Magazine of British tip medicine " willow leaf knife " (The Lancet) ever issued a report about cancer of Sino-US two countries, the report shows: 2000-2014 15 years this year between, integral cancer of China 5 years of survival rate are only 36% , and the United States is as high as 64% , double be China almost.
(note: Cancer 5 years survival rate is not to point to lived 5 years, point to 5 years however in did not have a relapse or did not transfer, and patient health is stable. )
Why cancer is difference of 5 years of survival rate so big? Is the medical skill that is China inferior to the United States?
Not be!
Hao Jie of dean of hospital of tumour of academy of medical sciences of academician of Chinese Academy of Engineering, China says, the clinical experience of our country doctor is more rich, surgical operation level is very much plan is prep above developed country.
Zhang Xiaodong of doctor of chairman of internal medicine of hospital of Beijing University tumour points out according to his clinical observation, "With respect to enteron cancer domestic heterodyne is fastened is not very big. Written guarantee for instance rectum cancer, going up in installment individually, 5 years survival rate mixes hospital of a few wide large tumour on north Euramerican do not have too big difference.
And certain and specific cancer, medical treatment level of China is very supreme at the United States. "For instance lymphatic cancer, nose pharynx cancer, come on in our country more, beauty is in Europe comes on very few, clinical data is very few, develop a test very hard to new remedial measure. " Pan Zhan of doctor of specialized subject of tumour of accessary Zhongshan hospital mixes Xiamen university say.
Since difference of level of Sino-US medical treatment is not big, why is difference of cancer survival rate so big?
According to " healthy times " report, tumour of bosom of center of cancer of Anderson of MD of the cancer treatment expert with famous whole world, United States puts cure center and stereo and directional radiative division director, Dekesasi the university is lifelong teach Zhang Yujiao, main reason is in the following at 5 o'clock --
1, inchoate sieve checks Chinese tumour gain ground relatively the United States is backward, it is medium that patient of a lot of cancer discovers terminalBe in the United States, inchoate diagnose and inchoate sieve is checked had been groovy examination, so they can discover more inchoate cancer, effect a radical cure the opportunity rises apparently. 5 years in recent years for instance cancer survival rate achieves American breast cancer 90% above, mammary gland of very big contribution due to sifts the promotion that consults a project.
And be in China, although cancer patient has appeared in great quantities, but cancer precaution job is quite fragile however, talent team prediction of a person's luck in a given year is serious.
Although a lot of people begin to take check-up seriously now, but common check-up can not sift fish cancer, and great majority person does not take cancer seriously inchoate sieve is checked. Result, "Our country comparatives patient of one part tumour is in in terminal, when be being treated to the hospital, tumor has produced move, cured very hard. " Cheng Shujun of former assistant dean says hospital of tumour of academy of medical sciences of academician of Chinese Academy of Engineering, China.
2, American pathology examination is diagnosed in installment more accurate, chinese pathology doctor is in short supply badlyThe shortage of Chinese pathology doctor also becomes the bottleneck that tumor treats. Zhang Yujiao says, "Those who make clear tumor is remedial key in installment. It is with lung cancer exemple, in the United States a common lung cancer is diagnosed should experience the multinomial examination such as CT, PET/CT commonly, still need to do bronchus interpose to guide the ultrasonic below detects when necessary, vivid check, appraisal in installment later ability develops further treatment. And be in China, major patient is after distrustful lung cancer and did not make complete set thoroughly in installment video examination, fewer also somebody begins to make vivid check before making treatment. Fewer also somebody begins to make vivid check before making treatment..
Reported 2014 according to xinhua net, the whole nation has the pathology doctor number of aptitude to be 9841 people at that time, and nearly 7 into concentration Yu Sanjia hospital, the hospital of county of a few areas, remote region is only doctor of 3 two pathology, do not have at all even.
And if do not have what manage unhealthily to prop up, the clinician's diagnosis lacks corresponding basis.
3, the masses is promiscuous to tumor cure conceptA lot of people once diagnose cancer is in a state of utter stupefaction, always think to be able to have a perfect remedial method, for instance, ask a doctor ceaselessly: Be an operation good, target it is good to good, immunity, good to still put cure? Differ actually the cancer of period, handling way is different.
Zhang Yujiao says with lung cancer citing, for instance inchoate lung cancer, need operation is excised or put cure to undertake effecting a radical cure sexual cure; Metaphase lung cancer needs a surgery, put cure, change cure, target to or the omnibus cure that immunity treats; Terminal it is the target with systematization is treated to cure, immunity, change the omnibus systematic cure such as cure to give priority to.
Relevant medical popular science is more backward also. Search in engine of all alone that use search for instance " tumor treats a method " , the article that come out is mostly " the method with tumor the most effective treatment " " at present a few main treatment methods " , it is not speak in detail, did not introduce all sorts of treatment methods to should be used at what setting and phase in detail.
4, tumor cure innovation is opposite lagIn last few years target is treated to cure, immunity is more very by the developed country, especially US-led the country initiates above all. And because China is in,the approval approve of medicaments respect introduces opposite lag, this also makes a lot of people must look for new drug to perhaps look for new remedial method abroad.
Dan Zhangyu flood dragon emphasizes, american cancer the main reason with 5 years of high survival rate, because the inchoate sieve of tumor is checked,still gain ground, diagnose in installment accurate wait for integrated element, is not what good medicine.
5, disease is planted distinct effect whole 5 years of survival rateZhang Yujiao says, disease is planted differring also is influence whole 5 years one of reasons of survival rate.
As a result of the difference of ethnic group and habits and customs, the cancer disease that Chinese two countries sends high is planted different also.
Be in the United States, the cancer of taller hair is the cancer with the very tall itself of 5 years of survival rate such as breast cancer, prostate cancer, and what China sends high is the cancer such as lung cancer, cancer of the stomach, liver cancer.
It is below " Chongqing morning paper " the data that in reporting 2015, cites --
Can see from inside the watch, in respect of lung cancer, cancer of the stomach, the survival rate of 5 years of cancer of Chinese two countries is almost same, and live 5 of esophagus cancer years, china is very supreme at the United States. Nevertheless, in respect of knot rectum cancer, breast cancer, liver cancer, china and United States have very big difference than returning.
Although the medical treatment level between China still puts difference,always be, but what describe without partial person is so tremendous, the proposal goes to abroad not blindly go to a doctor. Hospital of Beijing University tumour digests chairman doctor Zhang Xiaodong of internal medicine to ever reminded: "There is one part person now particularly trustful and abroad go to a doctor, capable also to go, what doesn't this have but of censure, but the problem is I discover here under cover many trap. But the problem is I discover here under cover many trap..
Reference material:
Lancet: Of global cancer patient live the trend is analysed (2000-2014)
Healthy times: Why Chinese cancer 5 years of survival rate under the United States?
Chinese youth signs up for: Cancer patient is abroad go to a doctor: Look very beautifulBing Wang Zhiku: Cancer will kill 3.5 million Chinese 2030
Xinhua net: 3 big reasons send pathology doctor in short supply, the whole nation is insufficient 10 thousand