{"id":3028,"date":"2025-12-29T12:07:52","date_gmt":"2025-12-29T09:07:52","guid":{"rendered":"https:\/\/cancerdisinfo.org\/?p=3028"},"modified":"2025-12-29T12:07:54","modified_gmt":"2025-12-29T09:07:54","slug":"bir-ulke-kanser-arastirmalarina-ayirdigi-butceyi-kisitlarsa-ne-olur","status":"publish","type":"post","link":"https:\/\/cancerdisinfo.org\/tr\/bir-ulke-kanser-arastirmalarina-ayirdigi-butceyi-kisitlarsa-ne-olur\/","title":{"rendered":"Bir \u00fclke kanser ara\u015ft\u0131rmalar\u0131na ay\u0131rd\u0131\u011f\u0131 b\u00fct\u00e7eyi k\u0131s\u0131tlarsa ne olur?"},"content":{"rendered":"\n

Hemen her g\u00fcn binlerce insan, kanserle ilgili bir te\u015fhis, bir tedavi ya da umut haberiyle kar\u015f\u0131la\u015f\u0131yor. Bir ki\u015finin kansere yakalanmas\u0131 ya da tedavi edilmesi yaln\u0131zca bireysel bir hikayeyi de\u011fil; sa\u011fl\u0131k sisteminden bilimsel ilerlemeye, toplumsal fark\u0131ndal\u0131ktan kamu politikalar\u0131na kadar bir dizi meseleyi bize anlat\u0131yor.<\/p>\n\n\n\n

Bu nedenle m\u00fccadelenin en \u00f6nemli noktas\u0131nda da bilimsel ara\u015ft\u0131rmalar ve bunun nas\u0131l desteklendi\u011fi yer al\u0131yor. \u00dclkelerin bu alana ay\u0131rd\u0131\u011f\u0131 b\u00fct\u00e7eler ve izledikleri politikalar insanl\u0131\u011f\u0131n kanserle m\u00fccadelede nerede durdu\u011funa ya da duraca\u011f\u0131na etki ediyor. \u00dcstelik bu, yaln\u0131zca yeni ila\u00e7lar\u0131n ya da tedavi y\u00f6ntemlerinin geli\u015ftirilmesiyle s\u0131n\u0131rl\u0131 de\u011fil, erken te\u015fhisten hastal\u0131\u011f\u0131n \u00f6nlenmesine kadar uzanan geni\u015f bir alan\u0131 kaps\u0131yor.<\/p>\n\n\n\n

2025\u2019te Amerika Birle\u015fik Devletleri\u2019nden (ABD) gelen \u201ckanser ara\u015ft\u0131rmalar\u0131na b\u00fct\u00e7e kesintisi\u201d haberleri de bu durumun kanserle m\u00fccadeleye etkisiyle ilgili tart\u0131\u015fmalar\u0131 beraberinde getirdi.<\/p>\n\n\n\n

ABD Ba\u015fkan\u0131 Donald Trump, kanserle ilgili \u00f6nemli ara\u015ft\u0131rmalar\u0131n merkezi say\u0131lan Ulusal Kanser Enstit\u00fcs\u00fc\u2019n\u00fcn (NCI) fonlar\u0131n\u0131 k\u0131s\u0131tlad\u0131. Trump, y\u00fczde 37\u2019lik bir kesintiyle, enstit\u00fcye ayr\u0131lan b\u00fct\u00e7eyi 7,22 milyar <\/strong>dolardan<\/strong><\/a> 4,53 milyar dolara <\/strong>d\u00fc\u015f\u00fcrd\u00fc<\/strong><\/a>.<\/strong> Bu kesinti, Trump y\u00f6netiminin sa\u011fl\u0131k harcamalar\u0131na y\u00f6nelik s\u00fcrd\u00fcrd\u00fc\u011f\u00fc k\u0131s\u0131tlama politikalar\u0131n\u0131n sadece bir par\u00e7as\u0131n\u0131 olu\u015fturuyor<\/a>.<\/p>\n\n\n\n

Haliyle bu durum kanserle m\u00fccadelede ciddi endi\u015felere yol a\u00e7t\u0131. Uzmanlar, bu kesintilerin bilimsel ilerlemeyi durma noktas\u0131na getirece\u011fi ve milyonlarca hastan\u0131n ya\u015fam\u0131n\u0131 etkileyebilece\u011fini belirterek tepki g\u00f6sterdi<\/a>.<\/p>\n\n\n\n

