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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
Conclusions: Annual fecal occult-blood testing decreased the 13 year cumulative mortality from colorectal cancer by 33 percent. (Minnesota Study)
@LucColemont
1993
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
Flemish screening program colon cancer
56 7450
European GuidelinesFebruary 2011
#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
% 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
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
5 maart 2015 16.41
7 political parties, same point-of-view, it’s possible
#monstercoalitie
March 5, 2015
#ECCDbrno @LucColemont