Screening, Surveillance And Diagnosis Of Colorectal Cancer

SCREENING, SURVEILLANCE AND DIAGNOSIS OF COLORECTAL CANCER Andrew Luck Colorectal Surgeon Northern Adelaide Colorectal Unit Adelaide, South Australia Honorary Secretary, Colorectal Surgical Society of Australia and New Zealand CSSANZ representative, National Bowel Cancer Screening Program Advisory Group CANCER SOCIETY OF NEW ZEALAND, WELLINGTON June 2009

DIAGNOSING COLORECTAL CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

DIAGNOSING ASYMPTOMATIC CRC ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SCREENING VS SURVEILLANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quantifying risk of CRC (NHMRC Guidelines 2005) 1 in 25 1 in 25 80 1 in 15 1 in 20 1 in 30 1 in 65 70 1 in 20 1 in30 1 in 50 1 in 100 60 1 in 30 1 in 50 1 in 100 1 in 300 50 1 in 90 1 in 200 1 in 400 1 in 1200 40 1 in 350 1 in 700 1 in 2000 1 in 7000 30 20 years Over 15 years Risk 10 years 5 years If age is

Quantifying risk based on family history of CRC (NHMRC Guidelines 2005) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quantifying risk based on family history of CRC (NHMRC Guidelines 2005) 1 in 25 1 in 25 80 1 in 15 1 in 20 1 in 30 1 in 65 70 1 in 20 1 in30 1 in 50 1 in 100 60 1 in 30 1 in 50 1 in 100 1 in 300 50 1 in 90 1 in 200 1 in 400 1 in 1200 40 1 in 350 1 in 700 1 in 2000 1 in 7000 30 20 years Over 15 years Risk 10 years 5 years If age is

Category 1: Those at or slightly above average risk ,[object Object],[object Object]

Screening recommendation for Category 1 patients ,[object Object],[object Object]

Category 2: Those at moderately increased risk ,[object Object],[object Object]

Screening recommendation for Category 2 patients ,[object Object],[object Object],[object Object]

Category 3: Those at potentially high risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Category 3: Those at potentially high risk ,[object Object],[object Object]

Screening recommendations for Category 3 patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Screening recommendations for Category 3 patients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SURVEILLANCE OF OTHER HIGH RISK GROUPS ,[object Object],[object Object],[object Object],[object Object]

SURVEILLANCE OF OTHER HIGH RISK GROUPS ,[object Object],[object Object]

SCREENING OF THE AVERAGE RISK POPULATION ,[object Object],[object Object],[object Object]

NATIONAL BOWEL CANCER SCREENING PROGRAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

NATIONAL BOWEL CANCER SCREENING PROGRAM ,[object Object],[object Object]

NATIONAL BOWEL CANCER SCREENING PROGRAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PARTICIPATION RATES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PARTICIPATION RATES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FOBT POSITIVITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

FOBT POSITIVITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

REFERRAL FOR COLONOSCOPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COLONOSCOPY RESULTS ,[object Object],[object Object],[object Object],[object Object],[object Object]

COLONOSCOPY RESULTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RESECTION RESULTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

2008/9 FEDERAL BUDGET ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

LESSONS FROM AUSTRALIAN PROGRAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Screening, Surveillance And Diagnosis Of Colorectal Cancer

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Screening, Surveillance And Diagnosis Of Colorectal Cancer