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The Pharmaceutical Journal
Vol 271 No 7267 p361
20 September 2003

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Future cancer care delivery will be by pharmacists

Specialist community-based cancer prevention services will be in place within the next decade, according to Professor Karol Sikora, visiting professor of cancer medicine, Imperial College, London.

Speaking at the BPC symposium on innovation and delivery in cancer care on 15 September, Professor Sikora said: “My prediction is that the medical model will be given up. A direct-to-consumer model for cancer prevention done through pharmacy and clinical pharmacists may be a better way forward.” He suggested that these specialist services would be provided in the community rather than being set up in hospitals and clinics. “The time isn’t right yet but it will come over the next five to 10 years.”

The biggest change in prevention strategies would be the identification of individual cancer risk. “Within five years there will be good genetic testing — not just of high-risk cancer. Multiple gene analysis will tell us who is likely to get cancer.”

Furthermore, advances in technology would mean that up to 70 per cent of patients with cancer would be cured. “The future is not going to be about the technology. It’s going to be about how society provides the care, how it pays for it and what model it uses.”

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