GOOD NEWS BAD NEWS
#ECCDbrno @LucColemont
GOOD NEWS BAD NEWS
FLANDRES screening program2014 (preliminary) results
#ECCDbrno @LucColemont
GOOD NEWS BAD NEWS
FLANDRES screening program2014 (preliminary) results
between I – IV ECCD Brnö
#ECCDbrno @LucColemont
GOOD NEWS BAD NEWS
FLANDRES screening program2014 (preliminary) results 650.000 CRC deaths
between I – IV ECCD Brnö
#ECCDbrno @LucColemont
M T W T F S S 12 new CRC cases/month
#ECCDbrno @LucColemont
CRC SCREENING
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1993 2003 2013
Conclusions: Annual fecal occult-blood testing decreased the 13 year cumulative mortality from colorectal cancer by 33 percent. (Minnesota Study)
@LucColemont
1993
#ECCDbrno @LucColemont
2003
2013#ECCDbrno @LucColemont
3 February 2011European Guidelines
#ECCDbrno @LucColemont
13
5
NEW CASES
DEATHS
EVERY DAY
#ECCDbrno @LucColemont
#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
#ECCDbrno @LucColemont
THE “WINNING” NUMBERS
2015
68
58 60
66 70
56
72 74
62 64
@LucColemont
Flemish screening program colon cancer
56 7450
European GuidelinesFebruary 2011
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
2014
314.513
48% participation
7,7% positive
#ECCDbrno @LucColemont
Results Flandres (5 provinces)
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FLANDRES Preliminar participation % 2014
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
2014
? colonoscopies
? tumors
? polyps
2014
#ECCDbrno @LucColemont
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
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
% colonoscopies via FSP
95387%
14713%
Totaal aantal coloscopiesColoscopies via BVO
#ECCDbrno @LucColemont
Colonoscopy Load
#ECCDbrno @LucColemont
Colonoscopy Load
#ECCDbrno @LucColemont
Colonoscopy Load
#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 %
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
#ECCDbrno @LucColemont
147 FIT-positivepatients FSP
I am not a surgeon...
but a gastroenterologist who can cut
#ECCDbrno @LucColemont
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
#ECCDbrno @LucColemont
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
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
Participation rate 46 %
#ECCDbrno @LucColemont
Participation rate 46 %
Positive FIT7.2 %
#ECCDbrno @LucColemont
Participation rate 46 %
Positive FIT7.2 %
Referral for colonoscopy 52.4 %
#ECCDbrno @LucColemont
IN 2015 INNOCENT PEOPLE ARE DYINGBECAUSE OF A LACK OF INFORMATION
#ECCDbrno @LucColemont
Lack of knowledge of colon cancer
#ECCDbrno @LucColemont
FEBRUARY 2010
OUR BUDGET 0.000 Euro
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
#ALSIceBucketChallenge
#ECCDbrno @LucColemont
WORKING GROUP
ACTION GROUP
#ECCDbrno @LucColemont
BEST ONLINE NON-PROFIT CAMPAIGN“GOLD AWARD 2014”
@LucColemont
#ECCDbrno @LucColemont
A TRAIN THAT SAVES LIVES!
7500 euro
3900 euro
DIBA’sDress in Blue Awards
ex-MEP Frieda Brepoels
@LucColemont
#BSW15
@LucColemont
#ECCDbrno @LucColemont
5 maart 2015 16.41
7 political parties, same point-of-view, it’s possible
#monstercoalitie
March 5, 2015
#ECCDbrno @LucColemont
We absolutely agree,save yourself, do the test!
#MONSTERCOALITIE
We absolutely agree,save yourself, do the test!
#MONSTERCOALITIE
Flemish Minister of Health Jo Vandeurzen
#ECCDbrno @LucColemont
#MONSTERCOALITIEMarch 6, 2015
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
DO YOU KNOW THE NUMBERS OF CRC ?
#ECCDbrno @LucColemont
DO YOU KNOW THE NUMBERS OF CRC ?
YOU REALIZE
#ECCDbrno @LucColemont
2015
81.400 CRC deaths
@LucColemont
580
EVERY DAY
deaths
1
EVERY 3 MINUTES
death
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