An Integrated Cancer Prevention Strategy: the Viewpoint of the Leon Berard Comprehensive Cancer Center Lyon, France

Author:

Fervers Beatrice12ORCID,Pérol Olivia12ORCID,Lasset Christine3ORCID,Moumjid Nora14ORCID,Vidican Pauline12ORCID,Saintigny Pierre56ORCID,Tardy Juliette12ORCID,Biaudet Julien12ORCID,Bonadona Valérie3ORCID,Triviaux Dominique7ORCID,Marijnen Philippe1ORCID,Mongondry Rodolf1ORCID,Cattey-Javouhey Anne5ORCID,Buono Romain1ORCID,Bertrand Amandine8910ORCID,Marec-Bérard Perrine8ORCID,Rousset-Jablonski Christine911ORCID,Pilleul Frank1213ORCID,Christophe Veronique610ORCID,Girodet Magali910ORCID,Praud Delphine12ORCID,Solodky Marie-Laure14ORCID,Crochet Hugo15ORCID,Achache Abdel15ORCID,Michallet Mauricette15ORCID,Galvez Christelle15ORCID,Miermont Anne15ORCID,Sebileau Damien15ORCID,Zrounba Philippe11ORCID,Beaupère Sophie16ORCID,Philip Thierry17ORCID,Blay Jean-Yves51618ORCID

Affiliation:

1. 1Department of Prevention, Cancer and Environment, Léon Bérard Cancer Center, Lyon, France.

2. 2Inserm U1296 Radiations: Defense, Health, Environment, Léon Bérard Cancer Center, Lyon, France.

3. 3Department of Prevention and Public Healthcare, Léon Bérard Cancer Center, Lyon, France.

4. 4UR 4129, P2S, Université Lyon 1, Lyon, France.

5. 5Department of Medical Oncology, Léon Bérard Cancer Center, Lyon, France.

6. 6CRCL, University Lyon, Claude Bernard Lyon 1 University, Inserm 1052, CNRS 5286, Centre Léon Bérard, Cancer Research Center, Lyon, France.

7. 7Interdisciplinary Department of Supportive Care in Oncology, Léon Bérard Cancer Center, Lyon, France.

8. 8Department of Pediatric Oncology, Institut d'Hématologie et d'Oncologie Pédiatrique, Léon Bérard Cancer Center, 69008 Lyon, France.

9. 9INSERM U1290 RESearch on HealthcAre PErformance (RESHAPE), University Claude Bernard Lyon 1, Lyon, France.

10. 10Département de Sciences Humaines et Sociales (SHS), Léon Bérard Cancer Center, Lyon, France.

11. 11Department of Surgery, Léon Bérard Cancer Center, Lyon, France.

12. 12Department of Radiology, Léon Bérard Cancer Center, Lyon, France.

13. 13CREATIS, UMR CNRS 5220 – INSERM 1206, Université Claude Bernard Lyon 1, Lyon, France.

14. 14Department of Medecine of Health Care Workers, Léon Bérard Cancer Center, Lyon, France.

15. 15Léon Bérard Cancer Center, Lyon, France.

16. 16Unicancer, Paris, France.

17. 17Institut Curie, Paris, France.

18. 18Faculté de Médecine Lyon Est, Université Claude Bernard Lyon 1, Lyon, France.

Abstract

Abstract This article describes some of the key prevention services in the Leon Berard Comprehensive Cancer Center (CLB) Lyon, France, which are based on clinical prevention services, outreach activities, and collaboration with professional and territorial health communities. In addition, research is embedded at all stages of the prevention continuum, from understanding cancer causes through to the implementation of prevention interventions during and after cancer. Health promotion activities in the community and dedicated outpatient primary cancer prevention services for individuals at increased risk have been implemented. The CLB's experience illustrates how prevention can be integrated into the comprehensive mission of cancer centers, and how in turn, the cancer centers may contribute to bridging the current fragmentation between cancer care and the different components of primary, secondary, and tertiary prevention. With increasing cancer incidence, the shift toward integrated prevention-centered cancer care is not only key for improving population health, but this may also provide a response to the shortage of hospital staff and overcrowding in cancer services, as well as offer opportunities to reduce carbon emissions from cancer care.

Publisher

American Association for Cancer Research (AACR)

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