primary prevention, increasing screening (secondary prevention). We also consider focusing on genetics and precision oncology to identify high-risk individuals, and on tertiary prevention to reduce second cancer risk. The application of these approaches could reduce cancer mortality by 35% and increase cancer survival to 70% in 2070. Tobacco control and abolition remain key measures across Europe.
流行病学研究表明,癌症预防在降低全球癌症死亡率方面起着关键作用。然而,在欧洲内部,癌症发病率和癌症相关死亡率仍然存在着显著的差异。癌症预防的未来策略将通过以下方式来减少这些差异:通过开展正确的饮食和生活方式的初级预防教育运动来消除烟草,增加筛查(二级预防)。我们还考虑将重点放在遗传学和精准肿瘤学上,以识别高危人群,并通过三级预防来降低第二癌症风险。这些方法的应用可以将 2070 年的癌症死亡率降低 35%,并将癌症存活率提高到 70%。在整个欧洲,控制和消除烟草仍然是关键措施。