Slide1 l.jpg
1 / 21

“They say that time changes things, but you’re the one that needs to change them.”– Andy Warhol.


70 views
Uploaded on:
Category: Animals / Pets
Description
Place photo here. Colorectal Cancer: Moving Forward with Organized Cancer Screening Kimberly Rogers, Program Manager Wyoming Department of Health Comprehensive Cancer Control Program. “They say that time changes things, but you’re the one that needs to change them.”– Andy Warhol.
Transcripts
Slide 1

Place photograph here Colorectal Cancer: Moving Forward with Organized Cancer Screening Kimberly Rogers, Program Manager Wyoming Department of Health Comprehensive Cancer Control Program "They say that time changes things, yet you're the one that requirements to change them."– Andy Warhol

Slide 2

Colorectal Cancer in Wyoming: A gander at frequency and mortality (WCSP, 2003) In 2003, 243 cases were accounted for, and in that same year, 106 Wyoming individuals kicked the bucket as a consequence of colorectal disease. Despite the fact that the frequency rates for men and ladies in Wyoming are comparative, the rate for Wyoming females is higher than the national rate. There is an emotional slope in cases among Wyoming individuals ages 60-64 years of age. There are higher rate rates among those living in Park, Big Horn, Washakie, and Hot Springs Counties. There are higher death rates among those living in Carbon, Albany, Platte, and Goshen Counties.

Slide 3

2000-2003 Colorectal Cancer Incidence & Mortality Trend Data Rate per 100,000 populace

Slide 4

Colorectal Cancer Screening in Wyoming Less than ½ (43.9%) of Wyoming inhabitants age 50 and more established report having had a FOBT home pack, sigmoidoscopy, or colonoscopy inside the previous 5 years (2004 BRFSS). Grown-ups ages 50-59, those in the most minimal thickness regions, and the individuals who were uninsured were to the least extent liable to have had a sigmoidoscopy or colonoscopy. Areas with lower CRC screening rates Counties with higher CRC screening rates * This incorporates Flexible Sigmoidoscopy and Colonoscopy Only

Slide 5

A Little Humiliation Never Helps…

Slide 6

What Do We Want to Accomplish for Wyoming People Impacted by Colorectal Cancer? Objective #1: Decrease the quantity of men and ladies passing on of colorectal growth in Wyoming. Target I: By 2010, increment the rate of men and ladies age 50 and more established who have had a sigmoidoscopy or colonoscopy to 60%. Benchmark: 50.9% of Wyoming respondents over the age of 50 reported they had gotten a sigmoidoscopy or colonoscopy. (BRFSS, 2003) Objective II: By 2010, increment the rate of men and ladies age 50 and more established who have had fecal mysterious blood stool (FOBT) testing to 35%. Benchmark: Only around one in five Wyoming grown-ups age 50 and more established (18.5%) reported having a blood stool test in the previous 2 years. (BRFSS, 2003) * Taken from the 2006-2010 Wyoming Cancer Control Plan

Slide 7

Strategies to Decrease the Burden of Colorectal Cancer in Wyoming Provide socially suitable colorectal growth instruction and data to Wyoming grown-ups, families, groups, and intrigued human services suppliers; Promote colon screening administrations accessible in Wyoming through training and data scattering; Promote backing bunch activities encompassing colorectal malignancy; Provide training and data about colon disease statewide, including the utilization of a showcasing effort using proof based methodologies to advance colon tumor screening; Increase access to screening for un-safeguarded and under-protected Wyoming occupants; Educate policymakers on screening scope and treatment costs relating to colorectal malignancy; Promote doctor/customer talk about colorectal growth, including the significance of colorectal disease screening; and Educate patients to demand tests identifying with colon tumor.

Slide 8

Screening: Fecal Occult Blood Testing (FOBT) A fecal mysterious blood test distinguishes blood in the stool. Blood in the stool might be the main manifestation of colon growth. Be that as it may, not all blood in the stool is created by malignancy. Albeit fecal mysterious blood testing might be utilized to screen for colorectal growth, it is never used to analyze this malady. Checking for concealed (mysterious) blood in the stool should be possible at home.

Slide 9

Screening: Flexible Sigmoidoscopy Enables the doctor to see inside the internal organ from the rectum through the last part of the colon, called the sigmoid or plummeting colon. Watch any dying, aggravation, anomalous developments, and ulcers in the diving colon and rectum. Not adequate to recognize polyps or malignancy in the climbing or transverse colon (66% of the colon). In the event that anything uncommon is in your rectum or colon, similar to a polyp or excited tissue, the doctor can expel a bit of it utilizing instruments embedded into the degree.

