Cancer screening in China: The current status, challenges, and suggestions

Substantial progress has been made in cancer screening in China due to the substantial efforts of all levels of the government. Four large-scale population-based screening programs have been launched since 2005. In these programs, individuals at high risk for the most common types of cancer are scre...

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Bibliographic Details
Published in:Cancer letters 2021-05, Vol.506, p.120-127
Main Authors: Cao, Maomao, Li, He, Sun, Dianqin, He, Siyi, Yu, Yiwen, Li, Jiang, Chen, Hongda, Shi, Jufang, Ren, Jiansong, Li, Ni, Chen, Wanqing
Format: Article
Language:English
Subjects:
Breast cancer
Cancer
Cancer screening
Cancer surveillance
Cervical cancer
China
Colonoscopy
Colorectal cancer
Early detection
Gastric cancer
Human papillomavirus
Lung cancer
Medical prognosis
Medical screening
Mortality
Mutation
Performance evaluation
Population
Primary prevention
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Summary:Substantial progress has been made in cancer screening in China due to the substantial efforts of all levels of the government. Four large-scale population-based screening programs have been launched since 2005. In these programs, individuals at high risk for the most common types of cancer are screened with no cost. However, there are still wide gaps remaining between the cancer screening objectives and reality. In this review, we summarize the current status of cancer screening, identify the major achievements and challenges of cancer screening, and propose some suggested improvements based on the existing evidence. The main challenges include low participation rates, the uneven distribution of medical sources, inadequate funding, and insufficient screening quality. Some suggestions that should be considered to improve the quality of cancer screening include advertising to increase awareness, providing universal training of staff involved in screening programs, optimizing the definition of high-risk populations, integrating new technologies into cancer screening programs, and implementing appropriate management measures among individuals with positive screening results. •No studies have described the status and progress of cancer screening programs in China.•We summarized the development of guidelines on cancer screening in China.•Four organized cancer screening programs were initiated since 2005, the coverage and status should be reported.•Multidisciplinary cooperation plays an important role in improving the quality of cancer screening programs.
ISSN:0304-3835
1872-7980
DOI:10.1016/j.canlet.2021.02.017