Release date: 2017-10-23
The 5-year relative survival rate of breast cancer patients in Shanghai has reached 91.8%, reaching the level of advanced developed countries in Europe and America.
On October 20th, the reporter () was informed of the above news from the "12th Shanghai International Breast Cancer Forum and the 2nd Shanghai Breast Cancer Rehabilitation Forum".
Professor Shao Zhimin, director of the Department of Breast Surgery at the Affiliated Tumor Hospital of Fudan University, pointed out that breast cancer is no longer a "end of the world" and is gradually becoming a "chronic disease" that can be prevented and controlled. However, the previous treatment mode has focused too much on disease treatment, ignoring postoperative rehabilitation and follow-up disease management.
He called for the diagnosis and treatment of breast cancer to implement "full-scale precision management" and introduce Internet + thinking and technology to incite reform. At present, a kind of "healing bracelet" came into being. The patients with breast cancer can realize remote monitoring by wearing a bracelet. With the help of doctors, professional postoperative health management can be carried out to prolong survival.
The “Smart Bracelet†collects patient movement and sleep information in real-time for breast cancer patients and feeds the data back to the hospital platform. Fudan University Affiliated Tumor Hospital for the "smart bracelet" for breast cancer patients, can collect patient movement and sleep information in real time, and feedback data to the hospital platform. Photo courtesy of Fudan University Affiliated Tumor Hospital
Breast cancer recurrence risk is proportional to overweight
Breast cancer ranks first among women with malignant tumors. According to the 2017 China Cancer Registry Annual Report released by the National Cancer Center, the annual incidence of breast cancer is about 279,000, and it is increasing at a rate of about 2% per year.
Shao Zhimin told the 澎湃 reporter that the age of onset of breast cancer has two peaks, 45-55 years old, 70-74 years old, and high incidence is inextricably linked with genetic, obesity, and estrogen abuse. The incidence of females in the city is higher than that in rural areas, which is also closely related to the high level of urban diagnosis and the health awareness of the population.
According to the latest data released by Shanghai CDC this year, the five-year relative survival rate of female breast cancer patients in Shanghai has reached 91.8%, which means that most breast cancer patients can live for 5 years.
Shao Zhimin believes that this is mainly due to Shanghai's active multi-disciplinary treatment of breast cancer standardization, and the overall level of diagnosis and treatment has improved rapidly. However, he also stressed that the previous mode of treatment, too much focus on disease treatment, and neglected postoperative rehabilitation and follow-up disease management.
The treatment of breast cancer patients is not only in the hospital, but also how to recover at home. This is the general view of the experts of this conference.
"More and more evidence-based medical evidence indicates that individual lifestyle-related factors such as dietary nutrition, physical activity, and weight changes in breast cancer patients are closely related to tumor recurrence, disease-free survival, and mortality." Shao Zhimin said.
Overweight and obesity are important factors in poor prognosis of breast cancer patients. Professor Zheng Ying, director of the Cancer Prevention Department of the Cancer Hospital, said that the results of large-scale cohort studies abroad showed that if the body mass index increased by 0.5-2kg/m2 after diagnosis, the risk of recurrence increased by 40% after the diagnosis of breast cancer patients; the increase of 2kg/ Above m2, the risk of recurrence increased by 53%. Evidence from China suggests that if breast cancer patients gain 5 kg of body weight within one and a half years after diagnosis, the risk of death increases by 65%. â€
Monitor the bracelet to upload data to the hospital platform in real time
Shao Zhimin pointed out that at present, some hospitals in Shanghai have begun to try to use the "Internet +" thinking to manage the whole process of single breast cancer.
For example, the WeChat platform “Fangkang e follow-upâ€, “healthy people or patients with breast cancer after treatment or postoperative breast cancer can complete preliminary screening and diagnosis through this platform, and establish communication with experts to facilitate postoperative chemotherapy and endocrine therapy. Dispensing, follow-up, etc. It is especially convenient for patients who are discharged after surgery, need long-term treatment and rehabilitation follow-up.†Shao Zhimin said that nearly 20,000 people have been included in this information management platform, 80% of whom are from cancer hospitals.
In this conference, 100 patients with postoperative breast cancer are expected to achieve postoperative health management through a mobile wearable device, the Breast Cancer Rehabilitation Management Smart Bracelet. This bracelet will collect information on patient movement and sleep in real time, and feed back the data to the “Fangkang e Follow-up†platform to monitor the hospital platform.
According to Zheng Ying, patients with “healing bracelets†will receive an assessment of their quality of life, body composition, body fat muscles, exercise, etc., and form a personal assessment file. The file can be formed up to 3 months later. Long-term monitoring and analysis are also available.
The doctor will formulate a corresponding calorie consumption “indicator†for each patient's assessment file. When the wristband user consumes or loses his or her daily calories, the system will immediately be alert, indicating “should moveâ€. If the patient is in the “non-standard†for a long time, the background will directly intervene and contact, guide the lifestyle of the rehabilitation patient, and make an appointment for the clinic.
In the future, this intelligent “healing bracelet†is expected to be used in more patients with postoperative breast cancer.
Source: 澎湃News
Industrial Grade Formates,Ammonium Formate,Formic Acid Potassium Salt,Potassium Formate
Wuxi Yangshan Biochemical Co.,Ltd. , https://www.yangshanchem.com