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Table 1 Priorities for cancer control developments likely to have benefits within five years, identified by consultations by the National Cancer Control Initiative (1997)

From: Cancer control policy in Australia

Primary prevention
1* Tobacco Preventing tobacco-related cancers: strengthen tobacco control measures
2 Skin cancer Reducing risk
Population-based screening and early detection
3 Breast cancer Improving BreastScreen Australia
4 Breast cancer Promoting prompt diagnosis
5 Cervical cancer Improving Pap smear programs
6 Cervical cancer Handling Pap smear results
7* Colorectal cancer Developing faecal occult blood testing: develop demonstration program and evaluation, and produce evidence-based guidelines
8* Prostate cancer Rationalising prostate-specific antigen testing: discourage inappropriate use of PSA tests and develop educational program for GPs
9* Skin cancer Improving diagnostic skills: design and evaluate programs to improve GP's skills in diagnosis of early skin cancer
Treatment
10* Guidelines A national approach: identify priority areas and develop and disseminate evidence-based clinical guidelines
11* Multidisciplinary care Evaluation and facilitation: identify benefits and costs of multidisciplinary care and improve consultations especially in rural and remote areas
12* Palliative care Filling gaps: develop national strategies and research on co-ordinated palliative care
13* Prostate cancer Dealing with treatment uncertainties: assess the treatment and outcome of early and advanced prostate cancer
14* Psychosocial care Defining, implementing and monitoring: define appropriate psychosocial care, develop a strategy, and establish national consumers' forum in cancer control
General
15* General practice Promoting participation in cancer control: improve preventive, screening and early detection, and cancer management, in general practice
16 Equity Implementing culturally relevant cancer control measures
17 Consumer Facilitating involvement
18* Research Continuing the national commitment: maintain and extend
19* Familial cancers Organising education and resources: develop educational approaches, link genetic registries, and promote research
20* Data collection Meeting urgent national needs: develop a national standard for clinical data registries, add staging information to registries
21 Clinical trials Encouraging participation of doctors and patients
  1. *The 13 out of 21 proposed actions recommended for priority implementation. Table reproduced from Cancer Control Towards 2002 [23]