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The era of whole life cycle health management has come, how can doctors break the situation?

medicine

When it comes to life, saving people in the world is an unchangeable attribute from ancient times

doctor

Seeking new ideas and changes, diagnosis and treatment concepts and technologies are constantly changing

Communication

Mutual learning and mutual learning, because the spark of the collision of ideas is more brilliant

The Merck Medical Congress, Merck's most representative and influential interdisciplinary industry congress, celebrated its fourth edition on March 19, 2022. The conference continued the theme of "Passing on the Aspirations of the World, Creating a New Clinical", and through the scientific and technological power of "global synchronous live broadcast" and "full AI translation", real-time online interconnection, so that medical innovation achievements can be disseminated farther and wider.

The conference specially invited experts and scholars from reproduction, oncology, cardiovascular, endocrinology, pharmaceutical economics, public health and other disciplines to make special reports, from "nurturing life" to "improving life" to "prolonging life" to conduct interdisciplinary academic exchanges, carry forward and inherit the spirit of medicine, and pursue the new medical science.

At the opening ceremony of the conference, Mr. Roger Ren, Managing Director of Merck China's Pharmaceutical and Health Business, and Ms. Mao Jingmei, Vice President of Merck China Pharmaceutical Health and Head of Medical Affairs, delivered opening speeches, thanking everyone in all fields for going to Merck Medical Conference again, and wishing the conference a complete success.

Ms. Mao Jingmei said that from "paying attention to diseases" to "paying attention to health", from focusing on "living for a long time" to "living well", medicine as a whole life cycle of science, has never been an island, it is precisely because of the nourishment of interdisciplinary cross-integration, promoting the rapid development of medicine, and constantly pursuing innovative breakthroughs in clinical diagnosis and treatment; academic exchanges will never be stagnant because of the limitations of time and space.

The era of whole life cycle health management has come, how can doctors break the situation?

Ms. Roger Roger (left), Managing Director of Merck China's Pharmaceutical and Health Business, and Ms. Mao Jingmei, Vice President of Merck China Healthcare and Head of Medical Affairs (right), delivered opening speeches

Under the presidency of Professor Liang Jun, Vice President of Peking University International Hospital and Director of the Oncology Center, the morning session was officially opened, and the two themes of "Passing on the Aspirations of the World" and "Creating New Clinical Innovation" were slowly shared and discussed.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Liang Jun, Vice President of Peking University International Hospital and Director of the Cancer Center

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Yu Qi, Director of the Department of Endocrinology and Reproductive Gynecology of Peking Union Medical College Hospital of the Chinese Academy of Medical Sciences, based on the "Health Management of women's whole life cycle", deeply analyzed the physical and mental health protection of children and adolescents, the contradiction between fertility willingness and fertility status during childbearing age, and the improvement of the quality of life of menopausal and elderly women. Professor Yu Qi pointed out that reproductive endocrine diseases run through women's lives and involve multiple disciplines, and their diagnosis and treatment needs have been valued by the majority of medical workers. The key to improving women's health throughout the life cycle is prevention and moving the threshold forward, which requires multidisciplinary collaboration.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Wang Jiguang, Director of Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine and Director of Shanghai Hypertension Research Institute, shared the topic of "Standardized Management of Hypertension in China" and shared that under the background of the current "Internet + Medical Health", with the help of intelligent Hypertension Excellence Center (iHEC), through standardized blood pressure measurement in the clinic, standardized blood pressure measurement outside the clinic, Standardize the assessment of cardiovascular structure and function, promote the diagnosis and treatment of hypertension etiology and classification, and better realize the valuable successful experience of standardized, informatized and intelligent blood pressure management.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Cai Sanjun, chief expert of the Department of Colorectal Surgery of Fudan University Affiliated Cancer Hospital, reviewed the development and progress of comprehensive diagnosis and treatment of colorectal cancer in China, and focused on sharing the great value of the multidisciplinary diagnosis and treatment model (MDT) of colorectal cancer to prolong the survival of patients, improve their quality of life, and promote the rapid development and improvement of discipline medical education and research. Since MDT was established in some hospitals in China in 2005, the pace of comprehensive diagnosis and treatment of colorectal cancer has been accelerating, multidisciplinary diagnosis and treatment has emerged, and personalized treatment and precision medicine have flourished. Professor Cai Sanjun pointed out that MDT should run through the entire process of diagnosis and treatment of colorectal cancer patients, provide a forward-looking and planned comprehensive diagnosis and treatment plan, reduce the incidence and death of colorectal cancer, and improve the survival status of patients.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Yuan Xianglin, Director of the Cancer Center of Tongji Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, presented the practical achievements of his department team in exploring the path of cancer treatment with Chinese characteristics, including exploring a maintenance dose and combination model suitable for Chinese groups in the study of maintenance therapy for colorectal cancer, supporting the update of the relevant parts of the 2021 edition of the CSCO Bowel Cancer Guidelines; and taking the lead in the world to find that TGF-β1 gene SNP can predict radiation lung damage, which is the strongest voice in China in the field of basic research. Under the epidemic situation, the trust of life is heavier than Taishan, and Professor Yuan Xianglin's team has actively cooperated with the epidemic control in Wuhan to deeply study the impact of COVID-19 on the treatment of malignant tumors and countermeasures, and share the results globally.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Li Xiaoying, Director of the Department of Endocrinology, Zhongshan Hospital, Fudan University, analyzed the role of Chinese evidence on the development of the guideline from the "Dinghaishen Needle" for diabetes treatment. Professor Li Xiaoying pointed out that the evidence drives the guide, the guide leads the practice, and it is precisely because the evidence of metformin in the prevention and treatment of diabetes continues to emerge, so for many years the "frontline" sugar reduction status of metformin has been indestructible, and high hopes have been placed on the prevention of diabetes. Professor Li Xiaoying specifically pointed out that in the prevention and treatment of diabetes in metformin, the evidence in China is increasing. The ongoing Chinese Diabetes Prevention Study (CDPP) explores the effect of metformin in delaying or preventing the progression of diabetes mellitus in people with impaired blood glucose regulation in China, and its results will fill the clinical research gap in diabetes prevention in China.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Liu Jiayin, Director of the Reproductive Medicine Center of Jiangsu Provincial People's Hospital, introduced the current situation and latest progress of assisted reproductive technology in mainland China in a speech entitled "Reproductive Medicine and Chinese Strategy". Professor Liu Jiayin pointed out that the inclusion of assisted reproductive technology projects in medical insurance belongs to the overall plan of the national medical and health strategy and is an important development opportunity. Assisted reproductive technology in mainland China has developed rapidly in the past 20 years, and the level of basic and clinical research has entered the international advanced level. Under the current severe demographic development trend, it is the unshirkable responsibility of reproductive medicine practitioners to fully cooperate with the needs of the national population strategy, adhere to the ethics and norms of health, and let the majority of couples of childbearing age "be born", "retained" and "born well".

