China News Online, September 7th (Chen Jing Yao Jun) Establishing "high-risk indicators" for lung cancer screening in line with the characteristics of the Chinese population; building a closed-loop medical service chain for lung cancer prevention and treatment; authoritative specialist hospitals and community health centers to achieve data interconnection... …The reporter learned on the 7th that Shanghai is exploring the establishment of a new model of graded diagnosis and treatment of chronic diseases, and is the first to create a “model” for the integration of prevention, treatment, and management of chronic diseases to help improve the public health system.

　　Lung cancer is currently the world’s leading malignant tumor with the highest mortality rate. Efficient and standardized early screening for lung cancer is the only way to reduce mortality and improve the quality of life of patients.

Pan Changqing, director of Shanghai Chest Hospital, said that lung cancer has no obvious clinical symptoms in the early stage, and many patients have lost the best treatment opportunity when they are diagnosed. This is an important reason for the high mortality rate of lung cancer in China.

Ren Xuelei, director of the Shanghai Xuhui District Health Commission, said that the realization of early diagnosis and treatment of lung cancer will greatly reduce the burden on families and society, and at the same time, the quality of life of patients will be greatly improved.

　　In response to this, after 6 years of exploration and experimentation, the "Xuhui District Lung Cancer Prevention and Treatment Center" jointly explored and built by Shanghai Chest Hospital and Xuhui District Health Commission took the lead in unveiling on the 7th, committed to promoting early lung cancer screening, carrying out patient rehabilitation and Health management of high-risk groups.

While realizing "only run once" for lung cancer screening, the community's family doctors and authoritative experts can exchange information, and family doctors can carry out health management more scientifically; for high-risk groups and rehabilitation groups, authoritative experts can also obtain the latest information in a timely manner. Comprehensive information.

Such interconnected platforms have not been reported before.

Pan Changqing pointed out that a large amount of population information will also provide more reliable research data for future research.

"Sieving, Lungs Are Good-Community Lung Cancer Early Screening Project" thematic popular science video was first released. Photo courtesy of Shanghai Chest Hospital 

　　Shanghai Chest Hospital is one of the first medical institutions in China to carry out standardized treatment of lung cancer, leading China in lung cancer diagnosis and treatment, technological innovation and development.

In recent years, the hospital has deeply focused on the innovative research and development of new drugs and technologies for lung cancer, and is committed to promoting the realization of lung cancer "slow disease".

Xuhui District is one of the central urban areas of Shanghai, with a dense population and an obvious aging trend.

　　In fact, as early as 2013, Shanghai Chest Hospital tried to combine key chronic disease prevention, hierarchical diagnosis and treatment, and early diagnosis and treatment of lung cancer, and jointly launched the "Community Early Screening of Lung Cancer" project in China with the Xuhui District Health Commission.

　　Li Chaohong, deputy secretary of the Party Committee of Shanghai Chest Hospital, introduced in an interview that in the following 6 years, hospital experts have used low-dose spiral CT in multiple communities to carry out standardized early screening of lung cancer, and proposed a set of features that fit the characteristics of the Chinese population. "High-risk indicators" for lung cancer screening.

Based on the characteristics of the incidence spectrum of lung cancer in China, this indicator adds screening indicators such as "passive smoking" and "kitchen oil smoke exposure" to the group of "45-50 years old", which mainly target women.

　　The hospital also launched the "Integrated Project for Early Screening and Prevention of Lung Cancer" with 13 community health service centers to create a whole medical service chain for lung cancer prevention and treatment.

　　The real-time interaction between family doctors and specialists can increase the compliance of the people.

Establishing a WeChat group, conducting regular professional discussions among doctors, giving guidance from authoritative experts at the grassroots level, setting up studios... Shanghai Chest Hospital and the community have made continuous efforts to promote network linkage.

Ren Xuelei told reporters on the same day that now, the community health center and Shanghai Chest Hospital have taken the lead in realizing the sharing of service data such as imaging examination, diagnosis and treatment, and health management information, which has completed the “primary screening-referral-CT screening-of lung cancer high-risk groups”. The whole management process of "diagnosis and follow-up".

The goal of "just run once" for lung cancer screening has become a reality.

　　With the efforts of doctors at all levels, despite the impact of the new crown pneumonia epidemic, from this year to the end of August, the number of people initially screened through the information-based big data screening has reached 160,000, and nearly 30,000 have been screened, with more than 200 high-risk individuals. People completed CT screening and 62 people received surgical treatment.

　　During the interview, the reporter learned that the "Lung Cancer Prevention, Treatment, Diagnosis and Treatment Center" will further strengthen the full-process management and actively explore and optimize medical services, such as: exploring the application of tranquility and nursing care in patients with advanced lung cancer; exploring cross-hospital de-card payment functions; further optimization Early screening service process, etc.

Pan Changqing expressed the hope that the new model of lung cancer early screening and graded diagnosis and treatment that has been promoted for many years will be promoted in the future to benefit more patients and high-risk groups.

　　On the same day, the Shanghai Chest Hospital, together with the Xuhui District Health Commission and the Xuhui District Center for Disease Control and Prevention, jointly produced the thematic popular science promotion film-"Sieving, Lungs Are Good-Community Lung Cancer Early Screening Project", which will be released in Xuhui District. Public platforms such as home community health service centers, smart houses in various streets and other public platforms carry out rolling broadcasts, letting the concept of early screening and early diagnosis of lung cancer penetrate more people's hearts.

(Finish)