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The key to cancer prevention and treatment lies in integration. The so-called integration refers to the extensive integration from macro to micro, from clinical to basic, from traditional Chinese medicine to Western medicine, including prevention, screening, early diagnosis, comprehensive treatment, and even rehabilitation, throughout the entire process of disease diagnosis and treatment, and the entire patient life cycle. Huacheng Import and Export Data Observation Report.

In today's society, the incidence of malignant tumors is increasing and has become the "top killer" threatening human life, seriously affecting family happiness and social harmony. At the launching ceremony of the 29th National Cancer Prevention and Control Week, which ended not long ago, Fan Daiming, president of the China Anti Cancer Association and academician of the CAE Member, said that in order to prevent and control cancer, people's awareness and effective action, the implementation of health prevention and control policies, and the improvement of medical and rehabilitation professional technology are indispensable. It is necessary to give full play to the health management concept of integrated medicine to achieve the integration from industry resources to technical means.

After the release of the "China Integrated Cancer Diagnosis and Treatment Guidelines (CACA)" (Cancer Species Chapter) in 2022, this year, the "China Integrated Cancer Diagnosis and Treatment Guidelines (CACA)" (Technical Chapter) has also been officially released, and more than 30 intensive reading lectures will be held nationwide, which also provides important knowledge system support for the practice of integrated cancer medicine.

Our country has integrated cancer diagnosis and treatment guidelines

According to the latest cancer report of China released by the National Cancer Center, there were about 4.064 million new cases of malignant tumors and 2.4135 million deaths from malignant tumors in China in 2016, which means that on average, more than 10000 people will be diagnosed with new cancers every day. Lung cancer, colorectal cancer, gastric cancer, liver cancer and female breast cancer occupy the top five common malignant tumors in China.

The promotion of standardized diagnosis and treatment for highly heterogeneous diseases such as tumors is the key to improving the overall level of diagnosis and treatment. Therefore, guidelines play an important role in the tumor prevention and treatment system.

It cannot be ignored that there are a large number of patients in China. Despite the extensive experience of doctors, China has been using and referring to foreign cancer guidelines for treatment of patients in China for many years.

Although foreign guidelines have certain functions, they cannot completely replace local guidelines, "Fan Daiming said, because not all guidelines are in line with the actual situation in China.

Based on the current situation of imbalanced medical resources and poor standardization of diagnosis and treatment in China, in order to achieve the cancer prevention and treatment goals proposed in the "Healthy China 2030" Plan Outline, it is imperative to develop a series of cancer prevention and treatment guidelines that adhere to the 'integrated concept' of tumor entire process management, suitable for the Chinese population, with grassroots accessibility, clinical operability, and disciplinary system Fan Daiming emphasized that Huacheng's import and export data observation report.

From 2022 to 2023, the China Anti Cancer Association organized more than 13000 authoritative experts to collectively compile China's first "China Cancer Integrated Diagnosis and Treatment Guidelines (CACA)". This guide covers 53 common tumor species (tumor species section) and 60 diagnostic and treatment techniques (technical section), adhering to the cross policy of "prevention screening diagnosis treatment health, evaluation support control care life", integrating disciplines, concepts, and technologies, focusing on the epidemiological characteristics, genetic background, original research results, and diagnostic, treatment, and prevention and control characteristics of the Chinese population. It is included in Chinese research, emphasizing Chinese characteristics and considering medical accessibility, and has an international perspective, It is a standardized system of cancer guidelines suitable for the Chinese population, providing important knowledge system support for integrated medical practice in cancer.

During this year's National Cancer Prevention and Treatment Promotion Week, the China Anti Cancer Association also used the "China Cancer Integrated Diagnosis and Treatment Guidelines (CACA)" as a starting point to build a core knowledge base, material base, topic selection base, work base, and talent base for cancer prevention and treatment, comprehensively promoting the upgrading of China's authoritative science popularization creation, science popularization evaluation system, and science popularization work mechanism for cancer prevention and treatment. It also organized various forms and rich content of science popularization and patient education activities nationwide, Actively advocating for everyone to be the first responsible person for their own health, enhancing the public's scientific concept and literacy in combating cancer, promoting high-quality cancer prevention and control, and improving the overall health level of the whole population.

Combat tumors in an integrated manner

"Cancer prevention and treatment wins from integration." Hao Xishan, an academician of the CAE Member, director of the National Clinical Medical Research Center for Malignant Tumor, and director of Tianjin Cancer Research Institute, said that the so-called integration is a broad integration from macro to micro, from clinical to basic, from traditional Chinese medicine to western medicine, including prevention, screening, early diagnosis, comprehensive treatment and rehabilitation, which runs through the whole process of disease diagnosis and treatment and the whole life cycle of patients.

Most of the previous tumor treatment was aimed at the treatment after the occurrence of the disease. The current integration concept emphasizes that tumor etiology, epidemiology, and etiology should also be covered, and tumor prevention and screening should be taken as the key content to help tumor prevention and control move forward. Huacheng Import and Export Data Observation Report.