Under the presidency of Professor Jin Lei of Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, the afternoon session of the "4th Merck Medical Conference" was brilliantly resumed.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Jin Lei, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Xuan Jianwei, Director of the Institute of Pharmaceutical Economics, School of Pharmacy, Sun Yat-sen University, discussed and analyzed the challenges and coping strategies of health technology assessment in mainland China from the development status of health technology assessment (HTA) in Britain, Germany, the United States and other countries, combined with the actual situation of continuous changes in the current health policy and medical insurance management system in mainland China. Professor Xuan Jianwei pointed out that the adjustment of the national medical insurance drug catalogue has gradually developed from "expert evaluation" to "quantity and quality of evidence", and HTA is an important means to evaluate innovative medical technology, optimize resource allocation, and improve the efficacy and efficiency of medical services in terms of reference drug selection and application of pharmacoeconomic models.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Jin Lei, Director of the Fertility Center of Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology, shared the research progress of fertility preservation and female fertility preservation technology of young female cancer patients in China around the keyword of "fertility preservation", and elaborated on the multidisciplinary diagnosis and treatment mode (MDT) practice strategy and experience of female fertility preservation. Among all cancer patients in China, the proportion of women of childbearing age is 6.3%, significantly higher than in other developed countries, while more than half of young cancer patients express strong reproductive needs. The progress of research and clinical practice of female fertility preservation technology and the construction of multidisciplinary diagnosis and treatment platform have promoted the orderly development of fertility preservation in mainland China.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Wang Peiguo, Deputy Director of the Department of Radiotherapy, Cancer Hospital of Tianjin Medical University, started from the clinical example of head and neck squamous cell carcinoma, and demonstrated the important value and practical experience of multidisciplinary diagnosis and treatment mode (MDT) to help improve the survival of patients with head and neck tumors. Professor Wang Peiguo believes that the perfect treatment outcome comes from the perfect treatment process, and the overall treatment plan should be formulated from the perspective of oncology. The MDT model of care significantly improves the 5-year survival rate of patients with head and neck tumors and has become the first choice for most tumor treatment models in the United States; the UK Cancer Diagnosis and Treatment Guidelines stipulate that all patients with confirmed tumors must undergo MDT consultation before receiving treatment. Mainland tumor MDT develops rapidly, but most of them are single consultations and have a single purpose for discussion, and there is still room for development.

The era of whole life cycle health management has come, how can doctors break the situation?

Professor Li Shunping of the School of Public Health of Shandong University shared the research progress and application of patient reported outcomes (PRO). Professor Li Shunping pointed out that in traditional clinical research, a large amount of safety and efficacy data is usually collected, but patients are rarely asked how they feel and experience during treatment. In January 2022, with the release of the "Guiding Principles for the Application of Patient Reporting Outcomes in Drug Clinical Research and Development (Trial)" issued by the drug regulatory authorities, the necessity and importance of "listening to patients' voices" were put on the agenda, but for now, the mainland has a long way to go in the development and introduction of PRO scales, the formation of localized PRO data, the promotion of PRO and clinical integration, and the establishment of an ePRO information platform.

In the last session of the "4th Merck Medical Conference", focusing on the theme of "Patient-centered Interdisciplinary Disease Management", Professor Jin Lei, Professor Wang Peiguo and Professor Li Shunping conducted in-depth dialogues and exchanges in the roundtable discussion session, and established preliminary cooperation intentions in interdisciplinary solutions to clinical problems and clinical research.

The era of whole life cycle health management has come, how can doctors break the situation?

Roundtable discussion session

Conclusion

"Merck Medical Congress" is Merck's most representative and influential interdisciplinary industry conference, with the theme of "Passing on the Aspirations of the World, Creating a New Clinical" has been successfully held for four consecutive years, aiming to promote and inherit the spirit of medicine, promote interdisciplinary research and academic exchanges, and promote the innovative development of medical science. Merck is willing to work with every medical colleague to continue to uphold the heart of the hanging pot to save the world, inherit innovation, and make more contributions to human health.

Content Review: Yang Chengyun

Project review: Zhao Xiyue

Title image source: Stand Cool Helo

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