Li zhaoshen, member of the National Committee of the Chinese people's Political Consultative Conference: carrying out cancer screening helps to improve the treatment benefit ratio

This year's report on the work of the government puts forward new ideas for tackling cancer prevention and treatment On March 5, the second session of the 13th National People's Congress opened, and Premier Li Keqiang made a report on the work of the government In the government's work report, it is specially mentioned that "there are tens of millions of families suffering from cancer in China, which need to implement cancer prevention and control actions, promote prevention and screening, early diagnosis and treatment and scientific research, and strive to alleviate the pain of people's livelihood." Li zhaoshen, member of the National Committee of the Chinese people's Political Consultative Conference, academician of the Chinese Academy of engineering and director of the national digestive disease clinical research center, paid special attention to the problem of early diagnosis and treatment of digestive tract cancer in the two sessions over the years "It can be seen from some statistics that there is still a gap between the average life expectancy of Chinese people and that of developed countries Especially in some basic poverty-stricken areas, the life expectancy of Chinese people may be ten years different from that of some countries Why is the average life span of Chinese not long? Disease is the main cause However, minor diseases are not terrible They are mainly serious and serious diseases such as malignant tumors The root cause is the problem of cancer causing disease and cancer recurrence " Li zhaoshen told reporters In January 2019, the National Cancer Center released the latest national cancer statistics According to the latest statistical data, cancer has become one of the major public health problems that seriously threaten the health of Chinese people Lung cancer, liver cancer, gastric cancer, upper digestive system tumor and colorectal cancer are the main lethal diseases of cancer in China In China, the burden of cancer is increasing, the difference between urban and rural areas is large, the regional distribution is unbalanced, and the situation of cancer prevention and control is severe Li zhaoshen pointed out that gastrointestinal cancer such as gastric cancer can be cured completely in the early stage, and the best screening and treatment time is the early stage of the disease Although the "window period" is only 1-2 years, it is the "golden period" of cancer treatment If early cancer can be found in the window period and receive regular treatment, not only the prognosis is good, the quality of life of patients is high, but also a lot of savings for the country Medical expenses Once developed to the late stage, patients not only need to do surgery, receive radiotherapy and chemotherapy, bear great pain, the treatment results are often unsatisfactory, the family social and economic burden is great In order to improve the early diagnosis rate of patients, Li zhaoshen in recent years in-depth grass-roots promotion of early screening early diagnosis and treatment of gastrointestinal tumors In the process of grass-roots work, Li zhaoshen found that people's awareness of early diagnosis and treatment of digestive tract tumors is weak, and some poor people's ability to pay is insufficient, which has become the "roadblock" for China's comprehensive gastric cancer screening "Early diagnosis and treatment of cancer screening may not cost money, but save money We made a calculation last year For example, in an area, if there is a patient with advanced gastric cancer, the average cost from diagnosis to death is more than 200000 yuan, and the life span cannot be extended If we spend 100000 yuan to screen out one case of early gastric cancer, it will save more than 100000 yuan for the local area and save more health resources " Said Academician Li zhaoshen In fact, early screening, diagnosis and treatment has become an effective way of cancer prevention and control It is reported that as early as 20 years ago, Japan and South Korea, the regions with high incidence of gastric cancer, carried out national screening The proportion of early gastric cancer reached more than 60%, and the 5-year survival rate increased to 70% If the treatment benefit ratio of health economics is used to evaluate, the 5-year survival rate of early gastric cancer can reach more than 70% If the screening is not carried out, the early patients will become advanced, and the cure rate of tumor will decrease significantly "After I submitted the proposal at the two sessions in 2018, the disease control department and chronic disease department of the national health and Health Commission gave me a lot of feedback, and the state attached great importance to it This year, I hope to focus on the proposal From the perspective of health economics, can we invest more effectively in the prevention and treatment of digestive tract cancer, save more health resources without spending so much money? " Said Li zhaoshen.