National Comprehensive Cancer Network.
Roswell Park Comprehensive Cancer Center.
J Natl Compr Canc Netw. 2023 Sep;21(9):910-914.e1. doi: 10.6004/jnccn.2023.7040.
Cancer prevention, screening, and early detection play an integral role in cancer incidence and outcomes. It is estimated that 30% to 50% of cancers worldwide are preventable, and it is well established that early detection of many cancers is associated with improved treatment outcomes. A recent NCCN Policy Summit: Reducing the Cancer Burden Through Prevention and Early Detection brought together healthcare providers, payers, policymakers, patient advocates, industry representatives, and technology representatives to explore challenges, triumphs, and outstanding questions surrounding current practices. Keynotes were delivered by Dr. Lisa Richardson, Director of the Division of Cancer Prevention and Control within the CDC, and Dr. Danielle Carnival, White House Cancer Moonshot Coordinator. Dr. Richardson focused on the field of public health, translating its utility in preventing and diagnosing cancer in the United States, while Dr. Carnival discussed ambitious goals by the Cancer Moonshot in reducing the cancer burden. Panelists highlighted characteristics of high-impact prevention and early detection programs, including how genetic testing has impacted this space. Existing programs are often challenged due to limitations in data, as well as financial, structural, and social barriers to motivating individuals to act on recommendations. Despite these barriers, we can learn from highly successful programs and should apply proven attributes, such as community engagement, more broadly.
癌症预防、筛查和早期检测在癌症发病和结果中起着不可或缺的作用。据估计，全球 30%至 50%的癌症是可以预防的，而且许多癌症的早期发现与改善治疗结果密切相关。最近举行的 NCCN 政策峰会：通过预防和早期检测减少癌症负担汇集了医疗保健提供者、支付方、政策制定者、患者权益倡导者、行业代表和技术代表，共同探讨当前实践所面临的挑战、成功和悬而未决的问题。美国疾病控制与预防中心癌症预防与控制司司长 Lisa Richardson 博士和白宫癌症登月计划协调员 Danielle Carnival 博士发表了主题演讲。Richardson 博士专注于公共卫生领域，在美国预防和诊断癌症方面的应用，而 Carnival 博士则讨论了癌症登月计划在降低癌症负担方面的雄心勃勃的目标。小组成员强调了高影响力的预防和早期检测计划的特点，包括基因检测如何影响这一领域。由于数据限制以及激励个人按照建议采取行动的财务、结构和社会障碍，现有计划往往面临挑战。尽管存在这些障碍，但我们可以从非常成功的计划中吸取经验教训，并应更广泛地应用经过验证的属性，例如社区参与。
