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Evaluation of state comprehensive cancer control plans for content related to stomach cancer.
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| Zeitschriftentitel: | Journal of Clinical Oncology |
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| Personen und Körperschaften: | |
| In: | Journal of Clinical Oncology, 34, 2016, 4_suppl, S. 8-8 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Society of Clinical Oncology (ASCO)
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| Schlagwörter: |
| Zusammenfassung: | <jats:p> 8 </jats:p><jats:p> Background: Since 1998, each US state, as well as some US territories and tribal groups, has had a written Comprehensive Cancer Control Program (CCCP). These plans are charged by the National CCCP with emphasizing “primary prevention of cancer”, supporting “early detection and treatment activities”, and promoting “health equity as it relates to cancer control.” Since stomach cancer still causes over 10,000 deaths a year in the US, since it is in many cases preventable, since its prognosis is highly related to timeliness of diagnosis, and since minority populations are disproportionately affected, it would appear to be an appropriate target for state CCCPs. In 2014, the World Health Organization recommended increased prevention efforts, in an extensive monograph titled “Helicobacter pylori as a Strategy for Preventing Gastric Cancer.” Methods: We reviewed the cancer control plans available on the CDC website, http://www.cdc.gov/cancer/ncccp/ccc_plans.htm as of July 1, 2015. These included those of all 50 states, the District of Columbia, 7 US territories, and 7 Native American/Alaskan Native Tribes. These plans were searched for the words “stomach,” “gastric,” “helicobacter,” and “pylori.” Results: 38 of 65 (58%) of CCCs mentioned the words “stomach” or “gastric” in their text, but only 5 (0.8%) had goals or strategies related to stomach cancer. Of plans which did mention stomach cancer, 19 (32%) mentioned it in the contest of smoking, 16 (25%) in terms of health disparities, and 15 (23%) in terms of diet. Only 5 states (10%), and 5 (36%) territories or tribes mentioned the terms “helicobacter” or “pylori”. Some of the identified risk factors were idiosyncratic (e.g. relating HPV infection to stomach cancer) or inaccurate (e.g. “there is no evidence that” eradication of H. pylori changes the course of disease after cancer has developed, or “fecal occult blood test should not be used for cancer screening,” since 99% of positives are caused by gastritis due to H. pylori). Conclusions: Stomach cancer currently receives little attention in State CCCPs. H. pylori infection as a target for prevention efforts receives far less attention still. Important opportunities for control of this cancer are being neglected. </jats:p> |
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| Umfang: | 8-8 |
| ISSN: |
0732-183X
1527-7755 |
| DOI: | 10.1200/jco.2016.34.4_suppl.8 |