Taiwan’s
proactive
approach
to
lung
cancer
prevention
is
recognized
globally
for
its
vision
and
effectiveness.
In
July
2022,
the
government
launched
the
Lung
Cancer
Early
Detection
Program,
offering
biannual
low-dose
CT
(LDCT)
screenings
for
high-risk
groups,
including
those
with
a
family
history
of
lung
cancer
and
heavy
smokers.
This
pioneering
initiative
has
positioned
Taiwan
as
an
international
role
model
in
lung
cancer
prevention.
Over
the
past
three
years,
more
than
210,000
screenings
have
led
to
the
identification
of
2,506
lung
cancer
cases—over
80%
of
which
were
diagnosed
at
an
early
stage,
with
late-stage
diagnoses
dropping
sevenfold.
Previously,
late-stage
diagnosis
was
the
norm,
but
Taiwan’s
proactive
policies
have
transformed
the
landscape,
reversing
the
trend
and
ensuring
that
most
initial
lung
cancer
cases
are
now
detected
early.
During
his
recent
visit
to
Taiwan,
Dr.
Cary
Adams,
CEO
of
the
Union
for
International
Cancer
Control
(UICC),
commended
Taiwan’s
National
Cancer
Control
Program,
its
comprehensive
cancer
registry,
and
robust
National
Health
Insurance
(NHI)
system
for
establishing
an
exemplary
cancer
care
network.
He
encouraged
Taiwan
to
further
improve
early
lung
cancer
screening
rates
and
timely
access
to
treatment,
reinforcing
its
status
as
a
global
public
health
leader.
At
the
conference,
Minister
of
Health
and
Welfare
Dr.
Chiu
Tai-Yuan
pledged
ongoing
cross-ministerial
collaboration
and
policy
innovation
to
improve
early
lung
cancer
detection
and
treatment.
Legislator
Wang
Cheng-Hsu
also
reaffirmed
his
commitment
to
early
detection
and
intervention,
advocating
for
increased
resources
and
improved
legislation
to
ensure
early-stage
lung
cancer
patients
receive
comprehensive
care.
Leading medical experts further emphasized Taiwan’s advancements. Dr. Yang, Pan-Chyr, Academician of Academia Sinica, highlighted how the LDCT screening program has driven a shift toward earlier-stage diagnosis, with research indicating it could reduce lung cancer mortality by 53%. Dr. Chen Chien-Jen, Academician of Academia Sinica emphasized that the next key challenge is ensuring early-stage patients benefit from precision diagnostics and early treatment. Dr. Yang Cheng-Ta, President of the Taiwan Lung Cancer Society, added that emerging AI technology is now capable of analyzing LDCT images to predict an individual’s six-year cancer risk, which will improve identification of high-risk groups and support early intervention. Dr. Yang Chih-Hsin, President of Taiwan Association for the Study of Lung Cancer, urged early-stage patients to undergo genetic testing promptly, enabling medical teams to tailor optimal treatment plans, including surgery, targeted therapy, or immunotherapy as adjuvant treatments.
HOPE called for NHI resources to shift toward early lung cancer diagnosis and treatment, highlighting the importance of genetic testing and adjuvant therapy for high-risk early-stage patients to reduce relapse and mortality. Clinical evidence shows that adjuvant targeted therapy after surgery for stage IB–IIIA lung cancer with EGFR mutations can reduce five-year mortality by 10%, which is vital for improving outcomes and easing the burden on the healthcare system. Dr. Chen Jin-Shing, Head of Thoracic Surgery Division at National Taiwan University Hospital, advocated for priority reimbursement of adjuvant targeted therapy for patients with stage IB-IIIA lung cancer, while Dr. Chen Chih-Yi, Board Member of HOPE emphasized the importance of improving access to early genetic testing and treatment. Dr. Huang, Ming-Shyan, President of the Taiwan Clinical Oncology Society, pointed out that early-stage lung cancer treatment in Taiwan is not yet fully aligned with international guidelines, and urged that expanded screening must be matched with optimized NHI resource allocation and improved treatment access.
Other leading voices reinforced the need for comprehensive care. Dr. Wang Chin-Chou, Board Member of Taiwan Society of Pulmonary and Critical Care Medicine, stressed that while surgery is the primary treatment for early-stage lung cancer, it must be accompanied by proactive adjuvant therapy strategies and long-term follow-up. Dr. Chang Wen-Cheng, CEO of Taiwan Cancer Foundation emphasized that the integration of screening, diagnosis, and treatment is crucial to truly realize early detection and treatment, as well as maximizing the value of screening program. Dr. Chen Jen-Shi, President of Taiwan Oncology Society, recommended that in addition to current NHI and Cancer Drug Fund financing, the government should promote diverse payment mechanisms—such as co-payment models or commercial insurance to supplement the NHI system—to further improve access to early lung cancer treatment.
Uniting
multiple
lung
cancer
treatment
experts
from
medical
centers
across
Taiwan,
a
concerted
effort
to
usher
in
a
new
era
of
early
lung
cancer
screening
and
treatment.
(Listed
by
institution
from
North
to
South)
·
Dr.
Chen
Yu-Min,
Director
of
General
Chest
Medicine
Department,
Taipei
Veterans
General
Hospital
·
Dr.
Lee
Kang-Yun,
Attending
Physician,
Division
of
Pulmonary
Medicine,
Shuang
Ho
Hospital
·
Dr.
Huang
Chun-Yao,
Attending
Physician,
Division
of
Chest
Medicine,
Taipei
Tzu
Chi
Hospital
·
Dr.
Tsai
Chen-Liang,
Director
of
Pulmonary
and
Critical
Care
Medicine
Division,
Tri-Service
General
Hospital
·
Dr.
Yeh
Yu-Wen,
Physician,
Division
of
Thoracic
Medicine,
Shin
Kong
Wu
Ho-Su
Memorial
Hospital
·
Dr.
Chang
Sheng-Yu,
Attending
Physician
and
Leader
of
the
Lung
Cancer
Team,
Far
Eastern
Memorial
Hospital
·
Dr.
Yang
Tsung-Ying,
Director
of
General
Chest
Medicine
Department,
Taichung
Veterans
General
Hospital
·
Dr.
Hsia
Te-Chun,
Deputy
Director,
Department
of
Internal
Medicine,
China
Medical
University
Hospital
·
Dr.
Lin
Chien-Chung,
Attending
Physician,
Division
of
Chest
Medicine,
National
Cheng
Kung
University
Hospital
Hashtag: #HOPEFoundation
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