• Report highlights fundamental shift in treatment for cancer, from a terminal to a chronic  disease that can be treated and managed  
• Explores trends, opportunities and tangible ways to drive positive changes, and emphasises  that collaboration and including the patient voice is critical to identify the best use of  resources and time to improve cancer survivorship 

• Highlights the economic and social benefits of better cancer care

APOA is an initiative by the Pinnacle Program, established by Rare Cancers Australia in 2017. APOA’s stakeholders have launched this report outlining how we can all do more to improve cancer  survivorship in the region. Cancer is a disease that has severely impacted all countries in the region and the Asia-Pacific region accounts for more than half of global cancer deaths.  

“There are major economic and social benefits to treating cancer but each market in the region will  need to have a strategy to sustainably provide better prevention and care services for their community.  Health systems are grappling with growing healthcare expenditures, ageing populations, chronic  diseases and the relatively high costs for new technologies.” said Richard Vines, Chief Executive Officer  of Rare Cancers Australia (RCA), which established the APOA. 

“Listening to and respecting patients will help us make better decisions. Patients experience the health  system from the inside out, they bring a unique perspective that can help administrators find the most  efficient way forward. If you want to understand our traffic systems, it is valuable to speak to taxi  drivers because they spend every day navigating our roads and motorways. The same is true of  patients, they bring a unique perspective on how the health system works and how it can be made  better.” 

“The world is waking up to the value patient representatives provide to the community, how patient  voices can help improve systems, and that patient engagement leads to better healthcare and outcomes. In every interview we carried out, we kept hearing this message time and again,” he added. 

Carmen Auste, CEO Cancer Warriors Foundation Philippines, Vice President, Cancer Coalition  Philippines and civil society representative of the Philippine National Integrated Cancer Control  Council, described the report as a landmark multi-stakeholder, collaborative initiative "demonstrating  the value of sharing stories; capturing lived patient experiences, good practice models and  innovations".  

“By sharing our stories and insights learned from our experiences, we inspire others, spark their  imagination and fuel their passion. Our stories, our experiences, our shared concerns and dreams,  connect us all and become the driving force for transformational change," she said.

Jenny Zhang, from Chinese patient organisation House086, says the perception of cancer has changed  in her country over the past decade. 

“People used to associate cancer with fear and wanting to run away because of the harsh reality of  limited treatment options, no money for treatment and no confidence,” explained Zhang. 

“Now we can face cancer and more people hope to live with cancer. We have more access to medicine,  the means to afford treatment, and the confidence to fight. For most people, a lot has changed,” she  added. 

The APOA report highlights and celebrates examples of successful regional projects ranging from  education, diagnosis, support and treatment initiatives. For many of these, the patient voice was  critical in establishing a project that was effective, as well as accommodating local cultural  considerations.  

The 36 case studies highlight ways cancer care, support and outcomes can be improved, taking some of the fear out of a cancer diagnosis. Some examples detailed in the report highlight: 

• How patients can be directly involved in assessing the value of new treatments, services, or  policies to save lives in different countries across the region. 
• The ways patients’ needs can be considered more holistically. For example, a needs  assessment tool for Breast Cancer in Malaysia is helping to identify patient needs related to emotional support, social and intimate relationships, hospital appointments, personal care  and health, and information and services. 
• How local doctors are important leaders to fight misinformation, advocate and share the best  evidence around cancer and treatment in the region. For example, in Vietnam a network of  doctors, medical students and volunteers are working to improve cancer-related literacy at  the community level. 
• That local community leaders and volunteers can make a huge difference, with one  collaborative in India helping to mobilise the community and set a standard for palliative care  to become more readily available for the patients who need it. 
• Improving access to treatment options using innovative approaches and shared investments,  for example the Access to Oncology Medicines work to sustainably increase the availability,  affordability, and appropriate use of cancer medicines in lower income countries.  • The needs of patients beyond medical treatment:  

o The Hope Foundation, a patient organisation in Taiwan, created a dedicated website  to recognise the unique needs of younger people diagnosed with cancer, specifically  in relation to fertility, after 40% of patients reported inadequate access to  information. 

o The development of resources and support specialists for workplaces and patients in  Japan to increase the ability for people to return to work or to balance treatment and  work commitments. 

Although the report highlights different countries have varying needs, cultural considerations and  capacity to invest in cancer care initiatives, it clearly demonstrates having an inspiring vision, working  together and listening to patients, supported with powerful information, can create positive change.