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Urologic cancer in Taiwan
Chi-Feng Hung1, Cheng-Kuang Yang1, Yen-Chuan Ou2
1Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung.
Japanese Journal of Clinical Oncology
|April 8, 2016
Summary
Urologic cancers are a growing concern in Taiwan, with prostate, bladder, and kidney cancers being most common. Advances in robotic surgery and systemic agents improve treatment, but national health insurance impacts decisions.
Area of Science:
- Oncology
- Urology
- Public Health
Background:
- Cancer remains Taiwan's leading cause of death for three decades.
- Urologic cancers show an increasing incidence trend since 1979.
- In 2012, urologic cancers represented 10.0% of all new malignant cases.
Purpose of the Study:
- To review the current landscape of urologic cancer in Taiwan.
- To highlight unique characteristics and challenges in diagnosis and treatment.
- To suggest improvements for the national cancer registry system.
Main Methods:
- Review of epidemiological trends in urologic cancer incidence.
- Analysis of common urologic cancer types and their characteristics.
- Evaluation of current diagnostic and treatment modalities, including surgical advancements and systemic agents.
- Consideration of factors influencing treatment decisions, such as National Health Insurance coverage.
Main Results:
- Prostate, bladder, and kidney cancers are the most prevalent urologic malignancies.
- Metastatic prostate cancer constituted nearly 30% of new cases between 2004 and 2012.
- Urothelial carcinoma in Taiwan exhibits specific associations with arseniasis and aristolochic acid.
- Minimal invasive surgery, particularly robotic systems, has significantly altered surgical treatment.
- Newer systemic agents are improving the standard of care.
Conclusions:
- Urologic cancer diagnosis and treatment largely align with international guidelines.
- Treatment decisions are significantly influenced by National Health Insurance policies.
- Enhancing the national cancer registry system is crucial for a better understanding of urologic cancer in Taiwan.
