Keynote given at Europacolon's 1st "Advocacy Master Class" in Warsaw (Poland) 6-8th November 2015

2. GOOD NEWS BAD NEWS
@LucColemont

3. GOOD NEWS BAD NEWS
FLANDRES screening program
2014 results
@LucColemont

4. GOOD NEWS BAD NEWS
FLANDRES screening program
2014 results
@LucColemont
since Barcelona 2013

5. GOOD NEWS BAD NEWS
FLANDRES screening program
2014 results
@LucColemont
since Barcelona 2013
495.320 CRC deaths

7. M T W T F S S
12 new CRC cases/month
@LucColemont

8. 13 NEW CASES
EVERY DAY
@LucColemont

9. 13
5
NEW CASES
DEATHS
EVERY DAY
@LucColemont

10. @LucColemont
2013october

11. Flemish screening program colon cancerFlemish screening program colon cancer
56 74
- invitation letter Flemish
government
- one sample FIT
- biannual
- 75 ng/ml
- 1 laboratory
- “free” colonoscopy centers
- invitation letter Flemish
government
- one sample FIT
- biannual
- 75 ng/ml
- 1 laboratory
- “free” colonoscopy centers
@LucColemont

12. Flemish screening program colon cancerFlemish screening program colon cancer
56 74
- invitation letter Flemish government
- one sample FIT
- biannual
- 75 ng/ml
- 1 laboratory
- “free” colonoscopy centers
- invitation letter Flemish government
- one sample FIT
- biannual
- 75 ng/ml
- 1 laboratory
- “free” colonoscopy centers
@LucColemont

13. THE “WINNING” NUMBERSTHE “WINNING” NUMBERS
20142014
68
58 60
66 70
56
72 74
62 64
@LucColemont

14. Flemish screening program colon cancerFlemish screening program colon cancer
56 7450
European Guidelines
February 2011
@LucColemont

15. 2014
@LucColemont

16. 2014
657.887
@LucColemont

17. 2014
657.887
50,3% participation
@LucColemont

18. 2014
657.887
50,3% participation
7,7% positive
@LucColemont

19. 2014
657.887
50,3% participation
Men : 48.6%
Women : 52.0%
@LucColemont

20. Participation - 2014 - provinces
49,1% 50%
51,3%
57%
44,4%
Bron http://bevolkingsonderzoek.incijfers.be
@LucColemont

21. Participation - 2014 – community/city
Bron http://bevolkingsonderzoek.incijfers.be
@LucColemont

22. Participation – 2014 – age category
56-59 60-64 65-69 70-74
age category
46,9%
50,8%
53,6%
50,3%
@LucColemont

23. 2014
? colonoscopies
? tumors
? polyps
2014
@LucColemont

24. ColonIS

25. 2014
? colonoscopies
+ 2500 CRC’s
? polyps
2014
@LucColemont
estimated

26. 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
@LucColemont

27. @LucColemont

28. % colonoscopies via FSP
@LucColemont

29. Colonoscopy Load
@LucColemont

30. Colonoscopy Load
@LucColemont

31. Colonoscopy Load
@LucColemont

32. 63,7 %
9,6 %
26,7 %
147 FIT-positive
patients FSP
@LucColemont
% patients

33. 63,7 %
9,6 %
26,7 %
9 men
5 women
@LucColemont
147 FIT-positive
patients FSP
% patients

34. 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
@LucColemont

35. ° 1957

36. @LucColemont

37. Participation rate 46 %
@LucColemont

38. Participation rate 46 %
Positive FIT 7.2 %
@LucColemont

39. Participation rate 46 %
Positive FIT 7.2 %
Referral for colonoscopy 52.4 %
@LucColemont

40. Health Care
Budget
Treatment
Prevention

41. @LucColemont

42. $ 11.000/month
$ 8.400 month$ 5.000/month
@LucColemont

43. @LucColemont

44. Screening for cancer in Flandres pays off!

45. Cost for one extra healthy year
15.000 euro cervical cancer
23.000 euro breast cancer
Screening for cancer in Flandres pays off!

46. Cost for one extra healthy year
15.000 euro cervical cancer
23.000 euro breast cancer
25.000 – 50.000 innovative medications
Screening for cancer in Flandres pays off!

47. Cost for one extra healthy year
15.000 euro cervical cancer
23.000 euro breast cancer
3.000 euro colon cancer
25.000 – 50.000 innovative medications
Screening for cancer in Flandres pays off!

48. 25 % reduction risk of CRC
“Healthy lifestyle”
@LucColemont

49. @LucColemont
@LucColemont

50. @LucColemont
@LucColemont

52. WE MUST STOP COLON CANCER !
@LucColemont

53. August 2004

54. FEBRUARY 2010
OUR BUDGET 0.000 Euro
@LucColemont

57. @LucColemont

58. @LucColemont

59. @LucColemont
SCREENING and PREVENTION
DIAGNOSIS and TREATMENT

60. @LucColemont
INFORMATION and EDUCATION
SCREENING and PREVENTION
DIAGNOSIS and TREATMENT

61. IN 2015 INNOCENT PEOPLE ARE DYING
BECAUSE OF A LACK OF INFORMATION
@LucColemont

62. @LucColemont
“Education is the most powerful weapon you
can choose to change the world”

63. “The internet is one of the best ways
to teach people”
Mark Zuckerberg
CEO Facebook

64. @LucColemont
@LucColemont

66. @LucColemont
42.774

67. WORKING
GROUP
ACTION
GROUP
@LucColemont

69. BEST ONLINE NON-PROFIT CAMPAIGN
“GOLD AWARD 2014”

72. 7500 euro
3900 euro

73. DIBA 2014
Dress in Blue Award
DIBA 2014
Dress in Blue Award
ex-MEP Frieda Brepoelsex-MEP Frieda Brepoels
@LucColemont

74. DIBA 2015
Dress in Blue Award
DIBA 2015
Dress in Blue Award
Journalist Ivan De VadderJournalist Ivan De Vadder
@LucColemont

75. We absolutely agree,
save yourself, do the test!
#MONSTERCOALITIE

76. We absolutely agree,
save yourself, do the test!
#MONSTERCOALITIE

77. @LucColemont

78. @LucColemont