确诊往往即晚期！基层肿瘤防控之难如何破

Core Viewpoint - The article emphasizes the need to shift cancer treatment focus towards early-stage diagnosis and management, particularly in the context of the Shantou University Medical College Affiliated Cancer Hospital, which aims to enhance local cancer care and retain patients within the region [1][7]. Group 1: Hospital Performance and Challenges - The Shantou University Medical College Affiliated Cancer Hospital is the only comprehensive cancer hospital in Eastern Guangdong, with an outpatient volume of 192,000 visits projected for 2024, ranking 17th nationally among public cancer hospitals [1]. - The hospital faces challenges in retaining patients locally, as many prefer to seek treatment in larger cities like Guangzhou due to a lack of confidence in local medical capabilities [2][3]. Group 2: Cancer Prevention and Early Detection - There is a significant need for improved cancer prevention and treatment capabilities in rural areas, which is a key goal of China's health initiatives [3]. - The current cancer spectrum in China shows a mix of prevalent cancers found in developed and developing regions, with a low early diagnosis rate and insufficient screening measures, particularly in rural areas [4]. Group 3: Patient Management and Treatment Models - The hospital is exploring strategies to retain more cancer patients locally by enhancing awareness of its strengths and addressing its weaknesses through collaboration with leading hospitals [7]. - A new cancer management alliance has been established to integrate various medical institutions, enabling better resource sharing and expert consultations for complex cases [8]. Group 4: Integrated Cancer Care Approach - The hospital has launched a breast cancer integrated management center, promoting a "single disease, multi-disciplinary" approach to provide comprehensive services from screening to follow-up [9]. - This integrated model aims to improve early detection rates, reduce treatment costs, and enhance patient outcomes by facilitating collaboration among various specialists [9].