Peki devlet deste\u011finin k\u0131s\u0131tland\u0131\u011f\u0131 NCI ve y\u00fcr\u00fctt\u00fc\u011f\u00fc kanser ara\u015ft\u0131rmalar\u0131 neden \u00f6nemli? <\/h2>\n\n\n\n

Bu kurum, ABD\u2019deki kanser ara\u015ft\u0131rmalar\u0131n\u0131n \u201comurgas\u0131n\u0131\u201d olu\u015fturuyor<\/a>. Kanser ara\u015ft\u0131rmalar\u0131na \u00f6nc\u00fcl\u00fck ederek \u00e7e\u015fitli fonlar sa\u011fl\u0131yor. \u00dcstelik bunu sadece ABD i\u00e7erisinde de yapm\u0131yor, d\u00fcnyan\u0131n bir\u00e7ok yerindeki ara\u015ft\u0131rmalara da destek<\/a> veriyor<\/a>. Ayr\u0131ca kanser ara\u015ft\u0131rmalar\u0131 \u00fczerine \u00e7al\u0131\u015fan uzmanlara y\u00f6nelik e\u011fitim programlar\u0131<\/a> da y\u00fcr\u00fct\u00fcyor<\/a>.<\/p>\n\n\n\n

Kurumun \u00f6nemi, veriler \u0131\u015f\u0131\u011f\u0131nda daha da netle\u015fiyor. Her y\u0131l yaln\u0131zca ABD\u2019de 2 milyondan fazla ki\u015fiye kanser te\u015fhisi konuluyor; 600 binden fazla ki\u015fi ise bu hastal\u0131k nedeniyle ya\u015fam\u0131n\u0131 yitiriyor.<\/a> D\u00fcnya genelinde ise 2022 y\u0131l\u0131nda 20 milyondan fazla ki\u015fiye kanser tan\u0131s\u0131 konuldu ve 9 milyondan fazla ki\u015fi kanserden hayat\u0131n\u0131 kaybetti. Kanser, kalp hastal\u0131klar\u0131n\u0131n ard\u0131ndan d\u00fcnyadaki en \u00f6l\u00fcmc\u00fcl ikinci hastal\u0131k<\/a> konumunda<\/a>. Her be\u015f ki\u015fiden biri ya\u015fam\u0131n\u0131n bir noktas\u0131nda kansere yakalan\u0131yor; her alt\u0131 ki\u015fiden biri ise bu hastal\u0131k nedeniyle hayat\u0131n\u0131 kaybediyor<\/a>.<\/p>\n\n\n\n

D\u00fcnya Sa\u011fl\u0131k \u00d6rg\u00fct\u00fc (DS\u00d6) tahminlerine g\u00f6re, 2050 y\u0131l\u0131na kadar yeni kanser vakalar\u0131n\u0131n 35 milyona yakla\u015fmas\u0131 bekleniyor<\/a>. Bu art\u0131\u015f ihtimali, erken tan\u0131, \u00f6nleme ve tedavi stratejilerinin daha da g\u00fc\u00e7lendirilmesi gerekti\u011fine i\u015faret<\/a> ediyor<\/a>.<\/p>\n\n\n\n

Y\u0131llar i\u00e7inde yap\u0131lan kapsaml\u0131 ara\u015ft\u0131rmalar ve geli\u015ftirilen tedavi y\u00f6ntemleri sayesinde kanserle m\u00fccadelede \u00f6nemli bir ilerleme kaydedildi. \u00d6rne\u011fin, yaln\u0131zca ABD\u2019de 1991 ile 2022 y\u0131llar\u0131 aras\u0131nda kanserden \u00f6l\u00fcm oran\u0131 y\u00fczde 34 oran\u0131nda azald\u0131<\/a>. 2001\u20132022 d\u00f6neminde bu oran her y\u0131l istikrarl\u0131 bir \u015fekilde gerilerken<\/a>, 2014\u20132023 y\u0131llar\u0131 aras\u0131nda ortalama y\u0131ll\u0131k d\u00fc\u015f\u00fc\u015f oran\u0131 y\u00fczde 1,5 olarak ger\u00e7ekle\u015fti<\/a>. Bug\u00fcn \u00fclkede 18 milyondan fazla ki\u015fi kanser tan\u0131s\u0131na ra\u011fmen ya\u015fam\u0131n\u0131 s\u00fcrd\u00fcr\u00fcyor<\/a>.<\/p>\n\n\n\n

