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

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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

#ECCDbrno @LucColemont

1993 2003 2013

@LucColemont

1993

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

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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

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Results Flandres (5 provinces)

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FLANDRES Preliminar participation % 2014

#ECCDbrno @LucColemont

#ECCDbrno @LucColemont

2014

? colonoscopies

? tumors

? polyps

2014

#ECCDbrno @LucColemont

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

#ECCDbrno @LucColemont

#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

°1952

I am not a surgeon...

but a gastroenterologist who can cut

#ECCDbrno @LucColemont

°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

#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

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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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#ECCDbrno @LucColemont

#ALSIceBucketChallenge

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WORKING GROUP

ACTION GROUP

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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

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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

#ECCDbrno @LucColemont

#MONSTERCOALITIEMarch 6, 2015

#ECCDbrno @LucColemont

#ECCDbrno @LucColemont

DO YOU KNOW THE NUMBERS OF CRC ?

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DO YOU KNOW THE NUMBERS OF CRC ?

YOU REALIZE

#ECCDbrno @LucColemont

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