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Improving cancer outcomes in Asia: Can primary care take the lead?

Improving cancer outcomes in Asia: Can primary care take the lead? The EJCC takes pride in the number and quality of papers it publishes from the Asian continent. The cancer burden in Asia is rising, particularly in the region's low and middle income countries (LMICs), with rates of some common cancers, such as lung and colorectal, overtaking those in western countries (Barta et al., 2019; Onyoh et al., 2019). A major driver for these changes has been the adoption of western patterns of smoking, alcohol consumption, diet, physical activity and obesity (Ng et al., 2015); other factors include environmental and occupational risk factors such as air pollution, and indoor smoke from cooking. High rates of cancers related to infections (e.g. hepatitis B and HPV virus) are an added feature in this region of the world. Around half of new cancer cases are now in Asia; cancer mortality rates are significantly higher in LMICs, and the growing burden places increased demands on health and economic infrastructures, some of which lack the resilience of western countries (Sankaranarayanan, 2014; Shah et al., 2019).Rising incidence rates of common cancers have prompted the introduction of screening programmes in those Asian countries with the infrastructure to support them—for example, colorectal screening programmes in Japan, South Korea, Singapore and Taiwan (Onyoh et http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Cancer Care Wiley

Improving cancer outcomes in Asia: Can primary care take the lead?

Weller, David
European Journal of Cancer Care , Volume 31 (5) – Sep 1, 2022
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Publisher
Wiley
Copyright
© 2022 John Wiley & Sons Ltd
ISSN
0961-5423
eISSN
1365-2354
DOI
10.1111/ecc.13693
Publisher site
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Abstract

The EJCC takes pride in the number and quality of papers it publishes from the Asian continent. The cancer burden in Asia is rising, particularly in the region's low and middle income countries (LMICs), with rates of some common cancers, such as lung and colorectal, overtaking those in western countries (Barta et al., 2019; Onyoh et al., 2019). A major driver for these changes has been the adoption of western patterns of smoking, alcohol consumption, diet, physical activity and obesity (Ng et al., 2015); other factors include environmental and occupational risk factors such as air pollution, and indoor smoke from cooking. High rates of cancers related to infections (e.g. hepatitis B and HPV virus) are an added feature in this region of the world. Around half of new cancer cases are now in Asia; cancer mortality rates are significantly higher in LMICs, and the growing burden places increased demands on health and economic infrastructures, some of which lack the resilience of western countries (Sankaranarayanan, 2014; Shah et al., 2019).Rising incidence rates of common cancers have prompted the introduction of screening programmes in those Asian countries with the infrastructure to support them—for example, colorectal screening programmes in Japan, South Korea, Singapore and Taiwan (Onyoh et

Journal

European Journal of Cancer Care – Wiley

Published: Sep 1, 2022

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