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Bowel health and screening This talk will cover Bowel cancer facts and figures Symptoms How to reduce your risk of bowel cancer Bowel cancer screening How you can help us Were determined to save lives and improve the


  1. Bowel health and screening

  2. This talk will cover • Bowel cancer – facts and figures • Symptoms • How to reduce your risk of bowel cancer • Bowel cancer screening • How you can help us

  3. We’re determined to save lives and improve the quality of life of everyone affected by bowel cancer by: • Supporting and funding targeted research • Providing expert information and support to patients and their families • Educating the public and professionals about the disease • Campaigning for early diagnosis and access to best treatment and care.

  4. Why is this talk important? • Bowel cancer is treatable and curable especially if diagnosed early • Nearly everyone survives bowel cancer if diagnosed at the earliest stage • You can do something to lower your risk of bowel cancer

  5. Bowel cancer is the fourth most common cancer in the UK Lifetime risk • 1 in 14 men and 1 in 19 women • Almost 42,000 people in the UK are diagnosed each year  That’s one every 15 minutes

  6. Bowel cancer is the second biggest cancer killer in the UK 40,000 35,000 30,000 More than 44 25,000 people every day 20,000 16,384 15,000 10,000 5,000 CRUK – data from 2016 0 Prostate Cancer UK – Lung Bowel Prostate Breast data from 2015

  7. Bowel cancer is the third most common cancer in Scotland Almost 26,000 people living in Scotland today have been diagnosed with bowel cancer, that’s almost 3,700 people each year 1 in 16 men and 1 in 20 women will get bowel cancer in their lifetime ISD 2015; ScotPHO 2017

  8. Bowel cancer is the second biggest cancer killer in Scotland 4500 4035 4000 Just over 3500 3000 1,600 people 2500 die each year 2000 1617 1500 1029 1000 894 500 0 Lung Bowel Breast Prostate ISD 2016

  9. Bowel cancer by age in UK CRUK data from 2013-2015

  10. Oesophagus (gullet Stomach Colon Small bowel Large bowel Rectum Anus

  11. Most bowel cancers develop from polyps Colonoscopy Chronicles 2012

  12. Stages of bowel cancer Stage 1 Stage 2 Stage 3 Stage 4 CRUK 2016 CRUK 2016

  13. Five year survival rate by stage 98% Stage 1 85% Stage 2 65% Stage 3 Stage 4 0% 20% 40% 60% 80% 100% CRUK 2016 - data from former Anglia Cancer Network, 2002-2006

  14. Do you know the symptoms? Knowing them could save your life!

  15. Symptoms

  16. You are more at risk of bowel cancer if you: • are over 50 or • have a history of bowel polyps or • have longstanding inflammatory bowel disease such as Crohn’s disease or ulcerative colitis or • have type 2 diabetes or • have an unhealthy lifestyle or • have a strong family history of bowel cancer CRUK 2016

  17. You can reduce your risk Scientists estimate around half of all bowel cancers could be prevented by having a healthier lifestyle CRUK 2016

  18. How to reduce your risk • Avoid processed meat e.g. bacon, ham sausages and salami • Limit your intake of red meat to 500g (cooked) per week. An 80g serving is roughly the size of a deck of cards • Red meat includes beef, lamb, pork and goat WCRF 2016

  19. Limit the amount of alcohol you drink - no more than 14 units per week Don’t smoke - smoking increases your risk of bowel cancer Keep to a healthy body weight – try to reduce abdominal (tummy) fat WRCF 2016

  20. How to reduce your risk Increase your fibre intake iStock images 2016

  21. How to reduce your risk Get active - 150 mins over one week

  22. Bowel cancer screening Seen one of these in the post? NHS Health Scotland

  23. Screening – who’s included? • Everyone aged 50-74 years • Must be registered with a GP with your current address • The screening kit is personal to you • You can’t use someone else’s • You can request a replacement by calling 0800 0121 833

  24. Bowel cancer screening - facts and figures • Up to 31 October 2016, over 2.2 million people invited to take part in Scottish Bowel Screening Programme • Nearly 1.4 million took up the offer and achieved a final result • Over 5,000 cancers diagnosed through screening ISD Scotland

  25. Using the test 1. Get ready NHS Health Scotland

  26. Using the test 2. Do it NHS Health Scotland

  27. Using the test 3. Post it NHS Health Scotland

  28. What happens next? • The Bowel screening hub receives the test • Samples are tested in a machine for hidden blood NHS Health Scotland

  29. Test results • No further investigation is required at this time • Further investigation is required

  30. Further investigation • You will be offered a colonoscopy • This is done in hospital as an out- patient • The bowel is examined by a specialist using a long tube with a camera on the end

  31. Scotland Bowel Screening Helpline 0800 0121 833 (8am – 5pm Weekdays) bowelscreening.tayside@nhs.net Give them a call if you have any questions at all about your test kit

  32. Online forum Our online patient forum is a place for anyone affected by bowel cancer to talk about their experiences, share their knowledge and support each other. Visit bowelcanceruk.org.uk/forum

  33. How you can support us • Volunteer • Fundraise – run, cycle, trek, swim or bake • Sign up to our newsletter • Mention this talk on Facebook and Twitter • Give us feedback on this talk

  34. In summary • Take part in screening • Remember the symptoms • Get checked as soon as possible • Find out if you are at increased risk • Take action to lower your risk

  35. Resources and information Find out more at: bowelcanceruk.org.uk scotadmin@bowelcanceruk.org.uk @bowelcanceruk /bowelcanceruk Information correct – July 2016 To be reviewed July 2019 References available on request

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