Development and progress in key clinical technologies of cancer supportive care in China
10.3969/j.issn.1000-8179.2020.05.103
- VernacularTitle: 中国肿瘤支持治疗关键临床技术的发展与进步
- Author:
Kaiying YU
1
Author Information
1. Department of Gastrointestinal Surgery, Beijing Shijitan Hospital, Capital Medical University
- Publication Type:Journal Article
- Keywords:
Cancer;
Key technologies;
Supportive care
- From:
Chinese Journal of Clinical Oncology
2020;47(5):222-226
- CountryChina
- Language:Chinese
-
Abstract:
This study summarizes the clinical achievement in key technologies of cancer supportive care. 1) Conceptual change. Medical teams now recognize supportive care as the core of comprehensive treatments for cancer. Supportive care is widely implemented clinically. 2) Team composition and operation mode. The program shapes an ideal supportive care team. The ideal team shall operate as one of the three models: solo practice model, congress practice model, or integrated care model according to the actual situation. 3) Scope of work. Supportive care team provides patients with spiritual care, pharmacologic assist, exercise guidance, nutritional support, effective communication, emotional support, and rehabilitation consultation. Efforts have been made to set up demonstrative wards that are free of pain, bleeding, thrombosis, hunger, and depression nationwide. 4) Standardized pain management for cancer patients. To optimize pain management, a multidisciplinary team is formed, an outpatient follow-up system is set up, and the focus is put on cancer pain education and policy advocacy. 5) A system of nutritional diagnosis and treatment. It urges the bi-diagnosis of cancer and malnutrition for inpatients and leads the proposal of the three-level diagnosis and five-ladder therapy for malnutrition. 6) Extension and expansion of supportive care out of the hospital. The program proposes the hospital-community-home management model, an integrated model for comprehensive nutritional therapy. 7) Emphasis on the quality of life. A new quality of life assessment method for cancer patients and a survival prediction model for end-stage cancer patients are established. 8) Comprehensive nursing care. It integrates spiritual care into the care of cancer patients. A management platform for continuous care service is developed with the help of internet technology and virtual reality.
