The new drill update of the National Strategy against Cancer ya ha visto la luz. Last February 17, Sanidad presented the document to the Interterritorial Council of the National System of Health (CISNS). It is, however, subject to approval by the councilors, as stated in an interview with GM Alberto Ruano, vocal of the Spanish Society of Epidemiology (SEE) and oncologist who forms part of the technical committee of the strategy.
As long as a definite consensus has been reached on the CISNS agreement proposal regarding the COVID-19 pandemic y the prevention and control of cancer, which is in parallel with the National Strategy. As such, Spain has elaborated on the documents: one more global – the update of the strategy – and another center on coronavirus and cancer. “As a technical committee, we are presented with the document that specifically specifies the oncological attention in the pandemic and has been approved before the proposed Cancer Plan”, explains the oncologist.
A necessary update
The update of the Plan of Cancer era very necessary and is quite complete, a juicio de Alberto Ruano. “I believe that there is an integral focus on the vision of cancer because it includes all the facets: prevention, early diagnosis, oncological attention to the nines or aspects related to assistance and research quality,” he said.
From the Spanish Association of Investigations on Cancer (Asia) also celebrates the legacy of this update. “It’s a good news. We do not solve all the problems of cancer, but from here we are allowed to update the problems and, above all, enumerate the particular objectives with a horizon of 5 to 10 years “, insure Gaceta Médica Luis Paz-Ares, President of Aseica.
In the objectives of the strategy incorporates the mayor’s part of the requests he made from the different societies. However, in the case of the President of Asia, dedicated to the treatment of pulmonary cancer, the woman likes to have a “specific phase in screening programs” in this environment. “Everything is not sufficiently developed at this point in the strategy”, explains.
“We have many and many societies; it is difficult to like everything. The most important is that we have clear objectives and goals, we are able to read the results and we will implement our action plans, ”said Luis Paz-Ares.
Prevention as central
This is the new update of the Cancer Plan in Spain as well as the European Plan against Cancer, recently presented at the EU, considered prevention as a key and priority. And it’s both planes are aligned. Without embarrassment, Europe is “more ambitious” at this point, opin Alberto Ruano, to do much to catch up reduction of tobacco and alcohol consumption. “The Spanish strategy is also one-dimensional here, but we will take more time to recover (while avoiding tobacco)”, the expert said.
In this mode, the Spanish strategy develops the CEurope Europe against Cancer to determine and strengthen preventive priorities. One of the news that incorporates in this sentence is that indicates the best that are needed in the early diagnosis of cervical cancer, breast cancer and colorectal cancer.
Respect for breast cancer, pretend to read women between 50 and 69 years old to perform an early detection and detection get a minimum of 70 per cent of participation in written programs of this type of cancer.
The objective population of early detection of cervical cancer is located in women from 25 to 65 years old. Also pretend to read to a minimum of 70 per cent of participation in cribados.
Y, ultimately, the intention is to focus on men between 50 and 69 years old to detect form precocious cancer correction. The goal of participation in programs written for this cancer is marked at a minimum of 65 per cent.
Precision Medicine
Otra of the news that includes the update of the strategy is that integrate precision medicine. If presented as a manner new plantar diagnosis and treatment of cancer. Only by the biomarkers associated with the therapeutic decision are we also able to better assess the disease and the prognosis, and to evaluate the prognosis of treatment response or toxicity.
From the point of view of the President of Asia, The implementation of this personalized medicine will have a huge impact on patients. It should be noted that access to precision medicine should not be taken for granted when breast cancer patients are diagnosed.
In addition, it states that “now that we have all the data recovered from the last years, there will be a pen that patients will not be able to benefit from these specific molecular treatments, because they will not have an exhaustive program to read all”.
Because of this, the work that needs to be done in our country is very remarkable and since standardization of the tests and its interpretation as access and evaluation of its quality.
El diagnostic process in oncology is a formative change thanks to the consolidation of this precision medicine that requires an evaluation of the biomarkets. These should be used in conjunction with the pathological diagnostic well if they present a recurrence or metastasis, which increases the severity and complexity of the process.
For his part, Alberto Ruano, considers this update “quite a complete retelling of the personalized focus of oncological attention addressing the potential applicability of new treatments”.
Research and oncological innovation
Another important question that has been incorporated is the puesta in value of the paper of the investigation as an essential herramienta to advance in the best of diagnostic, treatment and quality of life patients.
Between the priority action lines which recovers the new plan: to potentiate the funding of oncology research as a priority area of research policy, as well as clinical research on rare tumors and different writing strategies for those who have no evidence.
In addition, among other aspects, it seeks to advance in the consolidation and coordination of integrated research units, continuing to develop teens’ biobanks and promoting health promotion and cancer prevention.
Luis Paz-Ares points out that “Very necessary” stimulates cooperative investigation in cancer with multidisciplinary speeches of different types of experts and acting in a coordinated manner so that our permit will increase the advances ”.
Además, añade que ahora el reto esta en Implement the plans including the appropriate approach in order to outline the goals and objectives of the National Strategy in Cancer. So it is, that this step facilitates the access to innovation is a reality.
For his part, Xosé Bustelo, former President of Asia, considers that “this new strategy reckons the importance of cancer research and establishes well-defined priorities, which will allow only clinical advances to be achieved with both fluids and fluids. of Cancer of the European Union ”.
Get rid of advancing advances in cancer in Spain in the last years, the eruption of the pandemic has taken place. The COVID-19 has provoked the retreat and the reduction of cancer diagnoses. And there are, among other problems, if he suspends the programs of the written population, it has complicated the access to primary care and hospital care resources or has seen a reduction in cancer surgery programs, treating the patient with a high risk for the patient or the activity of clinical trials.
For this, the Governor has elaborated one Specific strategy for cancer in the context of coronavirus which, having been approved by the CISNS, is evaluating its implementation in the space of six months. Among the most significant advances are the incorporation of the telemedicine and telepharmacy; the creation of specific circuits for COVID-19 patients in radiotherapy oncology units; reorientation of attention centers and patient care management to minimize risk; the modification in the cancer treatment, how to promote oral chemotherapy therapies or neo-adjuvants when possible.
Prohibition of probes, Sanidad destaca la answer of the scientific societies and the associations of patients, with recommendations adapted to the advances of the agreement on the cause of the pandemic in the assisted living situation and the diagnostic and therapeutic options, as well as intervention programs and support directed to the affected people of cancer.
According to a study conducted in this strategy, the diagnostic retrieval is evident and there is an increase in deaths in the fifty years with respect to the deaths suffered by mothers, colon and rectum and lung between 5,8 and 16 per cent. Así, ante los retos planteados por la pandemia en cancer Health care brand five priority actions:
- Evaluate the impact of the pandemic median analysis of assistance data and epidemiological data available from all the SNS. The Ministry of Health will provide information on the impact of the cancer pandemic.
- Impulse health sanitation policies to promote health effects to reduce the incidence of cancer and to continue the writing programs.
- Reorient the assistance processes to reduce the time from the clinical suspicion to the first treatment.
- Establish common criteria about the assistance aspects to improve the diagnostic process.
- Estimate the adverse health outcome risk depending on the type of tumor, patient characteristics and clinical situation.