Department of Prevention, Cancer and Environment, Léon Bérard Cancer Center, Lyon, France.
Inserm U1296 Radiations: Defense, Health, Environment, Léon Bérard Cancer Center, Lyon, France.
Cancer Prev Res (Phila). 2024 Apr 2;17(4):133-140. doi: 10.1158/1940-6207.CAPR-23-0386.
This article describes some of the key prevention services in the Leon Berard Comprehensive Cancer Center (CLB) Lyon, France, which are based on clinical prevention services, outreach activities, and collaboration with professional and territorial health communities. In addition, research is embedded at all stages of the prevention continuum, from understanding cancer causes through to the implementation of prevention interventions during and after cancer. Health promotion activities in the community and dedicated outpatient primary cancer prevention services for individuals at increased risk have been implemented. The CLB's experience illustrates how prevention can be integrated into the comprehensive mission of cancer centers, and how in turn, the cancer centers may contribute to bridging the current fragmentation between cancer care and the different components of primary, secondary, and tertiary prevention. With increasing cancer incidence, the shift toward integrated prevention-centered cancer care is not only key for improving population health, but this may also provide a response to the shortage of hospital staff and overcrowding in cancer services, as well as offer opportunities to reduce carbon emissions from cancer care.
本文介绍了法国里昂莱昂·贝尔拉德综合癌症中心（CLB）的部分关键预防服务，这些服务基于临床预防服务、外展活动以及与专业和地区卫生社区的合作。此外，预防连续体的所有阶段都嵌入了研究，从了解癌症病因到癌症期间和之后实施预防干预措施。已经在社区开展了促进健康的活动，并为高风险个体提供了专门的门诊初级癌症预防服务。CLB 的经验说明了如何将预防纳入癌症中心的综合任务中，以及反过来，癌症中心如何有助于弥合当前癌症护理与初级、二级和三级预防的不同组成部分之间的脱节。随着癌症发病率的增加，向以预防为中心的综合癌症护理转变不仅是改善人口健康的关键，而且还可能应对医院工作人员短缺和癌症服务过度拥挤的问题，并为减少癌症护理的碳排放提供机会。
