Colorectal Cancer Proposal of a Screening Program for Developing Countries with Emphasis on Costs.

Slides:

Advertisements

Similar presentations

This short questionnaire will help to determine whether there may be a gene in your family connected to an increased risk of the development of bowel.

Advertisements

By Dr Nahla Madan NCD Committee April The working group on the guideline The working Group Reviewing Group Dr. Ibtihal Al Reefy Dr. Badryia Yaser.

Colon and Rectal Cancer Update

Colorectal Cancer Screening and Surveillance FDA Advisory Committee March, 2002 David Lieberman MD Chief, Division of Gastroenterology Oregon Health Sciences.

Spotlight on Colorectal Cancer Screening 1 1. Home Screening for Colon Cancer

Aakash H. Gajjar, MD, FACS Assistant Professor of Surgery Colon & Rectal Surgery University of Texas Medical Branch Galveston, Texas February 10 th, 2014.

Update on Screening of Gastrointestinal Diseases Niraj Jani, M.D. Greater Baltimore Medical Center 1/30/15.

Screening for Colorectal Cancer Cancer Symposium: Measuring the Benefits of Screening and Treatment October 2007.

Colorectal Cancer & Screening Sept Sometimes there are things that may be hard to talk about… But not talking about them is even harder.

DR Jameel Tariq Miro.  Lifetime incidence 5%  90% of cases occur after age 50  One-third of patients with colorectal cancer die from the disease 

Colorectal cancer: How do we approach health disparities? Marta L. Davila, MD, FASGE University of Texas MD Anderson Cancer Center.

Screening and Early Diagnosis of Colorectal Cancer

 2 nd overall leading cause of cancer death in the United States › 3 rd in each sex  Approximately 6% of individuals in the US will develop a cancer.

Colorectal Cancer (CRC)

Colorectal cancer in Norway Maria Mai Ingvild Hvalby.

Colon-Rectal Cancer Keith Bradley, MD National Alliance of Research Associates Programs NARAP.

Colorectal Cancer Screening John Pelzel MD Sleepy Eye Medical Center.

Clinical Practice Screening for Colorectal Cancer David A. Lieberman, M.D. N Engl J Med Volume 361(12): September 17, 2009.

Update on Colon Cancer Screening and Prevention

A Call to Action: Prevention and Early Detection of Colorectal Cancer (CRC)

Integrated Cancer Screening Colorectal Cancer Screening.

Update on Colorectal Cancer Screening Tests Source: Levin Bernard et al. Screening and Surveillance for the Early Detection of Colorectal Cancer and Adenomatous.

Men’s Health- Prostate and Colorectal Cancer 2010.

Geriatric Health Maintenance: Cancer Screening Linda DeCherrie, MD Geriatric Fellow Mount Sinai Hospital.

Colorectal cancer Khayal AlKhayal MD,FRCSC

Cancer 101: A Cancer Education and Training Program for American Indians & Alaska Natives Cancer 101: A Cancer Education and Training Program for American.

Prostate Cancer Screening Assistant Professor Charles Chabert Men’s health Seminar Ballina April 2011 prostates.com.au.

A CMH Community DocTalk with Robert Wayne, MD, FACS.

Better Health. No Hassles. Colon Cancer Cancer of the large intestine 112,000 people are diagnosed annually 41,000 new cases of rectal cancer annually.

D. M. Kruss MD Kill the Cancer Do Screening now! Daniel M. Kruss, M.D. Kill the Cancer Do Screening now! Daniel M. Kruss, M.D.

High risk population in GI field how we can find them? Ahmad Shavakhi MD Associate professor of gastroenterology.

Our Vision – Healthy Kansans Living in Safe and Sustainable Environments.

Slides last updated: June 2015 CRC: CLINICAL FEATURES.

1 Colorectal Cancer # 2 Cancer Killer # 2 Cancer Killer SCREENING SAVES LIVES.

Prevention and Health Promotion Administration May Overview of Colorectal Cancer Maryland Department of Health & Mental Hygiene Prevention and Health.

Colorectal Cancer. Colorectal cancer - statistics Leading causes of cancer death in the US Male Female Lung – 31% Lung – 25% Prostate – 11% Breast – 11%

1 Colorectal Cancer # 2 Cancer Killer # 2 Cancer Killer SCREENING SAVES LIVES.

Better Health. No Hassles. Colorectal Cancer Facts – The 2 nd leading cause cancer-related deaths in the Nation – Highly preventable – Caused 49,920 deaths.

Pathology Report Colorectal Cancer Sahar Najibi April 11 th, 2008.

Cancer Prevention Eyad Alsaeed, MD,FRCPC Consultant Radiation Oncology PSHOC KFMC.

Assessing Colorectal Cancer Screening in Appalachia PA William Curry, MD, MS Mark Dignan, PhD Gene Lengerich, VMD Alan Adelman, MD, MS.

COMMON LIFESTYLE DISEASES: CANCER EMS 355 By: Dr. Bushra Bilal.

Colorectal Cancer Screening Colorectal Cancer Screening VT SGNA Conference VT SGNA Conference October 24, 2015 October 24, 2015 Lynn Butterly, MD Lynn.

Cancer. What is cancer? “Abnormal, uncontrolled growth of cells, which, if left untreated, can ultimately cause death.” (ACS) Terminology:  Benign 

Definition Signs & symptoms Treatment Root of the disease.

