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2019 Kicking Butt 5K

Join us Saturday, August 24th at at the beautiful Big Four Bridge on Waterfront Park in Louisville, Kentucky for the 2019 Kicking Butt 5k!

This annual family friendly event is put on by the Colon Cancer Prevention Project whose mission it is to eliminate preventable colon cancer death and suffering. Participants are encouraged to spend the morning walking, strolling, running, and rolling to a world without colon cancer! Whether you’re a survivor, fighter, advocate, healthcare provider or community partner, all are welcome!

You can donate to the cause or register for the event online. The race starts at 8:30am with day of registration beginning at 7:30am.

About the Colon Cancer Prevention Project

Our very own Dr. Whitney Jones founded the Colon Cancer Prevention Project in 2004. Since then, colon cancer is down more than 25% in the state of Kentucky. The project works to bring awareness to what is a highly preventable disease as well as offer support to those fighting it.

While colon cancer is the 2nd leading cause of all cancer deaths in the United States, when it is detected early, colon cancer is up to 90% curable. According to the Colon Cancer Prevention Project, “It is estimated that 6 out of 10 (60%) deaths from colon cancer could be prevented if everyone were screened at 50.” However, even young people are at risk for developing the disease. 1 in every 10 patients diagnosed are under the age of 50.

How to Take Action

Prevent colon cancer by talking to your doctor about the right time to get screened. It is recommended that men and women of average risk should start screenings by age 50. However, those with a family history or symptoms may need to be screened sooner. Don’t be afraid to ask your family if they’ve been screened as doing so could save their life.

The Gastroenterology Health Partners proudly sponsors the 2019 Kicking Butt 5k. Get screened and schedule an appointment by contacting us today!

National Clinical Alert Part 3: Preventing Young Adult Colorectal Cancer

Health care providers can aid in young adult colorectal cancer prevention by taking steps to educate the public on the rising rate of colorectal cancer found in people under the age of 55. For example, patients diagnosed with colorectal cancer prior to the age of 55 are 58% more likely than older patients to be diagnosed with a more advanced stage of the disease. This is in large part due to a general lack of awareness of young onset colorectal cancer.

The following are important actions steps health care providers can take in preventing young adult colorectal cancer:

1. Be Informative About Basic Digestive Health

Educating patients on the basics of digestive health should be part of regular office visits, especially yearly exams. Patients should understand what and where the colon is and know to take symptoms seriously should they experience them. For example, rectal bleeding and blood in the stool is never normal. Such symptoms require further assessment by a doctor to determine the root cause.

2. Relaying the Risk Factors

Patients should also be made aware of the risk factors associated with having a family history of colorectal cancer and or advanced colorectal polyps. Assessing one’s family history is critical in determining one’s risk for developing colorectal cancer themselves. Those at an increased risk may be eligible for more frequent colorectal screenings at an earlier age than others.

3. The Importance of Early Assessments

Patients at any age that are presenting symptoms or signs of colorectal cancer should be referred for diagnostic evaluation immediately and be given an early assessment with their physical exam. If found and treated early, colorectal cancer has a 90% survival rate.

To schedule an appointment or refer a patient, contact the Gastro Health Partners location nearest you today.

 

Young Adult Colorectal Cancer National Clinical Alert Part 2: The Importance of Family History

Assessing one’s family history of colorectal cancer and polyps (especially advanced polyps) is critical in determining whether or not one is at an increased risk for developing colorectal cancer themselves. Those at an increased risk may be eligible for more frequent colorectal screenings at an earlier age than others.

 

Patients with these family history indicators need to be referred for diagnostic evaluation. To schedule an appointment, contact the Gastro Health Partners location nearest you today.

Young Adult Colorectal Cancer National Clinical Alert: Part 1

The rate of young adult colorectal cancer has been on the rise in the United States since the mid-1980s. Adults born in the 1990s (now in their 20s) and beyond have double the lifetime risk of colon cancer, and quadruple the risk of rectal cancer, compared to adults born in the 1950s. Currently, approximately 20% of all colorectal cancer cases diagnosed in the United States are patients under the age of 55.

Unfortunately, patients diagnosed with colorectal cancer prior to the age of 55 are 58% more likely than older patients to be diagnosed with a more advanced stage of the disease (stage III or IV). This is due to a delay in diagnostic evaluation of symptoms and less access to medical care. Delays in diagnosis, late stage presentation, and limited access to care all contribute to an increase of mortality for young adult colorectal cancer patients. Both the increasing incidence and mortality of young adult colorectal cancer are in sharp contrast to the overall declines in incidence & mortality observed in people over the age of 55.

Patients with these symptoms and signs need to be referred for diagnostic evaluation. To schedule an appointment, contact the Gastro Health Partners location nearest you today.

National Clinical Alert Issued on Early Age Onset Colorectal Cancer

Dr. Whitney Jones was recently featured in an Oncology Nursing News article about how to educate the public about early age onset colorectal cancer.

