Year: 2026
Type: article
Abstract: The complexity and heterogeneity of malignant tumors necessitate a paradigm shift from a disease-centric to a patient-centric model of care. Cancer holistic integrative assessment (CHIA) is a multidimensional evaluation process that forms the cornerstone of personalized oncology. CHIA is characterized by four core principles: integrative philosophy, multidimensionality, dynamic individualization, and multidisciplinary collaboration. Key assessment domains include: 1) General status (performance status, physical function, nutrition); 2) Symptom burden ( pain, fatigue, et al.); 3) Organ function and comorbidities to gauge treatment tolerance; 4) Psychological and cognitive state (distress, anxiety, depression, cognitive function); 5) Family and social support systems, including financial toxicity; 6) Tumor biology (stage, molecular profile) to define therapeutic goals; and 7) Genetic risk 8)fertility preservation needs 9) Traditional Chinese Medicine Tumor Pathogenesis Identification and Evaluation. CHIA is a pivotal, dynamic process essential for tailoring safe, effective, and humanistic anticancer therapy. Its systematic implementation, supported by training, standardized protocols, and digital tools, is fundamental to advancing precision oncology and achieving the strategic goal of "Healthy China."
Source: Holistic Integrative Oncology
Authors: Hongyan Zhang, Hongyan Zhang, Qiuling Shi, Xiaomei Li, Qian Li, Yong Liu, Hongmei Zhang, Hongmei Zhang, Rongbo Lin, Wenli Zhou, Qian Chu, Jie Min, Jin Zheng, Bo Liu, Xiaobing Chen, Yi He, Lei Ni, Min Li, Minghua Cong, Feng Liang, Xiaowen Wang, Zhi Guo, Guibin Qiao, Jinghui Bai, Hongxia Li, Beibei Chen, Fei Wang, Jizong Jiang, Duanqi Liu
Institutions: Chinese PLA General Hospital, Air Force Medical University, Chongqing Medical University, Fujian Provincial Cancer Hospital, Tongji Hospital, Huazhong University of Science and Technology, Shandong First Medical University, Henan Cancer Hospital, Peking University Cancer Hospital, Beijing University of Chinese Medicine, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Central South University, Xiangya Hospital Central South University, Chinese Academy of Medical Sciences & Peking Union Medical College, Cancer Hospital of Chinese Academy of Medical Sciences, Shenzhen University, Zhujiang Hospital, Southern Medical University, Liaoning Cancer Hospital & Institute, Shanxi Provincial People’s Hospital
Language: English
Topic: Cancer survivorship and care
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7204140795