American Society of Clinical Oncology Position Statement on Obesity and Cancer
Notice bibliographique
Résumé
Over the last 3 decades, the prevalence of obesity in the United States and globally has increased dramatically. More than one third of US adults and 17% of US children and adolescents are categorized as obese. In addition to its well-known risk for heart disease and diabetes, obesity is also a major risk factor for cancer. Increasing evidence has linked obesity to elevated risk of cancer, recurrence, and cancer-related mortality among individuals with early-stage disease. Obese individuals have a worse prognosis after a cancer diagnosis. Obesity can interfere with the delivery of systemic therapy, contribute to morbidity of cancer treatment, and may increase the risk of second malignancies and comorbidities. A cancer diagnosis may serve as a teachable moment to motivate obese individuals to implement a risk-reducing or health-protective lifestyle. Oncology care providers and the oncology team have a close relationship with patients during the critical period after a cancer diagnosis and are in a unique position to help patients lose weight and make other healthy lifestyle changes. The American Society of Clinical Oncology has established a multifaceted initiative to address the burden imparted by obesity on individual cancer patients and society. Major elements of this initiative include the following: (1) increase both provider and patient core knowledge of current evidence on the role of energy balance in cancer risk and prevention; (2) provide guidance, tools, and resources to oncology providers to allow them to use the most appropriate methods based on current knowledge to help cancer patients make needed changes in lifestyle behaviors; (3) build and foster a robust research agenda to study the pathophysiology of energy balance alterations, to investigate whether changes in lifestyle after diagnosis (dietary, weight loss, exercise) will improve prognosis, and to find the best methods to help cancer survivors initiate and maintain lifestyle changes; and (4) advocate and promote policy and systems change that address societal factors contributing to obesity and improve access of cancer patients to weight management services. Obesity is a complex condition and disease and a multifaceted societal problem with many contributing factors. It will take significant time and effort to reduce the incidence of overweight and obesity. Concerted action by oncologists, other health providers, and organizations, as well as patients and their families, is needed to convert growing knowledge of the relationship between obesity and cancer into meaningful action.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».