Cancer prevention in asia: Resource-stratified guidelines from the asian oncology summit 2013
Resource
Lancet Oncol., 14(12), E497-E507
Journal
The Lancet Oncology
Journal Volume
14
Journal Issue
12
Date Issued
2013
Author(s)
Lertkhachonsuk, Arb-Aroon
Yip, Cheng Har
Khuhaprema, Thiravud
Plummer, Martyn
Jee, Sun Ha
Toi, Masakazu
Wilailak, Sarikapan
Abstract
With economic growth in Asia, cancer has become increasingly prominent as a major health problem. However, discrepancies in infrastructure, economics, and development exist within and between Asian countries. We assess means of primary and secondary prevention for cervical, breast, colorectal, and hepatocellular cancer, and offer recommendations according to resource levels. Primary prevention by health education, lifestyle modification, and avoidance of risk factors should be made available at all resource levels. When resources allow, human papillomavirus and hepatitis B vaccinations should be given to reduce the risk of cervical and hepatocellular cancer, and genetic testing should be offered to detect increased susceptibility to colorectal and breast cancer. Secondary prevention by effective yet affordable screening for precancerous lesions or by early detection of cancer should be offered, followed by appropriate treatment. ? 2013 Elsevier Ltd.
SDGs
Other Subjects
alpha interferon; hepatitis B vaccine; nucleoside analog; peginterferon alpha; ribavirin; tamoxifen; virus DNA; Wart virus vaccine; alcohol consumption; Asia; Asian; body mass; breast cancer; breast examination; breast feeding; cancer control; cancer incidence; cancer mortality; cancer prevention; cancer risk; cancer screening; cancer susceptibility; carcinogenesis; chemoprophylaxis; clinical protocol; colorectal cancer; cross protection; diagnostic value; dietary intake; early diagnosis; economic development; electrosurgery; endometrium cancer; false positive result; gene mutation; genetic screening; geographic distribution; health care planning; health education; health promotion; hepatitis B; hepatitis C; hormone substitution; human; immunochemistry; infection prevention; Langerhans cell; lifestyle modification; liquid based cytology; liver cell carcinoma; mammography; menopause; nonalcoholic fatty liver; occult blood test; oncogene; Papanicolaou test; papillomavirus infection; physical activity; precancer; primary prevention; priority journal; public health; public health problem; review; risk assessment; secondary prevention; self concept; sensitivity and specificity; sexual intercourse; smoking; soybean; squamous cell carcinoma; thromboembolism; tumor suppressor gene; uterine cervix cancer; uterine cervix cytology; vaccination; virus genome; Wart virus; weight control; Asia; Delivery of Health Care; Early Detection of Cancer; Health Education; Health Resources; Health Services Accessibility; Healthcare Disparities; Humans; Mass Screening; Neoplasms; Predictive Value of Tests; Primary Prevention; Prognosis; Risk Assessment; Risk Factors; Risk Reduction Behavior; Secondary Prevention
Type
journal article
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