Bu durum, devletin yapt\u0131\u011f\u0131 finansal destekle do\u011fru orant\u0131l\u0131 olarak de\u011ferlendiriliyor. Kanserden hayatta kalma oranlar\u0131n\u0131n y\u00fckselmesi ve \u00f6l\u00fcm oranlar\u0131n\u0131n azalmas\u0131nda, y\u00fcr\u00fct\u00fclen bilimsel ara\u015ft\u0131rmalar\u0131n federal fonlarla desteklenmesinin b\u00fcy\u00fck pay\u0131<\/a> bulunuyor<\/a>. <\/p>\n\n\n\n

Dolay\u0131s\u0131yla bu fonlar\u0131n kesilmesi, yeni tedavi y\u00f6ntemlerinin geli\u015ftirilmesi, erken te\u015fhis imkanlar\u0131n\u0131n iyile\u015ftirilmesi ve hastal\u0131\u011f\u0131n daha etkin bir \u015fekilde kontrol alt\u0131na al\u0131nmas\u0131na y\u00f6nelik \u00e7al\u0131\u015fmalar\u0131 ciddi bi\u00e7imde sekteye<\/a> u\u011frat\u0131yor<\/a>. Bu politikalar\u0131n sonucunda binlerce \u00e7al\u0131\u015fan i\u015ften \u00e7\u0131kar\u0131ld\u0131, \u00e7ok say\u0131da ara\u015ft\u0131rma projesi iptal edildi<\/a> ya da ertelendi<\/a>. <\/p>\n\n\n\n

NPR\u2019nin aktard\u0131\u011f\u0131na g\u00f6re, Ulusal Kanser Enstit\u00fcs\u00fc\u2019nde hibe y\u00f6neticisi olarak \u00e7al\u0131\u015fan ve bu s\u00fcre\u00e7lerden sonra i\u015finden ayr\u0131lan Sylvia Chou, yaln\u0131zca \u00e7e\u015fitlilik, e\u015fitlik ve kapsay\u0131c\u0131l\u0131k (DEI) kavramlar\u0131n\u0131 \u00e7a\u011fr\u0131\u015ft\u0131rd\u0131\u011f\u0131 i\u00e7in baz\u0131 ara\u015ft\u0131rmalar\u0131n anonim ve imzas\u0131z e-postalarla sonland\u0131r\u0131ld\u0131\u011f\u0131n\u0131 belirtiyor. Chou, bu s\u00fcreci \u201cyukar\u0131dan gelen insans\u0131z sald\u0131r\u0131lar\u201d olarak tan\u0131ml\u0131yor<\/a>.<\/p>\n\n\n\n

Kararlar\u0131n kim taraf\u0131ndan al\u0131nd\u0131\u011f\u0131n\u0131n bilinmemesi, sistem i\u00e7inde hesap verebilirli\u011fin ortadan kalkmas\u0131 olarak de\u011ferlendiriliyor. Bu durumun en ciddi sonu\u00e7lar\u0131ndan biri de, bilim insanlar\u0131n\u0131n ABD\u2019ye olan g\u00fcvenini kaybetmesi olarak g\u00f6r\u00fcl\u00fcyor<\/a>.  <\/p>\n\n\n\n

\u201cDesteklenmeyen\u201d bilimin d\u00fcnyaya etkisi<\/strong><\/h2>\n\n\n\n

\u00dcstelik bu durum sadece ABD\u2019yi etkilemiyor. NCI gibi kurumlar\u0131n y\u00fcr\u00fctt\u00fc\u011f\u00fc ara\u015ft\u0131rmalar, d\u00fcnya genelindeki sa\u011fl\u0131k politikalar\u0131n\u0131 do\u011frudan etkiliyor.<\/strong> Burada geli\u015ftirilen ila\u00e7lar, tan\u0131 y\u00f6ntemleri ve tarama protokolleri k\u00fcresel standartlar\u0131n olu\u015fmas\u0131nda belirleyici rol oynuyor. Dolay\u0131s\u0131yla kanser ara\u015ft\u0131rmalar\u0131ndaki y\u00f6nelimler, uluslararas\u0131 sa\u011fl\u0131k stratejilerinin \u015fekillenmesinde kritik bir etkiye<\/a> sahip<\/a>. <\/p>\n\n\n\n

\u00d6rne\u011fin, rahim a\u011fz\u0131 kanseri gibi ciddi hastal\u0131klara yol a\u00e7an \u0130nsan papilloma vir\u00fcs\u00fc (HPV) ile m\u00fccadelede \u00f6nemli bir d\u00f6n\u00fcm noktas\u0131 olarak de\u011ferlendirilen HPV a\u015f\u0131s\u0131, 2006 y\u0131l\u0131nda kullan\u0131ma sunuldu. Bu a\u015f\u0131n\u0131n geli\u015ftirilme s\u00fcrecinde, NCI ve Avustralya gibi \u00fclkelerdeki ara\u015ft\u0131rmac\u0131lar\u0131n y\u00fcr\u00fctt\u00fc\u011f\u00fc bilimsel \u00e7al\u0131\u015fmalar belirleyici bir<\/a> rol<\/a> oynad\u0131<\/a>. G\u00fcn\u00fcm\u00fczde bu a\u015f\u0131, d\u00fcnya genelinde rahim a\u011fz\u0131 kanserinin \u00f6nlenmesinde en etkili y\u00f6ntemlerden biri olmaya devam ediyor<\/a>.<\/p>\n\n\n\n

