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GOOD NEWS BAD NEWS
#ECCDbrno @LucColemont
GOOD NEWS BAD NEWS
FLANDRES screening program
2014 (preliminary) results
#ECCDbrno @LucColemont
GOOD NEWS BAD NEWS
FLANDRES screening program
2014 (preliminary) results
between I – IV ECCD Brnö
#ECCDbrno @LucColemont
GOOD NEWS BAD NEWS
FLANDRES screening program
2014 (preliminary) results
650.000 CRC deaths
between I – IV ECCD Brnö
#ECCD...
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 per...
#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...
THE “WINNING” NUMBERS
2015
68
58 60
66 70
56
72 74
62 64
@LucColemont
Flemish screening program colon cancer
56 7450
European Guidelines
February 2011
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
#ECCDbrno @LucColemont
2014
314.513
48% participation
7,7% positive
#ECCDbrno @LucColemont
Results Flandres
(5 provinces)
#ECCDbrno @LucColemont
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 Gas...
#ECCDbrno @LucColemont
% colonoscopies via FSP
Total number
colonoscopies
n = 1134
100%
via FSP
n = 147
13,0%
953
87%
147
13%
Totaal aantal colos...
Colonoscopy Load
Number of colonoscopies during 6 months
1134
Via FSP
146
(13%)
GI (6)
GI/week
#ECCDbrno @LucColemont
Colonoscopy Load
Number of colonoscopies during 6 months
1134
Via FSP
146
(13%)
GI (6)
24,3
GI/week
#ECCDbrno @LucColemont
Colonoscopy Load
Number of colonoscopies during 6 months
1134
Via FSP
146
(13%)
GI (6)
24,3
GI/week
0,95
#ECCDbrno @LucCol...
0
20
40
60
80
100
120
140
160
Aantal patiënten
Patients with polyp(s)
Patients with tumor
Patients "normal"
63,7 %
9,6 %
2...
0
20
40
60
80
100
120
140
160
Aantal patiënten
Patients with polyp(s)
Patients with tumor
Patients "normal"
63,7 %
9,6 %
2...
°1952
I am not a surgeon...
but a gastroenterologist who can cut
#ECCDbrno @LucColemont
°1952
Tumor staging
Sex TNM classification Stage Age
Man Tis 0 68
Man cT1N0M0 I 58
Man pT1N0M0 I 74
Man T2N0M0 I 74
Man pT3N0M0 ...
Tumor location
Location Number
Caecum 0
Ascending colon 0
Liver flexure 0
Transverse colon 1
Splenic flexure 1
Descending ...
#ECCDbrno @LucColemont
Participation rate 46 %
#ECCDbrno @LucColemont
Participation rate 46 %
Positive FIT 7.2 %
#ECCDbrno @LucColemont
Participation rate 46 %
Positive FIT 7.2 %
Referral for colonoscopy 52.4 %
#ECCDbrno @LucColemont
IN 2015 INNOCENT PEOPLE ARE DYING
BECAUSE 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!
DIBA’s
Dress 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 @LucCol...
#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
#MONSTERCOALITIE
March 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
2015
81.400 CRC deaths
@LucColemont
580
EVERY DAY
deaths
1
EVERY 3 MINUTES
death
2 X
every 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
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
Colorectal Cancer Screening - "Latest news from Flandres" - 2015
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Colorectal Cancer Screening - "Latest news from Flandres" - 2015

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Keynote given at the IVth European Colorectal Cancer Days in Brnö (Czech Republic) 29-30 May 2015