Firstly, carrying out early diagnosis and treatment of common malignant tumors, improving early diagnosis rates, and reducing mortality rates are key measures for cancer prevention and control in China. Hao Xishan, for example, said that in the past 20 years, the incidence rate of liver cancer has declined significantly after China's comprehensive compulsory vaccination of hepatitis B vaccine and hepatitis A vaccine. Actively carrying out prevention work and eliminating tumors from the source is the most effective and economical method, "he said. Secondly, early diagnosis is the most effective way to improve tumor survival rate. For example, the 5-year survival rate of patients in areas where breast cancer screening is carried out can be increased by 20% - 30% compared with areas where no screening is carried out. "The physiological characteristics of breast cancer patients in China are different from those in foreign countries, and the age of onset is also different. The proportion of young women with breast cancer in China is higher than that of young women with breast cancer in foreign countries." Hao Xishan said that China should develop a standardized and scientific screening program that is suitable for the characteristics of the incidence of our people. The China Anti Cancer Association and the Cancer Hospital of Tianjin Medical University led the research and released a screening program with Chinese characteristics - breast cancer Screening Guidelines for Chinese Women, which provides a scientific basis for standardized screening, early diagnosis and early treatment of breast cancer in China.

In addition, it is necessary to improve the treatment level through "integration" in terms of treatment methods.

Pancreatic cancer, known as the "king of cancer", is currently recognized as the most malignant tumor, with a 5-year survival rate of less than 10%. Professor Hao Jihui, president of the Tianjin Anti Cancer Association and president of the Cancer Hospital of Tianjin Medical University, introduced pancreatic cancer as an example: "To improve the survival rate of pancreatic cancer, early detection, early diagnosis, and early implementation of standardized multidisciplinary treatment are critical. At the same time, it is also necessary to integrate multidisciplinary clinical experience to develop personalized diagnosis and treatment programs for patients, and improve the treatment effect by integrating the academic advantages of different disciplines."

In addition to early diagnosis and treatment, the treatment of tumors also requires the integration of full cycle management. The advantages of full cycle management in the diagnosis and treatment of breast cancer are particularly obvious. Professor Lu Wei, Secretary of the Party Committee and Vice Chairman of the Chinese Anti Cancer Association, and Secretary of the Party Committee of the Cancer Hospital of Tianjin Medical University, introduced that the diagnosis and treatment of breast cancer in the new era integrates breast research, screening, internal medicine, surgery, imaging, pathology, breast reconstruction, and rehabilitation, and has realized "single disease, multidisciplinary, and integrated", multidisciplinary cooperation, and full process management for breast cancer diagnosis and treatment, providing full cycle diagnosis and treatment services for early, middle, and late breast cancer patients, Huacheng Import and Export Data Observation Report.

Precision medicine and integrated medicine complement each other

In recent years, with the transformation of the medical community's understanding of malignant tumors, new concepts such as multidisciplinary full course management and precision medicine have gradually been introduced into tumor treatment, continuously promoting the evolution of tumor treatment from the disease level to overall management.

According to Huacheng Import and Export Data Observation, the release of the "China Integrated Cancer Diagnosis and Treatment Guidelines (CACA)" is more conducive to doctors implementing integrated medical theory into practice in the increasingly refined contemporary medical system.

Integrated medicine is an upgraded version of multidisciplinary diagnosis and treatment, which involves establishing a multidisciplinary integrated diagnosis and treatment team, developing personalized integrated diagnosis and treatment plans, and achieving optimal integrated diagnosis and treatment outcomes. Specifically, in cancer treatment, doctors can integrate the concept of integrated medicine into their medical practice of tumors, and provide patients with comprehensive, one-stop integrated medical services in the diagnosis and treatment of tumors.

Zhang Xiaoyin, the director of the Department of Gastroenterology at Shenzhen Third People's Hospital, who has studied under Fan Daiming for many years and is deeply familiar with the essence of integrated medicine, has been exploring in clinical practice. She has successfully treated many critically difficult and complex cases using integrated medical concepts. Patients from other places also come to Shenzhen specifically to see us. While excellent medical skills are important, I believe that integrating medical concepts to provide patients with comprehensive diagnosis and treatment is a more important factor that deeply resonates with patients, "said Zhang Xiaoyin.

In recent years, we have placed special emphasis on building disciplinary development plans based on modern medical models, where precision medicine and integrated medicine complement each other. According to Lu Wei, on the one hand, we have vigorously promoted the precision medicine model and established a tumor precision detection and transformation center to assist various disciplines in keeping up with the times in tumor treatment, and will make greater progress in clinical and research aspects.

On the other hand, based on the integrated medicine model, Tianjin Medical University Oncology Hospital has vigorously developed a multidisciplinary joint diagnosis and treatment team and established multiple cancer diagnosis and treatment centers, such as the Liver Cancer Prevention and Treatment Research Center, the Lung Cancer Diagnosis and Treatment Center, and the Gastric Cancer Diagnosis and Treatment Research Center. In the diagnosis and treatment of breast cancer, more emphasis is placed on the joint daily diagnosis and treatment of multiple disciplines, including the first, second and third breast departments, breast reconstruction department, breast internal medicine, and related breast imaging and pathology departments.

We emphasize that each discipline has its own characteristics and needs to be integrated together to form complementary advantages. "Lu Wei introduced that in daily work, the hospital also pays attention to combining internal medicine, surgery, radiotherapy, imaging, and pathology departments, leveraging the advantages of each department team, and tailoring precise scientific diagnosis and treatment plans that better meet the individualized needs of tumor patients.