Bir di\u011fer \u00f6nemli \u00f6rnek ise akci\u011fer kanserinin erken te\u015fhisine y\u00f6nelik y\u00fcr\u00fct\u00fclen \u00e7al\u0131\u015fmalarda ortaya \u00e7\u0131k\u0131yor. NCI taraf\u0131ndan ger\u00e7ekle\u015ftirilen ve 53 binden fazla ki\u015finin kat\u0131ld\u0131\u011f\u0131 National Lung Screening Trial (NLST) adl\u0131 b\u00fcy\u00fck klinik \u00e7al\u0131\u015fma, d\u00fc\u015f\u00fck doz bilgisayarl\u0131 tomografi (BT) taramas\u0131n\u0131n akci\u011fer kanserine ba\u011fl\u0131 \u00f6l\u00fcm oranlar\u0131n\u0131 y\u00fczde 20 oran\u0131nda azaltt\u0131\u011f\u0131n\u0131 ortaya koydu. Bu sonu\u00e7, ABD\u2019de ulusal tarama k\u0131lavuzlar\u0131n\u0131n g\u00fcncellenmesine \u00f6nc\u00fcl\u00fck etmi\u015f ve bir\u00e7ok \u00fclkenin benzer erken te\u015fhis programlar\u0131n\u0131 hayata ge\u00e7irmesini<\/a> sa\u011flad\u0131<\/a>.<\/p>\n\n\n\n

Kanserle m\u00fccadeleye y\u00f6nelik bilimsel \u00e7al\u0131\u015fmalar yaln\u0131zca ABD ile s\u0131n\u0131rl\u0131 de\u011fil; bir\u00e7ok \u00fclkede faaliyet g\u00f6steren ara\u015ft\u0131rma kurumlar\u0131 da bu alanda hayati \u00f6neme sahip \u00e7al\u0131\u015fmalar y\u00fcr\u00fct\u00fcyor. Yine bu kurumlar\u0131n desteklenmesi m\u00fccadelenin gelece\u011fini belirliyor.<\/p>\n\n\n\n

\u00d6rne\u011fin, Avustralya, kanserle m\u00fccadelede y\u00fcr\u00fct\u00fclen ara\u015ft\u0131rmalar\u0131 kamu kaynaklar\u0131yla destekleyen \u00fclkeler aras\u0131nda yer<\/a> al\u0131yor<\/a>.<\/p>\n\n\n\n

Avustralya devleti, 2024\u20132025 d\u00f6neminde yaln\u0131zca National Health and Medical Research Council arac\u0131l\u0131\u011f\u0131yla kanser ara\u015ft\u0131rmalar\u0131na 164,7 milyon Avustralya dolar\u0131, Medical Research Future Fund \u00fczerinden de 10 y\u0131l boyunca toplam 6,5 milyar dolar kaynak<\/a> ay\u0131r\u0131yor<\/a>. Bunun yan\u0131nda beyin kanserine \u00f6zel 126,4 milyon dolar ve nadir kanserler i\u00e7in klinik denemelere 750 milyon dolar<\/a> ayr\u0131lm\u0131\u015f<\/a> durumda<\/a>.<\/p>\n\n\n\n

Bu fonlar yaln\u0131zca yeni ila\u00e7 geli\u015ftirmeyi de\u011fil, erken te\u015fhis, tarama programlar\u0131 ve \u00f6nleme stratejilerini de kaps\u0131yor. 2025\u2019te \u00fclkede yakla\u015f\u0131k 170 bin yeni kanser vakas\u0131 beklenirken, 5 y\u0131ll\u0131k hayatta kalma oran\u0131 y\u00fczde 72\u2019ye y\u00fckselmi\u015f; \u00f6l\u00fcm oranlar\u0131 ise son 20 y\u0131lda belirgin<\/a> bi\u00e7imde<\/a> azalm\u0131\u015f<\/a> durumda<\/a>.<\/p>\n\n\n\n