Publicado en: Salud y medicina

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

  1. 1. GOOD NEWS BAD NEWS #ECCDbrno @LucColemont
  2. 2. GOOD NEWS BAD NEWS FLANDRES screening program 2014 (preliminary) results #ECCDbrno @LucColemont
  3. 3. GOOD NEWS BAD NEWS FLANDRES screening program 2014 (preliminary) results between I – IV ECCD Brnö #ECCDbrno @LucColemont
  4. 4. GOOD NEWS BAD NEWS FLANDRES screening program 2014 (preliminary) results 650.000 CRC deaths between I – IV ECCD Brnö #ECCDbrno @LucColemont
  5. 5. M T W T F S S 12 new CRC cases/month #ECCDbrno @LucColemont
  6. 6. CRC SCREENING #ECCDbrno @LucColemont 1993 2003 2013
  7. 7. @LucColemont 1993
  8. 8. Conclusions: Annual fecal occult-blood testing decreased the 13 year cumulative mortality from colorectal cancer by 33 percent. (Minnesota Study) @LucColemont 1993
  9. 9. #ECCDbrno @LucColemont 2003
  10. 10. 2013 #ECCDbrno @LucColemont
  11. 11. 3 February 2011European Guidelines #ECCDbrno @LucColemont
  12. 12. 13 5 NEW CASES DEATHS EVERY DAY #ECCDbrno @LucColemont
  13. 13. #ECCDbrno @LucColemont 1993 2003 2013oct
  14. 14. 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
  15. 15. THE “WINNING” NUMBERS 2015 68 58 60 66 70 56 72 74 62 64 @LucColemont
  16. 16. Flemish screening program colon cancer 56 7450 European Guidelines February 2011 #ECCDbrno @LucColemont
  17. 17. #ECCDbrno @LucColemont
  18. 18. #ECCDbrno @LucColemont
  19. 19. 2014 314.513 48% participation 7,7% positive #ECCDbrno @LucColemont
  20. 20. Results Flandres (5 provinces) #ECCDbrno @LucColemont
  21. 21. FLANDRES Preliminar participation % 2014 #ECCDbrno @LucColemont
  22. 22. #ECCDbrno @LucColemont
  23. 23. 2014 ? colonoscopies ? tumors ? polyps 2014 #ECCDbrno @LucColemont
  24. 24. ColonIS
  25. 25. Flemish screening program colorectal cancer Results colonoscopies after positive FIT-test January-June 2014 Department Gastroenterology St-Vincentius Hospital GZA Antwerp Camille Verellen: 3° Master Medicine Sophie Van Steenbergen: 3° Master Medicine Bram Dispa: Bachelor Nursing i.c.w. Dr. Luc Colemont #ECCDbrno @LucColemont
  26. 26. #ECCDbrno @LucColemont
  27. 27. % colonoscopies via FSP Total number colonoscopies n = 1134 100% via FSP n = 147 13,0% 953 87% 147 13% Totaal aantal coloscop Coloscopies via BVO #ECCDbrno @LucColemont
  28. 28. Colonoscopy Load Number of colonoscopies during 6 months 1134 Via FSP 146 (13%) GI (6) GI/week #ECCDbrno @LucColemont
  29. 29. Colonoscopy Load Number of colonoscopies during 6 months 1134 Via FSP 146 (13%) GI (6) 24,3 GI/week #ECCDbrno @LucColemont
  30. 30. Colonoscopy Load Number of colonoscopies during 6 months 1134 Via FSP 146 (13%) GI (6) 24,3 GI/week 0,95 #ECCDbrno @LucColemont
  31. 31. 0 20 40 60 80 100 120 140 160 Aantal patiënten Patients with polyp(s) Patients with tumor Patients "normal" 63,7 % 9,6 % 26,7 % 147 FIT-positive patients FSP #ECCDbrno @LucColemont
