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Cancer Research in Switzerland - Krebsliga Schweiz

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Fund<strong>in</strong>g patient-centred research<br />

Patient-centred research is essential for cont<strong>in</strong>uous<br />

improvement of the medical and psychosocial care of<br />

patients with cancer. Central here is cl<strong>in</strong>ical research<br />

conducted <strong>in</strong>dependently of the pharmaceutical <strong>in</strong>dustry.<br />

For example, very important for patients are<br />

research studies on treatment optimization, which<br />

aim to f<strong>in</strong>d the optimal comb<strong>in</strong>ation and sequenc<strong>in</strong>g<br />

<strong>in</strong> time of exist<strong>in</strong>g treatment options, such as chemotherapy,<br />

radiation, and surgery, depend<strong>in</strong>g on type<br />

of cancer, stage of cancer, and the patient. Patientcentred<br />

research also <strong>in</strong>cludes psychosocial research,<br />

which focuses on the psychological and social consequences<br />

of cancer and aims to f<strong>in</strong>d ways to improve<br />

patients’ quality of life. Epidemiological research<br />

studies the prevalence and <strong>in</strong>cidence of cancers <strong>in</strong><br />

the population and analyzes the factors that affect<br />

cancer risk, such as age, sex, smok<strong>in</strong>g, diet, exercise,<br />

social network, and environmental factors. Nurs<strong>in</strong>g<br />

research focuses on improv<strong>in</strong>g the care and support<br />

of patients with cancer and their families.<br />

The boards of the SCL and CRS have been striv<strong>in</strong>g<br />

for almost 10 years to <strong>in</strong>crease the fund<strong>in</strong>g of patient-centred<br />

research. In past years, various <strong>in</strong>struments<br />

were <strong>in</strong>troduced, tested, and cont<strong>in</strong>uously<br />

critically evaluated. One <strong>in</strong>strument <strong>in</strong> particular –<br />

quotas – has proved its worth, but other measures<br />

that did not have the desired effect have been discont<strong>in</strong>ued<br />

or replaced by new ones.<br />

Quotas<br />

With<strong>in</strong> the area of <strong>in</strong>dependent research projects,<br />

60 % of the fund<strong>in</strong>g is earmarked for patient-centred<br />

research. Two-thirds of that (or 40 % of the total<br />

funds for <strong>in</strong>dependent research projects) are reserved<br />

for cl<strong>in</strong>ical research and one-third (20 % of the total<br />

funds) for research <strong>in</strong> the psychosocial area, nurs<strong>in</strong>g<br />

sciences, epidemiology, prevention, public health,<br />

health care and outcomes research. The rema<strong>in</strong><strong>in</strong>g<br />

40 % of fund<strong>in</strong>g for <strong>in</strong>dependent research projects is<br />

for basic research.

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