\u0130ngiltere\u2019de de benzer bir durum s\u00f6z konusu. Hem kamu kurumlar\u0131 hem de yard\u0131m kurulu\u015flar\u0131 arac\u0131l\u0131\u011f\u0131yla kanser ara\u015ft\u0131rmalar\u0131na finansal destek<\/a> sa\u011flan\u0131yor<\/a>. 2021 y\u0131l\u0131nda \u00fclkede yakla\u015f\u0131k 395 bin 181 yeni kanser vakas\u0131 ve 168 bin 873 kanserle ili\u015fkili \u00f6l\u00fcm<\/a> kaydedildi<\/a>. 1970\u2019lerden bu yana kanser \u00f6l\u00fcmlerinde y\u00fczde 20\u2019nin \u00fczerinde d\u00fc\u015f\u00fc\u015f g\u00f6zlemleniyor<\/a>.<\/p>\n\n\n\n

Kanada\u2019da kanser ara\u015ft\u0131rmalar\u0131na finansal destek sa\u011flayan \u00fclkeler aras\u0131nda. Kanada\u2019da kanser ara\u015ft\u0131rmalar\u0131na y\u0131ll\u0131k ortalama 500 milyon dolar yat\u0131r\u0131m yap\u0131l\u0131yor<\/a>. Erken te\u015fhis ve kanseri \u00f6nleme \u00fczerine klinik ara\u015ft\u0131rmalar<\/a> y\u00fcr\u00fct\u00fcl\u00fcyor<\/a>. Ara\u015ft\u0131rmalar, \u00fclkede kanser vakalar\u0131 ve \u00f6l\u00fcm oranlar\u0131nda genel olarak d\u00fc\u015f\u00fc\u015f g\u00f6zlemlendi\u011fini g\u00f6steriyor; ancak ya\u015flanan n\u00fcfus nedeniyle kanser vakalar\u0131n\u0131n artma olas\u0131l\u0131\u011f\u0131 oldu\u011fu da belirtiliyor<\/a>. <\/p>\n\n\n\n

Dolay\u0131s\u0131yla kanser ara\u015ft\u0131rmalar\u0131na ayr\u0131lan kamu kaynaklar\u0131n\u0131n ya\u015fama etkisi g\u00f6r\u00fcnd\u00fc\u011f\u00fcnden daha fazla. Bu alandaki finansal deste\u011fin art\u0131r\u0131lmas\u0131 veya azalt\u0131lmas\u0131, erken te\u015fhis, hayatta kalma oranlar\u0131, yeni tedavi y\u00f6ntemlerinin geli\u015ftirilmesine etki ediyor. Uluslararas\u0131 alanda y\u00fcr\u00fct\u00fclen \u00e7al\u0131\u015fmalar, ara\u015ft\u0131rma fonlar\u0131n\u0131n \u00f6l\u00fcm oranlar\u0131nda d\u00fc\u015f\u00fc\u015fe ve ya\u015fam s\u00fcrelerinde art\u0131\u015fa etki sa\u011flad\u0131\u011f\u0131 a\u00e7\u0131k bi\u00e7imde g\u00f6steriyor. <\/p>\n","protected":false},"excerpt":{"rendered":"

Kanser ara\u015ft\u0131rmalar\u0131na ayr\u0131lan kamu kaynaklar\u0131n\u0131n ya\u015fama etkisi g\u00f6r\u00fcnd\u00fc\u011f\u00fcnden daha fazla. Bu alandaki finansal deste\u011fin azalt\u0131lmas\u0131; erken te\u015fhis, hayatta kalma oranlar\u0131 ve yeni tedavi y\u00f6ntemlerinin geli\u015ftirilmesini do\u011frudan sekteye u\u011fratarak k\u00fcresel sa\u011fl\u0131k standartlar\u0131n\u0131 ve milyonlarca hastan\u0131n gelece\u011fini tehdit ediyor.<\/p>\n","protected":false},"author":259975462,"featured_media":3043,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[581578564],"tags":[581578768,581578714,581578766,581578767],"class_list":["post-3028","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kanser-gercekleri","tag-arastirmafonlari","tag-kanser-3","tag-kanserbutce","tag-healthpolicies"],"yoast_head":"\nBir \u00fclke kanser ara\u015ft\u0131rmalar\u0131na ay\u0131rd\u0131\u011f\u0131 b\u00fct\u00e7eyi k\u0131s\u0131tlarsa ne olur? - CancerDisinfo<\/title>\n<meta name=\"description\" content=\"ABD'de NCI b\u00fct\u00e7esinde yap\u0131lan \u2019lik kesinti, kanserle m\u00fccadeleyi nas\u0131l etkileyecek? 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