Guided by the core philosophy of lifelong health management, Guangzhou Royal Lee Cancer Hospital has established a dedicated Chronic Disease Management Center. Leveraging the hospital’s strong clinical and research expertise in oncology, the Center focuses on the precision management of cancer-related chronic conditions and high-prevalence chronic diseases, with the overarching goal of enabling patients to achieve "high-quality living with chronic conditions".

Through an integrated Prevention–Intervention–Rehabilitation–Follow-up model, the Center provides comprehensive, continuous care for cancer survivors while also building a strong health protection framework for individuals at high risk of chronic diseases and cancer. This holistic approach ensures that diverse patient needs are addressed across the entire disease trajectory.

Unlike conventional chronic disease clinics, the Chronic Disease Management Center is built upon the hospital’s oncology specialty foundation and JCI-accredited quality management system. By innovatively integrating oncology rehabilitation, anti-aging medicine, and functional medicine into chronic disease care, the Center supports international patients—particularly those with a history of cancer or elevated health risks—in transitioning from reactive disease treatment to proactive health management, ultimately realizing the vision of living well with chronic disease.

I. Positioning and Key Features

As an essential component of the hospital’s integrated ecosystem combining oncology care and comprehensive health management, the Center is positioned to fully leverage oncology expertise while achieving deep integration between chronic disease management and cancer prevention. Distinct from traditional general hospital chronic care departments, the Center is characterized by three key strengths:

1. Precision Management of Cancer-Related Chronic Conditions

Cancer is increasingly recognized as a chronic condition requiring long-term management. The Center has established standardized long-term follow-up and monitoring pathways, providing individualized interventions for chronic complications related to cancer treatment—such as cardiovascular toxicity, endocrine dysfunction, and treatment-related neuropathy—thereby addressing gaps in post-treatment survivorship care.

2. Multidisciplinary Team (MDT)–Based Care

The Center integrates expertise from oncology, gastroenterology, endocrinology, pain management, clinical nutrition, and psychosocial medicine. Through MDT consultations, complex cases—such as cancer patients with metabolic disorders or chronic inflammatory conditions—are evaluated comprehensively to ensure scientifically sound and individualized management strategies.

3. Integration of International Standards and Personalized Services

All clinical pathways adhere to JCI international healthcare standards, while care plans are tailored to the cultural backgrounds, lifestyles, and clinical expectations of international patients. Multilingual medical services and customized follow-up programs ensure a balance between medical rigor and patient-centered care.

II. Five Core Categories of Chronic Disease Management

Based on the prevalence of chronic conditions among international patients and the specific needs of cancer-related chronic disease care, the Center focuses on five key domains:

1. Cardiovascular and Metabolic Diseases

Including hypertension, dyslipidemia, diabetes, and obesity, with particular emphasis on screening and intervention for cardiotoxicity following cancer therapies. Precision diagnostics, pharmacologic management, and lifestyle guidance are applied to reduce the risk of cardiovascular and cerebrovascular events.

2. Chronic Respiratory Diseases

Covering chronic bronchitis, chronic obstructive pulmonary disease (COPD), and asthma. The Center provides early screening and lung function protection for high-risk populations, such as individuals with a history of smoking or lung cancer family history, as well as targeted pulmonary rehabilitation for cancer survivors.

3. Digestive System Chronic Diseases

Including chronic gastritis, peptic ulcer disease, and chronic enteritis. Special attention is given to early detection of gastrointestinal cancers in high-risk populations, alongside rehabilitation support for gastrointestinal dysfunctions following cancer treatment.

4. Endocrine and Metabolism-Related Chronic Conditions

Addressing thyroid disorders, metabolic syndrome, and hormone imbalances. The Center provides precise regulation for endocrine disturbances induced or exacerbated by cancer therapies, safeguarding long-term functional health and quality of life.

5. Cancer-Related Specialized Chronic Disease Management

As a core specialty, this domain includes:Long-term surveillance and follow-up for cancer as a chronic condition, Standardized cancer pain management, Nutritional support and metabolic optimization, Psychological rehabilitation and emotional support, Cancer screening and early detection for high-risk individuals (e.g., family history of lung or gastric cancer)

III. Benefits for International Patients: Comprehensive, High-Quality Long-Term Care

The Chronic Disease Management Center is designed around the real-world needs of international patients. Through professional and personalized services, patient benefits are reflected in four key areas:

1. Integrated Cancer and Chronic Disease Management

For cancer survivors, the Center ensures seamless coordination between oncologic follow-up and chronic disease care. Treatment-related complications—such as cardiotoxicity or endocrine disorders—are monitored proactively, while standardized pain management significantly improves symptom control and overall quality of life.

2. Precision Screening and Early Detection

For individuals with a family history or elevated cancer risk, the Center utilizes advanced diagnostic resources—including 3.0T MRI, 128-slice spectral CT, and PET-CT—to enable ultra-early cancer detection. MDT evaluations support personalized prevention and intervention strategies, reducing long-term cancer risk.

3. Personalized, Lifelong Health Management

Each international patient is supported through a lifelong electronic health record and guided by a dedicated health manager. Services include multilingual clinical communication, individualized nutrition planning, remote follow-up, and ongoing treatment optimization—ensuring continuity of care regardless of geographic location.

4. Integrated Physical and Psychological Rehabilitation

Beyond physical disease management, the Center places strong emphasis on mental well-being. Professional psychological support addresses anxiety, depression, and emotional distress commonly associated with cancer and chronic illness, while coordinated nutrition and exercise guidance supports comprehensive recovery and long-term vitality.

Anchored in oncology specialization, guided by international standards, and centered on patient needs, the Chronic Disease Management Center of Guangzhou Royal Lee Cancer Hospital is committed to delivering precise, comprehensive, and human-centered chronic disease care for patients worldwide. The Center aspires to become a trusted long-term health partner for international patients seeking sustainable, high-quality living with chronic conditions.