1 / 27

Spotlight on Colorectal Cancer Screening

Spotlight on Colorectal Cancer Screening. 1. Home Screening for Colon Cancer. http:// www.youtube.com/watch?v=SzJe_D0-J38. ColonCancerCheck (CCC). First population-based, organized colorectal screening program of its kind in Canada Goals:

tokala
Download Presentation

Spotlight on Colorectal Cancer Screening

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Spotlight on Colorectal Cancer Screening 1

  2. Home Screening for Colon Cancer • http://www.youtube.com/watch?v=SzJe_D0-J38

  3. ColonCancerCheck (CCC) First population-based, organized colorectal screening program of its kind in Canada Goals: • To reduce deaths from colorectal cancer through an organized screening program; • To support health care providers in providing the best possible colorectal cancer screening for their patients

  4. Ontario Cancer Statistics 2013 4 4

  5. Burden of Disease • In Ontario, an estimated 8,700 new cases of colorectal cancer will be diagnosed and 3,350 people will die from it in 2013 • Incidence of colorectal cancer in Canada is similar to other developed countries, and is among the highest in the world 5

  6. Burden of Disease • Approximately 93% of cases are diagnosed in people aged 50 years and older • 5-year relative survival rate for colorectal cancer has improved over the past decade in Canada

  7. Effectiveness of Screening 7

  8. Adenoma-Carcinoma Sequence • Majority of colorectal cancers arise from adenomatous polyps • Progression to invasive cancer takes 10 years on average 8

  9. Recommended Screening Average Risk: fecal occult blood test (FOBT) • Men and Women age 50 to 74 • Biennial (every 2 years) • Follow up abnormal FOBT with colonoscopy 9

  10. Recommended Screening Increased Risk: Colonoscopy • One or more first-degree relatives with a history of colorectal cancer • Begin at age 50, or 10 years earlier than age relative was diagnosed, whichever is first

  11. FOBT and Colonoscopy Average risk patients: • with a negative (normal) colonoscopy should not be screened for 10 years • following which screening should resume using either FOBT or colonoscopy 11

  12. Evidence for Screening Using FOBT A meta-analysis of 3 randomized clinical trials shows that regular screening with FOBT reduces colorectal cancer mortality by 15%

  13. ColonCancerCheck (CCC) Program Goals • Reduce mortality through an organized screening program • Improve capacity of primary care to participate in comprehensive colorectal cancer screening

  14. CCC Program Features • Colonoscopy and FOBT quality standards • Increased colonoscopy capacity across Ontario • Primary care provider awareness • Program-branded FOBT kits • Financial incentives for family physicians

  15. CCC Program Features Patient correspondence: Initiatives to assist with follow-upof abnormal results • FOBT result letters • Recall/reminder letters • Invitation letters to people age 50 to 74 15

  16. CCC FOBT Process • At home test • No bowel prep • Only one dietary restriction – vitamin C Clean sample Sample one area Smear first window

  17. CCC FOBT Process • Three different bowel movements • Record date and time on each flap in ink • Complete and mail within 10 days of first sample Sample two area Smear second window Date and time in ink

  18. CCC FOBT Process • Personal info matches requisition • Place Kit in foil envelope and seal • Include foil envelope and requisition Use foil lined envelope Include all pieces Mail Canada Post

  19. Assessing Risk Assess for colorectal cancer (CRC) signs and symptoms No symptoms; 1 or more 1st degree relatives with CRC (increased risk of CRC) Age 50 to74; no symptoms; no affected 1stdegree relatives (average risk of CRC) Symptoms (high risk of CRC) Refer to colonoscopy; FOBT not appropriate Refer to colonoscopy; start at 50 years of age or 10 years before age of relative’s diagnosis FOBT every2 years

  20. FOBT Screening Participation Rate, by LHIN CCO program target 2010: 40%

  21. Overdue for CRC Screening 21

  22. Follow-up Colonoscopy After +veFOBT

  23. ColonCancerCheck • In Ontario, what is the recommended screening test for colorectal cancer if the individual is 50+ and has no family history of CRC and no signs or symptoms? • Fecal Immunochemical Test (FIT) • Fecal Occult Blood Test (FOBT) • Flexible Sigmoidoscopy • Colonoscopy

  24. Clinical Case Study 1 A 54-year-old asymptomatic male comes in for his periodic health visit What screening test would you suggest for him?

  25. Clinical Case Study 2 • A 47-year-old woman inquires about colorectal cancer screening • Her mother was diagnosed at age 65 with colorectal cancer What would you suggest?

  26. CCC Resources For more information: www.cancercare.on.ca/pcresources https://www.publications.serviceontario.ca/pubont/servlet/ecom/

  27. Questions? Thank You

More Related