EARLY DIAGNOSIS OF ORAL CANCER.
AIMS OF THIS SESSION ‒ Provide some basic cancer information ‒ Overview of National Oral Cancer Toolkit ‒ Increase knowledge and confidence for delivering local oral cancer guide 2
PREVENTION QUIZ
QUIZ What is the main risk factor for cancer? A: Smoking B: Being older C: Family history D: Drinking alcohol E: Using deodorants
QUIZ How many cases of cancer in the UK could be prevented through changes to lifestyle and other factors? A: Cancer can’t be prevented B: About 1 in 10 C: Over 9 in 10 D: More than 4 in 10
QUIZ Which, out of the following, does not cause cancer? A: Being overweight B: Drinking alcohol C: Being stressed D: Being unsafe in the sun E: Smoking F: Eating an unhealthy diet
QUIZ What is the main preventable cause of cancer? A: Being unsafe in the sun B: Smoking C: A lack of physical activity D: Eating an unhealthy diet E: Drinking alcohol F: Being overweight
SO…………ABOUT CANCER • Most cancers develop because of DNA damage that can happen because of things in our lifestyle and environment. • The biggest risk factor for cancer is age – half of cases in the UK are diagnosed in people aged 70 and over. • Risk factors in our environment (tobacco, alcohol, UV) can damage our DNA, increasing our risk.
EARLY DIAGNOSIS IS KEY… • What do we mean by early diagnosis? • Why is it important? • How is the UK doing? • The local picture • How can we work together? • Summary 9
WHAT DO WE MEAN BY EARLY DIAGNOSIS? 10
IN A NUTSHELL…. • “Cancer that’s diagnosed at an early stage, before it’s had the chance to get too big or spread is more likely to be treated successfully. If the cancer has spread, treatment becomes more difficult, and generally a person’s chances of surviving are much lower” 11
WHY IS IT IMPORTANT? 12
CANCER CASES ARE RISING As our population ages, the number of cancer cases are expected to rise: • 2% increase in the incident rate between now and 2035 • In 2035 over 500,000 cases of cancer will be diagnosed every year MALES FEMALES PERSONS OBSERVED CASES = SOLID PROJECTION = DASH 13
ONLY 54% OF CANCERS ARE DIAGNOSED AT AN EARLY STAGE THERE IS VARIATION IN STAGE DISTRIBUTION BY CANCER TYPE 14
DIAGNOSING CANCERS EARLY COULD MAKE A REAL DIFFERENCE TO SURVIVAL 15
AND COULD CUT THE COST OF TREATMENT 16 http://www.incisivehealth.com/uploads/Saving%20lives%20averting%20costs.pdf
HOW IS THE UK DOING? 17
WHEN IT COMES TO SURVIVAL, WE’RE LAGGING BEHIND OTHER COUNTRIES For 4 types of cancer, survival was lower in Denmark and the UK 18
AND A FIFTH OF PATIENTS ARE STILL BEING DIAGNOSED BY AN EMERGENCY ROUTE • The majority of people diagnosed through an emergency route are diagnosed at a late stage (stage IV) when the prognosis is poorer 19
HOW CAN WE WORK TOGETHER TO IMPROVE EARLY DIAGNOSIS? 20
21
HEAD AND NECK CANCER ‒ 11,400 new cases per year (31 per day) in 2016 ‒ 2,386 deaths per year (6 per day) in 2016 22
23 Source: Cancer Research Science blog Accessed February 2016
EDUCATION AND PREVENTION ARE KEY New Cases Cancer Site 2014 Preventable% Lung 46,403 89% 91-93% of all Bowel 41,265 54% Breast 55,222 27% Oropharyngeal Cancers Melanoma 15,419 86% are preventable. Oropharyngeal 11,400 91-93% Oesophagus 8,919 89% Stomach 6,682 75% Only cervical cancer is Bladder 10,063 42% Kidney 12,523 42% more preventable Pancreas 9,618 37% Endometrial 9,324 37% Cervix 3,224 100% Liver 5,550 42% Ovary 7,378 21% Leukaemia 9,534 15% 24 http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type
YOU CAN REDUCE THE RISK OF CANCER BY STACKING THE ODDS IN YOUR FAVOUR. 25
WHAT IS DONE IN YOUR PRACTICE TO ENCOURAGE A HEALTHY LIFESTYLE? ‒ Are there any services in the practices? ‒ Who speaks to the patients about living a healthy life? ‒ Where do you signpost people to for on-going support? ‒ What help do you have for patients to stop smoking? 26
TWO VERSIONS AVAILABLE KEY DIFFERENCES – GP version accessible on doctors.net via www.doctors.net.uk/oralcancer – Dental version available via www.doctors.net.uk/oct – 2 differences: • CPD accreditation for GPs by the RCGP • CPD accreditation for dentists by the BDA • Examination video based in the relevant clinical setting 27
SUMMARY 28
KEY POINTS • Diagnosing cancer earlier will give more patients the option of potentially curative treatments and an improved experience • Progress has been made, but we still lag behind other countries when it comes to cancer survival • We need a multifaceted approach to have the maximum impact - changes need to be implemented at a national and local level 29
THANK YOU 30
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