  32. 32. 0 20 40 60 80 100 120 140 160 Aantal patiënten Patients with polyp(s) Patients with tumor Patients "normal" 63,7 % 9,6 % 26,7 % 9 men 5 women #ECCDbrno @LucColemont 147 FIT-positive patients FSP
  33. 33. °1952
  34. 34. I am not a surgeon... but a gastroenterologist who can cut #ECCDbrno @LucColemont
  35. 35. °1952
  36. 36. Tumor staging Sex TNM classification Stage Age Man Tis 0 68 Man cT1N0M0 I 58 Man pT1N0M0 I 74 Man T2N0M0 I 74 Man pT3N0M0 IIa 67 Man pT3N0M0 IIa 67 Man pT3N0M0 IIa 56 Man pT2N1aM0 IIIa 70 Man T1-2N1M0 IIIa 61 Woman pT3N1aM0 IIIb 74 Woman pT1N0M0 I 73 Woman pT1N0M0 I 58 Woman pT1N1M0 IIIa 68 Woman cT3N1M0 IIIb 71 #ECCDbrno @LucColemont
  37. 37. Tumor location Location Number Caecum 0 Ascending colon 0 Liver flexure 0 Transverse colon 1 Splenic flexure 1 Descending colon 2 Sigmoïd 3 Rectosigmoïd 1 Rectum 6 0 1 2 3 4 5 6 0 0 0 1 1 2 3 1 6 #ECCDbrno @LucColemont
  38. 38. #ECCDbrno @LucColemont
  39. 39. Participation rate 46 % #ECCDbrno @LucColemont
  40. 40. Participation rate 46 % Positive FIT 7.2 % #ECCDbrno @LucColemont
  41. 41. Participation rate 46 % Positive FIT 7.2 % Referral for colonoscopy 52.4 % #ECCDbrno @LucColemont
  42. 42. IN 2015 INNOCENT PEOPLE ARE DYING BECAUSE OF A LACK OF INFORMATION #ECCDbrno @LucColemont
  43. 43. Lack of knowledge of colon cancer #ECCDbrno @LucColemont
  44. 44. FEBRUARY 2010 OUR BUDGET 0.000 Euro #ECCDbrno @LucColemont
  45. 45. #ECCDbrno @LucColemont
  46. 46. #ALSIceBucketChallenge #ECCDbrno @LucColemont
  47. 47. WORKING GROUP ACTION GROUP #ECCDbrno @LucColemont
  48. 48. BEST ONLINE NON-PROFIT CAMPAIGN “GOLD AWARD 2014”
  49. 49. @LucColemont #ECCDbrno @LucColemont
  50. 50. A TRAIN THAT SAVES LIVES!
  51. 51. DIBA’s Dress in Blue Awards ex-MEP Frieda Brepoels @LucColemont #BSW15
  52. 52. @LucColemont #ECCDbrno @LucColemont
  53. 53. 5 maart 2015 16.41 7 political parties, same point-of-view, it’s possible #monstercoalitie March 5, 2015 #ECCDbrno @LucColemont
  54. 54. #MONSTERCOALITIE
  55. 55. We absolutely agree, save yourself, do the test! #MONSTERCOALITIE
  56. 56. We absolutely agree, save yourself, do the test! #MONSTERCOALITIE
  57. 57. Flemish Minister of Health Jo Vandeurzen #ECCDbrno @LucColemont
  58. 58. #MONSTERCOALITIE March 6, 2015
  59. 59. #ECCDbrno @LucColemont
  60. 60. #ECCDbrno @LucColemont
  61. 61. DO YOU KNOW THE NUMBERS OF CRC ? #ECCDbrno @LucColemont
  62. 62. DO YOU KNOW THE NUMBERS OF CRC ? YOU REALIZE #ECCDbrno @LucColemont
  63. 63. 2015
  64. 64. 2015 81.400 CRC deaths @LucColemont
  65. 65. 580 EVERY DAY deaths
  66. 66. 1 EVERY 3 MINUTES death
  67. 67. 2 X every day
  68. 68. WE MUST STOP COLON CANCER ! #ECCDbrno @LucColemont
  69. 69. @LucColemont #ECCDbrno @LucColemont
  70. 70. @LucColemont #GDVA14
  71. 71. If someone in the family has colon cancer, the whole family has colon cancer... @LucColemont

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