Colorectal Cancer Screening - "Latest news from Flandres" - 2015

GOOD NEWS BAD NEWS

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GOOD NEWS BAD NEWS

FLANDRES screening program2014 (preliminary) results

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GOOD NEWS BAD NEWS

FLANDRES screening program2014 (preliminary) results

between I – IV ECCD Brnö

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GOOD NEWS BAD NEWS

FLANDRES screening program2014 (preliminary) results 650.000 CRC deaths

between I – IV ECCD Brnö

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M T W T F S S 12 new CRC cases/month

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CRC SCREENING

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1993 2003 2013

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1993

Conclusions: Annual fecal occult-blood testing decreased the 13 year cumulative mortality from colorectal cancer by 33 percent. (Minnesota Study)

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1993

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2003

2013#ECCDbrno @LucColemont

3 February 2011European Guidelines

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13

5

NEW CASES

DEATHS

EVERY DAY

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#ECCDbrno @LucColemont

1993 2003 2013oct

Flemish screening program colon cancer

56 74

- invitation letter Flemish government- one sample FIT- biannual- 75 ng/ml- 1 laboratory- “free” colonoscopy centers

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THE “WINNING” NUMBERS

2015

68

58 60

66 70

56

72 74

62 64

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Flemish screening program colon cancer

56 7450

European GuidelinesFebruary 2011

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2014

314.513

48% participation

7,7% positive

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Results Flandres (5 provinces)

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FLANDRES Preliminar participation % 2014

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2014

? colonoscopies

? tumors

? polyps

2014

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ColonIS

Flemish screening program colorectal cancer

Results colonoscopies after positive FIT-test January-June 2014

Department GastroenterologySt-Vincentius Hospital

GZA Antwerp

Camille Verellen: 3° Master MedicineSophie Van Steenbergen: 3° Master MedicineBram Dispa: Bachelor Nursingi.c.w. Dr. Luc Colemont

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#ECCDbrno @LucColemont

% colonoscopies via FSP

95387%

14713%

Totaal aantal coloscopiesColoscopies via BVO

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Colonoscopy Load

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Colonoscopy Load

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Colonoscopy Load

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Aantal patiënten0

20

40

60

80

100

120

140

160

Patients with polyp(s)Patients with tumorPatients "normal"

63,7 %

9,6 %

26,7 %

147 FIT-positivepatients FSP

#ECCDbrno @LucColemont

Aantal patiënten0

20

40

60

80

100

120

140

160

Patients with polyp(s)Patients with tumorPatients "normal"

63,7 %

9,6 %

26,7 %9 men

5 women

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147 FIT-positivepatients FSP

°1952

I am not a surgeon...

but a gastroenterologist who can cut

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°1952

Tumor stagingSex TNM classification Stage Age

Man Tis 0 68Man cT1N0M0 I 58Man pT1N0M0 I 74Man T2N0M0 I 74Man pT3N0M0 IIa 67Man pT3N0M0 IIa 67Man pT3N0M0 IIa 56Man pT2N1aM0 IIIa 70Man T1-2N1M0 IIIa 61Woman pT3N1aM0 IIIb 74Woman pT1N0M0 I 73Woman pT1N0M0 I 58Woman pT1N1M0 IIIa 68Woman cT3N1M0 IIIb 71

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Tumor locationLocation Number

Caecum 0

Ascending colon 0

Liver flexure 0

Transverse colon 1

Splenic flexure 1

Descending colon 2

Sigmoïd 3

Rectosigmoïd 1

Rectum 60

1

2

3

4

5

6

0 0 0

1 1

2

3

1

6

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#ECCDbrno @LucColemont

Participation rate 46 %

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Participation rate 46 %

Positive FIT7.2 %

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Participation rate 46 %

Positive FIT7.2 %

Referral for colonoscopy 52.4 %

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IN 2015 INNOCENT PEOPLE ARE DYINGBECAUSE OF A LACK OF INFORMATION

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Lack of knowledge of colon cancer

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FEBRUARY 2010

OUR BUDGET 0.000 Euro

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#ALSIceBucketChallenge

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WORKING GROUP

ACTION GROUP

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BEST ONLINE NON-PROFIT CAMPAIGN“GOLD AWARD 2014”

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A TRAIN THAT SAVES LIVES!

7500 euro

3900 euro

DIBA’sDress in Blue Awards

ex-MEP Frieda Brepoels

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#BSW15

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5 maart 2015 16.41

7 political parties, same point-of-view, it’s possible

#monstercoalitie

March 5, 2015

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#MONSTERCOALITIE

We absolutely agree,save yourself, do the test!

#MONSTERCOALITIE

We absolutely agree,save yourself, do the test!

#MONSTERCOALITIE

Flemish Minister of Health Jo Vandeurzen

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#MONSTERCOALITIEMarch 6, 2015

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DO YOU KNOW THE NUMBERS OF CRC ?

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DO YOU KNOW THE NUMBERS OF CRC ?

YOU REALIZE

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2015

2015

81.400 CRC deaths

@LucColemont

580

EVERY DAY

deaths

1

EVERY 3 MINUTES

death

2 Xevery day

WE MUST STOP COLON CANCER !

#ECCDbrno @LucColemont

@LucColemont

#ECCDbrno @LucColemont

@LucColemont

#GDVA14

If someone in the family has colon cancer, the whole family has colon cancer...

@LucColemont