Slide 10

Screening: Colonoscopy In an ordinary colonoscopy, the specialist embeds a colonoscope—a long, adaptable, lit tube—into the patient's rectum and gradually controls it up through the colon. Torment medicine and a gentle narcotic help the patient stay casual and open to amid the 30-to hour long method. A minor camera in the extension transmits a picture of the coating of the colon, so the specialist can look at it on a video screen. In the event that a variation from the norm is identified, the specialist can expel it or take tissue tests utilizing small instruments went through the extension.

Slide 11

Screening: Virtual Colonoscopy Virtual colonoscopy (VC) utilizes x beams and PCs to create two-and three-dimensional pictures of the colon (digestive organ) from the most reduced part, the rectum, the distance to the lower end of the small digestive system and showcase them on a screen. The strategy is utilized to analyze colon and inside ailment, including polyps, diverticulosis, and disease. VC is more agreeable than traditional colonoscopy for a few people since it doesn't utilize a colonoscope. Accordingly, no sedation is required, and you can come back to your typical exercises or go home after the method without the guide of someone else. The specialist can't take tissue tests or expel polyps amid VC, so an ordinary colonoscopy must be performed if variations from the norm are found.

Slide 12

Colorectal Cancer Screening Recommendations The USPSTF unequivocally suggests that clinicians screen men and ladies 50 years old or more established for colorectal malignancy. The USPSTF discovered reasonable to great proof that few screening strategies are powerful in lessening mortality from colorectal tumor. FOBT (Yearly after age 50)* Colonoscopy (Every 10 Years starting at age 50)* * If you are high hazard for CRC or have family who have had CRC your doctor may ask for you start screening at a prior age. The USPSTF inferred that the advantages from screening significantly exceed potential damages, yet the nature of proof, extent of advantage, and potential damages shift with every technique.

Slide 13

What are the advantages to composed colorectal disease screening? Early screening and analysis = less forceful treatment; Reduces colorectal growth mortality for grown-ups over age 50 at normal danger of colorectal tumor; Reduces wellbeing related differences to underserved populaces who might not ordinarily have the assets for progressing screening; Cost viable (disputable) Cost of screening versus expense of treatment

Slide 14

Wyoming Colorectal Cancer Early Detection Reimbursement Program: A gander at the conceivable outcomes Wyoming Colorectal Cancer Task Force would inquire about and select a CRC screening procedure for sorted out screening in Wyoming; Determine a repayment strategy (charging versus voucher program); Determine qualification prerequisites for the project; Begin teaching general society and suppliers about CRC screening; Obtain financing to give CRC screening to qualified system candidates; Begin contracting with suppliers for therapeutic screening administrations and treatment, and Begin screening Wyoming men and ladies who meet qualification necessities.

Slide 15

Is Organized colorectal tumor screening financially savvy? Screening for colorectal malignancy shows up financially savvy contrasted and no screening. Taken a toll viability examinations have reached unique conclusions relying upon the evaluated consistence rates, procedural costs, entanglement rates, and affectability and specificity of screening tests. Yearly FOBT with adaptable sigmoidoscopy at regular intervals to be the most financially savvy system for screening of the overall public. Frazier et al. Conversely, colonoscopy at regular intervals was the most financially savvy essential screening procedure. Sonnenberg et al . Twofold difference barium bowel purge like clockwork to be better than colonoscopy, with an incremental cost-adequacy proportion of $55,600 every year of life spared versus more than $100,000 every year of life spared. McMahon et al .

Slide 16

How much would it expense to enough screen Wyoming men and ladies who are un-safeguarded or underinsured? As indicated by the Census Bureau, 135,661 men and ladies beyond 50 2000 years old in Wyoming (2000). As per this information, 52,000 Wyoming men and ladies in this age gathering are beneath the 250% FPL. Of that populace, 5,000 (around 10%) report no medical coverage to help in screening. On the off chance that 20% of the qualified men and ladies in Wyoming exploited this project, it is assessed that the system could give administrations to 1,000 Wyoming men and ladies every year. In this manner, the yearly cost of the system is figured as takes after:

Slide 17

Proposed Yearly Colorectal Cancer Screening Budget

Slide 18

Colorectal Cancer Reimbursement Program Budget * Treatment Option In 2003, 234 Wyoming subjects were determined to have colorectal growth. In light of the same criteria (around 10%), it is evaluated that approximately 23 patients would require treatment benefits every year. Along these lines, the yearly cost of treatment for colorectal malignancy is figured as takes after.

Slide 19

Proposed Treatment Budget

Slide 20

Next Steps Continued instruction and mindfulness about issues relating to colorectal screening; Join the WCCCC for the January working meeting Join the CRC Task Force; Spearhead CRC promoting and training activities; Provide training and proposals for screening strategy and financing to Wyoming policymakers; and

Slide 21

Questions?