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  • Public Health England has just launched the latest edition of Health Matters

  • which looks at how we can prevent more bowel cancers and detect them earlier.

  • Bowel cancer is one of the most common cancers accounting for around one in 10

  • of all cancers in England or to put it another way

  • someone is diagnosed with bowel cancer in the UK every 15 minutes.

  • Just over half of bowel cancer cases in the UK seem to be linked to lifestyle risk factors.

  • Not surprisingly what we eat plays a major

  • role in the factors that may cause bowel cancer.

  • The evidence has been steadily increasing and suggest that there are

  • risks for eating large amounts of red and processed meat, so reducing the

  • amount of red meat we eat and avoiding processed meats as much as possible can

  • help lower the risk. Other things can also make a difference such as

  • exercising regularly, achieving and staying at a healthy weight, stopping

  • smoking, and reducing how much alcohol you drink.

  • For those people who do get bowel cancer detecting early

  • can make all the difference to their quality of life and overall survival.

  • The earlier the bowel cancer is diagnosed the better. One year survival for

  • both men and women diagnosed with the

  • earliest stages of cancer is very good - at 98%.

  • We also know that bowel cancer is more likely to be detected at an earlier

  • stage by screening, or when a patient is sent for investigations by their GP

  • through the rapid two week wait referral pathway.

  • Unfortunately the later diagnosis are often presented as an emergency and these

  • patients do less well. The NHS bowel cancer screening programme is now in its

  • 10th year. In England bowel cancer screening is offered every two years, to

  • men and women aged between 60 and 74.

  • Over the last 10 years so we have found

  • more than 25,000 bowel cancers through the screening alone. Screening upake

  • though is quite variable. Invitations are sent out regionally and while the

  • overall uptake across the whole country is around 56%, in some

  • areas only a third of people actually send their kits back.

  • Since screening is so important what we do to increase

  • the number of people who take part.

  • Evidence shows that bowel cancer screening uptake is better when the

  • individual is made aware that their GP supports the screening programme,

  • especially when this is combined with extra patient information. We have also

  • just announced that we're moving to a new test.

  • This is the fecal immunochemical test, or Fit.

  • It's more sensitive, easier to use, and only requires one sample instead

  • of the usual three. Pilot studies of Fit have suggested that screening uptake

  • could be boosted by 10% which means a further 200,000

  • people could be tested each year. But our ambition in Public Health England is

  • to see the uptake of screening increase even more so that at least

  • three-quarters or 75% of those people invited to take part in the test.

  • The key to this is working in partnership between local authorities,

  • Clinical Commissioning Groups and screening partners to identify any

  • barriers to screening in their local area.

  • The real challenge is to encourage people from

  • hard-to-reach groups to send back their screening kits.

  • We also know that GPs play a pivotal role in the bowel cancer screening

  • programme. They're particularly effective

  • when they support patients who were first sent their screening pack.

  • We would encourage you to have a look at PHE's Health Matters.

  • It includes blogs, video discussions, infographics, and slides. Please feel free

  • to use them in presentations and in discussions with your colleagues.

  • We hope you find this information informative and useful.

  • Thank you very much.

Public Health England has just launched the latest edition of Health Matters


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B1 中級

腸がんの予防と診断の改善 (Improving the prevention and diagnosis of bowel cancer)

  • 72 9
    Study English に公開 2021 年 01 月 14 日