Features  |   July 2018
Enhanced Surgical Recovery Programs in Cancer Care
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Features   |   July 2018
Enhanced Surgical Recovery Programs in Cancer Care
ASA Monitor 7 2018, Vol.82, 16-18.
ASA Monitor 7 2018, Vol.82, 16-18.
Cancer Epidemiology
Cancer is a major public health problem that affects citizens across all societies in the world. The incidence of cancer is increasing at a rapid pace due to environmental factors, lifestyle choices and longer life expectancies. Worldwide, the number of patients affected by cancer is predicted to increase by 50 percent by the year 2030; and during the same period, cancer-related mortality is projected to increase by 60 percent.1  Cancer currently accounts for nearly one out of every four deaths in the United States.2  Cancer usually develops in older people; 87 percent of all cancers in the U.S. are diagnosed in people 50 years of age or older.3  People 65 years or older have a cancer incidence rate 10 times greater than the rate for younger people, and the mortality rate for older cancer patients is 16 times greater than for younger patients.4  However, cancer is no longer considered a terminal disease. In fact, with advances in prevention, diagnosis and therapeutic modalities, cancer is now considered a chronic medical condition. There are more than 15 million cancer survivors currently living in the U.S. alone.5  Of note, 64 percent of cancer survivors in the U.S. live for more than five years, 15 percent live for over 20 years, and 45 percent of all cancer survivors are over 70 years old.5  With an increasing number of cancer survivors, it has been projected that costs of cancer care will reach over $157 billion (U.S. 2010 dollars) by 2020.6  Surgery is essential for global cancer care in all settings. Of the 15.2 million new cases of cancer in 2015, more than 80 percent of cases will need anesthesia, some several times.7  So, it is likely that cancer patients will continue to need the services of our specialty in the perioperative setting well beyond their primary oncologic care.
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