Colorado Colorectal Screening Program Holly Wolf University of Colorado School of Medicine

Flexible Sigmoidoscopy And Whole Colon Imaging In The Diagnosis Of Cancer In Patients With Colorectal Symptoms Peter O’Leary Journal Club 13/10/08.

Screening – a discussion in clinical preventive medicine Galit M Sacajiu MD MPH.

Screening and Prevention of Cancers of the Colon and Pancreas Peter E. Darwin, MD, FACP, FASGE Professor Department of Medicine.

Fall 2009 Allison Peters, RN, BSN MSN Teaching/Educator Track Fall 2009 Prevalent Diseases Prevalent Diseases Risk Factors Screening Appointments Signs.

Colon Cancer. What is Colon Cancer?  Cancer that begins in the colon or rectum  The colon and rectum are both parts of the large intestine  The third.

POLYPS CHOLORECTAL CANCER M. DuBois Fennal, PhD, RN, CNS.

A Pharmacy Based Bowel Cancer Screening Program. Did You Know? Bowel cancer kills more Australians each year than breast or prostate cancer (AIHW 2012.

D. M. Kruss MD Colon Cancer How to nip it in the bud! Daniel M. Kruss, M.D. Colon Cancer How to nip it in the bud! Daniel M. Kruss, M.D.

What you need to know about the Fecal Occult Blood Test

Colorectal Cancer: Risk Prevention and Diagnosis

27th Annual Winter CME Conference

More Ontarians need to be screened for colorectal cancer (Sept. 2012)

Cancer Screening, Diagnosis, and Treatment

Colorectal Cancer Screening

Cancer Prevention Screening and Early Detection PROF.MAZIN AL-HAWAZ.

Cancer screening PROF .MAZIN AL-HAWAZ.

Module 4: Colorectal Cancer

Colorectal Cancer.

The Research Question Flexible sigmoidoscopy (FS) is the only cancer screening modality (for any type of cancer) to reduce all-cause mortality compared.

Colon Doctor San Antonio

Presentation transcript:

Colorectal Cancer Proposal of a Screening Program for Developing Countries with Emphasis on Costs

Presentator: Alessandro L. Loiola, MD Atendant of Coloproctology at the Specialties´ Regional Referral Center, Vitoria / ES - Brazil Developer of Health Contents for Boasaude.com.br

Objectives Create a consciousness of the problem for third-world countries Access some relevant features in the diagnosis of Colorretal Cancer Sugest steps for a screening program

Recommended articles BOND JH. Screning for colorectal cancer. Hosp Prac, Jan 15:59-74, SELBY JV et alii. Effect of fecal occult blood testing on mortality from colorectal cancer. Am Col Phys, 118:1-6, 1993.

Recommended websites: Colorectal Cancer Homepage at Colorectal Forum at NCI CancerNet Database at

Creating a Consciouness for screening: did you know that... Colorectal cancer kills more than AIDS and Diabetes ? In some countries (Brazil included) colorectal cancer causes more deaths per year than ovarian, uterine, prostate or even lung cancer ?

Relevant Features of Colorectal Cancer  Special Risk Factors  Decade of ocurrance  Clinical manifestations  Pathology

Relevant Features of Colorectal Cancer: 1 - Special risk factors Diet habits Inflamatory bowel diseases Familial adenomatous polyposis syndrome Strong incidence of cancer in the family

Relevant Features of Colorectal Cancer: 2 - Decade of occurrance

Relevant Features of Colorectal Cancer: 3 - Clinical manifestations Low intestinal bleeding Altered bowel habits Unexplained weight loss

Relevant Features of Colorectal Cancer: 4 - Pathology 90% of Colorectal malignant tumors are Carcinomas 60-70% of the lesions are located in the last 1/3 part of large bowel 30% of all lesions can be reached by digital exam only

Steps of the Colorectal Cancer Screening Program

Colorectal Cancer Screening Program - Step 1 Faecal-occult-blood test (FOBT) in people after age 50 and/or with known risk factors and/or physical evidences suggesting colorretal cancer

Colorectal Cancer Screening Program - Step 1a Patients with negative FOBT, without evidences at physical examination and/or without risk factors: repeat FOBT every year

Colorectal Cancer Screening Program - Step 1b Patients with negative FOBT but with sustained clinical suspicion and/or with risk factors: go to Step 2

Colorectal Cancer Screening Program - Step 1c Patients with positive FOBT: go to Step 2 (sigmoidoscopy)

Colorectal Cancer Screening Program - Step 2 Sigmoidoscopy (flexible if possible)

Colorectal Cancer Screening Program Step 2a - Negative Sigmoidoscopy Patients without clinical suspicion and any risk factor: follow up with FOBT every year, one sigmoidoscopy each 3-5 years and one colonoscopy each 10 years.

Colorectal Cancer Screening Program Step 2b - Negative Sigmoidoscopy Patients with sustained clinical suspicion and/or any risk factor: consider Barium enema. One can choose promptly performing a Colonoscopy (Step 3) If all negative: follow up as Step 2a.

Colorectal Cancer Screening Program Step 2c - Positive Sigmoidoscopy Go to Step 3 (Colonoscopy), after collecting samples.

Colorectal Cancer Screening Program Step 3 - Colonoscopy To further exam the extention of a particular lesion and to identify more lesions Patients with negative colonoscopy: follow up as Step 2a.

Colorectal Cancer Screening Program Hole of Barium Enema Detect other lesions Can be replace (with restrictions) colonoscopy where this exame is not obtainable