中国癌症五年生存率稳步提升，多学科协作成破局关键

Core Insights - Despite advancements in cancer prevention and treatment in China, significant challenges remain in clinical practice, particularly in achieving the "last mile" of diagnosis and management [1] - The five-year survival rate for cancer patients in China has improved from 40.5% in 2015 to 43.7% in 2022, but still falls short of the targets set by the State Council [1] Group 1: Urban-Rural Disparities - There is a significant disparity in the five-year survival rates between urban and rural areas, with urban areas at approximately 47.7% and rural areas at about 32.2% for patients diagnosed between 2016 and 2020 [2] - The differences in survival rates are attributed to uneven resource distribution, insufficient early screening in rural areas, and a higher proportion of late-stage diagnoses [2] - The government has initiated measures to improve early detection and diagnosis in rural areas, including funding for screening programs and training for healthcare providers [2] Group 2: Training and Education - There is a lack of a comprehensive training system for surgical doctors in China, particularly in comparison to developed countries [3] - Establishing a complete training and assessment system at national or regional levels is deemed crucial for the promotion of new surgical techniques [3] Group 3: Multidisciplinary Team (MDT) Challenges - The traditional cancer treatment model often leads to fragmented care, while the MDT approach integrates various specialists to create comprehensive treatment plans [4] - Research indicates that patients receiving MDT-developed treatment plans have a 33% higher five-year survival rate compared to traditional methods, with an 83% patient satisfaction rate [4] - However, the implementation of MDT faces challenges such as varying hospital conditions, low collaboration efficiency among departments, and a lack of effective incentive mechanisms [5][6] Group 4: Continuous Care and Management - There is a prevalent issue of broken care chains in cancer treatment, with many hospitals focusing primarily on diagnosis and treatment while neglecting rehabilitation and long-term follow-up [6] - A model integrating various specialties into a dedicated center for breast diseases has been proposed to address these gaps in care [6] - Strengthening MDT standardization, improving resource allocation, and enhancing performance evaluation and incentive mechanisms are essential for narrowing treatment disparities and improving cancer care outcomes [6]