可及性实用性兼具 升级版《消化系统抗肿瘤药物合理用药指南》在京发布

2019-12-15 杨亚平 健康界

恶性肿瘤是严重危害人类身心健康的重大疾病之一,其中消化系统肿瘤占全部肿瘤发病率和死亡率的60%以上。除手术治疗和化疗以外,消化系统肿瘤治疗还依赖于新药的开发和基因治疗的成熟。近年来,随着我国消化肿瘤循证医学证据不断取得新的进展,部分新型抗肿瘤药物也陆续获批上市。因此,通过制定相关指南、技术规范及临床路径等来全面提高广大消化系统肿瘤医师的合理用药水平显得尤为重要。12月14日,由国家卫生计生委合理用

恶性肿瘤是严重危害人类身心健康的重大疾病之一,其中消化系统肿瘤占全部肿瘤发病率和死亡率的60%以上。除手术治疗和化疗以外,消化系统肿瘤治疗还依赖于新药的开发和基因治疗的成熟。

近年来,随着我国消化肿瘤循证医学证据不断取得新的进展,部分新型抗肿瘤药物也陆续获批上市。因此,通过制定相关指南、技术规范及临床路径等来全面提高广大消化系统肿瘤医师的合理用药水平显得尤为重要。

12月14日,由国家卫生计生委合理用药专家委员会、中国药师协会联合主办的《消化系统抗肿瘤药物合理用药指南》发布暨培训会在北京召开。该指南的发布,使临床医生在抗肿瘤药物治疗当中能够有章可依。

“国家卫生计生委合理用药专家委员会成立以来,在合理用药指南制定、合理用药技术培训等方面开展了一系列工作,取得了一定成效。”国家卫生计生委合理用药专家委员会办公室主任张耀华指出,本次《消化系统抗肿瘤药物合理用药指南》的制定工作,是国家卫生计生委合理用药专家委员会努力践行合理用药理念的体现,希望各位专家继续发挥示范、引领、推动作用,加大指南宣贯工作,通过线上、线下的融合手段,将新版指南全方位覆盖到更广大的基层,为公众合理用药保驾护航。

人民卫生出版社副总经理孙伟表示,恶性肿瘤作为一种慢性非传染性疾病,其病死率已超过心脑血管疾病,消化系统恶性肿瘤更是占了一半以上。“《消化系统抗肿瘤药物合理用药指南》的制定是形势所需。经过编委团队的辛勤付出,已经定稿,其内容详实、权威实用,必定是一部符合中国国情,满足基层医生需求的精品指南。”孙伟相信,新版指南的发布将为进一步推动健康中国战略、全面提高消化系统肿瘤医师的合理用药水平提供强有力的支持。

《消化系统抗肿瘤药物合理用药指南》主编、北京大学肿瘤医院副院长沈琳教授介绍,“与国外相比,中国消化系统肿瘤无论是病因机制、病理类型都有明显不同,特别是由于早诊早治尚不普及,用药治疗的情况较国外更多。近几年虽然治疗上有一定的进步,但在用药治疗方面仍有许多问题亟待解决。”基于此,国家卫生计生委合理用药专家委员会组织专家,在《消化道恶性肿瘤合理用药指南》的基础上进行了更新与升级,制定了《消化系统抗肿瘤药物合理用药指南》。经过专家的辛勤劳动,即将面世。沈琳教授希望通过开展线上线下的活动,全方位推进指南宣传贯彻落实,为从事消化系统恶性肿瘤诊治的临床医生提供合理、规范的用药指导,从而使治疗效果得到更大改善。

发布仪式结束后,参与《消化系统抗肿瘤药物合理用药指南》修订的编委们,结合国内外最新循证证据,对指南中的癌、食管癌、直肠癌、肝癌、胆道癌、胰腺癌、肠间质瘤及神经内分泌瘤8个临床章节的证据及编写进行了解读。并与参会人员一起,围绕肿瘤医师共同关注的热点焦点问题进行了精彩探讨。

据了解,2014年起,国家卫计委合理用药专家委员会开展了全国基层医疗机构合理用药培训项目——恶性肿瘤诊疗规范下的合理用药,组织编写了《消化道恶性肿瘤合理用药指南》,并于2017年2月正式面世。今年3月,国家卫生计生委合理用药专家委员会经广泛征求专家意见,在主编沈琳教授的推动和倡导下,决定启动《消化道恶性肿瘤合理用药指南》的修订工作。

沈琳教授介绍,《消化系统抗肿瘤药物合理用药指南》在强调基础用药方案的基础上,总结了最新进展,治学严谨,层次清晰,凝聚了国内消化道肿瘤专家的智慧和心血,为指导临床医生合理用药发挥了重要作用。将有助于更进一步提高我国在肿瘤治疗方面的规范化程度,也必将在提高肿瘤治疗临床水平等方面起到积极的推动作用。“希望这是一部实用性强,可及性广的适用于中国医生的指南,更希望它能够像‘口袋书’一样的学术文件,为广大医生的临床诊疗路径提供清晰明确的指导。”沈琳教授坦言,未来他们将进一步对本部指南进行推广和宣贯,使更多的临床医师受益,切实提高消化系统恶性肿瘤的诊疗水平,惠及更多患者。

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