February 4th, 2020 is the midpoint of the Union for International Cancer Control’s (UICC) three-year call-to-action of ‘I Am and I Will’. The theme ofWorld Cancer Day2020年要求个人，集体和政府承诺提高认识，降低死亡并改善受癌症诊断患者的生活质量。癌症超出身体健康和公平对获得护理的影响是UICC命名的关键问题，并且在此处注册的许多临床试验的重点ISRCTN registry。
Beyond the physical impact
癌症诊断有效超越身体健康对病人和他们的照顾者。对心理和情感健康的影响可能会影响恢复以及生活质量。Studies registeredinISRCTN通过调查如何最好地支持患者来管理诊断的情感影响，从筛查测试到生存，解决了这一关键目标。
对心理和情感健康的影响可能会影响恢复以及生活质量。
诊断出身体健康之外
这ongoingProCeSS studyis investigating the impact of waiting times for a diagnosis on multiple parameters of distress in men with suspected prostate cancer. The aim is to determine the impact of uncertainty around waiting times between initial consultation, diagnosis, and treatment by comparing stress in men undergoing standard care versus a fast-track set schedule.
Distress around screening is not always solely due to the possibility of a cancer diagnosis. One in four eligible patients in the UK do not attend their cervical smears – a screening test where a small sample of cells is taken from the cervix and assessed for changes associated with cervical cancer. Patients来自各种人口统计未能参加国家cervical screening program, such asolder women一种nd居住在伦敦的黑人妇女，，，，cited embarrassment, fear of the procedure, and previous negative experiences as reasons for avoiding appointments.
一个NIHR-funded study目前招募的旨在了解宫颈筛查周围的焦虑，并使用它来提高出勤率和开发诊所信件的文本，以最好地解释结果和放心患者。
Beyond physical health in treatment
已知化学疗法会导致疲劳。Identifying patients who might suffer from higher levels of fatigue would allow healthcare workers to provide additional support for patients and manage their expectations.
这TR-FATIGUE研究旨在确定的影响一种nxiety, depression, and social supporton fatigue in colorectal cancer patients receiving chemotherapy in France.
超越幸存的身体健康
SomeISRCTN-registered trials are investigating how quality of life can be improved in the later stages of a patient’s journey with a cancer diagnosis and what interventions are beneficial to survivors.
一种Hong Kong-based trial一种iming to improve the quality of life of gynecological cancer survivors found that intimacy and sexuality were key issues for this population. The currently recruiting project involves a nurse-led intervention to improve intimate partner relationships, sexual functioning, and psychological adaptation following illness.
Breast cancer55岁以下女性的诊断率正在增加，由于治疗的改善，长期生存率也在增加。因此，劳动力中的幸存者有所增加。这bric@workstudyplans to investigate ifneurocognitive training has a positive impact on memory, attention, and emotional wellbeing in this population.
Beyond physical health for caregivers
癌症诊断对患者及其护理人员都会引起心理挑战。这德国Inpart研究计划研究血液癌诊断对患者及其伴侣的影响，以及小组心理治疗课程是否会导致患者及其伴侣的抑郁症和焦虑症状减轻。
获得癌症服务的权益
这UICC advocates that life-saving cancer diagnosis, treatment, and care should be accessible for everyone. Many
ISRCTN- 注册试验专门针对早期检测，并研究如何使诊断服务和教育如何更容易获得。
Cervical cancer is one of the most preventable cancers with vaccination against HPV (a common virus that can lead to cell changes in your cervix and cancer) and effective screening, yet there is still a disease burden globally.
这cervical cancer screening method used in the NHS screening program is not accessible globally. Visual inspection by health workers is the current WHO-recommended approach for screening in low-resource settings as it requires less infrastructure and staff training. The feasibility of implementing a cervical cancer early detection service in routine primary health care services is being assessed by theCare4afrique研究在贝宁，乍得，科特·伊沃尔和塞内加尔。
健康education interventions improved knowledge and confidence in women with regards to cervical cancer and screening.
这IHEICCSWG试验investigated community health education on cervical cancer and screening for Ghanaian women and the impact it had on knowledge and perception of susceptibility and barriers and benefits to screening. The结果是BMC Public Healthfound that health education interventions improved knowledge and confidence in women about cervical cancer and screening.
个人的责任
世界癌症日2020年主题“我和我将”鼓励个人对癌症的行动。通过教育，个人有权承担个人责任，并增加对预防行为的采用和早期检测服务的使用。
一项可行性研究询问“你知道你的皮肤吗？”评估了一项基于学校的干预措施，以增加青少年的防晒霜使用和皮肤变化的识别。这结果是BMC Public Healthshow the intervention had a positive impact on adolescent intention to use sunscreen.
Colorectal cancer screening is recommended for over 50-year-olds in Spain but uptake is low, so一种trial使用在线决策援助进行调查，以授权参与者做出有关筛查的明智决定。
这结果这项研究表明，通过使用决策援助，知识水平和对决策的信心都可以提高，但是对照组的诊断测试知识足够高。但是，尽管对照组有足够的了解，但对照组报告了不知情。
对癌症诊断和服务的教育不仅使患者对他们的诊断和医疗保健选择有更多了解，而且还使他们有能力做出自信，明智的决定。
Conclusion
随着癌症诊断的增加，需要研究的需求越来越多，以确保身体健康以外的患者的最佳结果。作为个人，我们可以通过支持癌症慈善机构，参与研究，请愿政府行动以及提高认识来实施变革。在2020年世界癌症日，什么可以并且会你要做reduce the impact of cancer？
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