The article makes note of a national clinical alert co-authored by Dr. Jones urging healthcare providers to get creative about sharing the signs, symptoms and statistics associated with early age onset colorectal cancer.

The national clinical alert is not intended to be limited to just those in the field of gastroenterology. OB-GYNs, as well as those in surgical specialties, adult and pediatric primary care, family and internal medicine, emergency and urgent care departments, occupational medicine, community health centers, and departments of health and healthcare systems worldwide are encouraged to raise awareness about the growing disease.

According to the Colon Cancer Prevention Project founded by Dr. Jones himself, “10% of people diagnosed with colon cancer are under the age of 50 and that number is rising.” When it comes to early age onset colorectal cancer, one’s family history plays a significant role. While everyone is at risk for developing the disease, those with a family history of it are at an even greater risk.

Being knowledgeable about one’s family health history can help to determine the proper time to start screening. On time screening saves lives by detecting and removing polyps in the colon or rectum before they turn into cancer. A screening can also find colon cancer early on, when it is most treatable. The Colon Cancer Prevention Project states that, “when detected early, colon cancer is up to 90% curable.” As an additional preventive measure, healthcare providers are encouraged by the national clinical alert to start implementing early assessments during physical exams as well as cover the basics of digestive health with their patients. 

Talk to your doctor about the right time to get screened by contacting us today.

Read the full article here:

When It Comes To Early-Onset Colorectal Cancer, More Awareness Is Needed

Dr. Whitney Jones was recently featured in a Cure article about the lack of awareness among providers and patients of early-onset colorectal cancer.

Early-onset colorectal cancer affects those younger than 50 years of age. While many don’t think about getting screened for colon cancer until the age of 50, the rates of colorectal cancer in young and middle-aged adults have increased and are predicted to continue to increase. This is due to many factors, including unhealthy lifestyle behaviors, one’s family history and a lack of awareness.

While colorectal cancer is known as a silent and even painless killer, symptoms can include:

  • Blood present in the stool
  • Change in bowel habits (diarrhea, constipation, or consistency)
  • Loss of weight
  • Nausea or vomiting
  • Fatigue

If you have a family history of cancer or polyps, it is urged that you speak to a health care professional about getting screened early. Lifestyle factors that can lead to colorectal cancer include obesity, tobacco use, excessive alcohol consumption, lack of exercise, as well as a diet high in red processed meat and low in fresh fruits or vegetables.

According to Dr. Jones, those with a higher sense of awareness tend to be diagnosed at an earlier stage when the cancer is more treatable. Conversely, studies have shown that those with stage 3 and 4 colorectal cancers are among patients that experienced a prolonged diagnostic delay. Therefore, it is recommended that one seek medical help for symptoms right away. While one often delays speaking to a doctor due to embarrassment, this time period is even more prolonged when one factors in the time gap of seeing a primary care physician and then a specialist. “Unless you are aware, you can’t link that to an action, such as being screened, preventing early, behavioral changes,” Jones explained.

Read the full article here:

Dr. Whitney Jones Discusses Colorectal Cancer

Dr. Whitney Jones is a national expert and frequent speaker on early-age onset colorectal cancer prevention, genetic GI cancer syndrome testing and risk management, and communication strategies for population-based cancer prevention.

On this episode of KET’s Kentucky Health, Dr. Jones explains how we can decrease incidents and mortality rates of colorectal cancer.

Colorectal cancer is the second cause of death due to cancer in the United States. Prior to 2004, Kentucky had one of the highest death rates from colon cancer. One major factor was a lack of screenings. However, now the mortality rate has decreased by more than 20% and we have gone from being 49th in the U.S. for people being screened for colon cancer to a current ranking of 20th.

This is due in large part to the development in 2003 of the Colon Cancer Prevention Project by Dr. Whitney Jones; an organization dedicated to spreading the message of colon cancer.

While the rates are decreasing for those over the age of 55, for reasons unknown, rates of colorectal cancer, specifically rectal cancer, have increased in those under the age of 55. Genetics and lifestyle habits could be prominent factors in this increase. Early screening is an important preventive tool as these rates are projected to continue to rise. 

Causes of Colorectal Cancer

  • Obesity
  • Tobacco use
  • Diets high in red processed meat and low in fresh fruits or veggies
  • Lack of exercise 
  • A family history
  • Excessive or ongoing alcohol use

Symptoms of Colorectal Cancer

  • Rectal bleeding
  • Change in bowel habits
  • Weight loss
  • Unexplained abdominal pain

However, the most common symptom of colon cancer is no symptom at all. It is known as the silent killer and early onset colon cancer has an average 6 month delay from the time a person has symptoms until they see a doctor. 

Screenings

Those with a family history should start screening a decade before their family history indicates, even as early as one’s twenties. 20% of those with a family history of colorectal cancer are at more of a risk themselves. 

If no warning signs or family history exist, screenings should being at the age of 45.

All colonoscopy screenings are covered in the state of Kentucky due to the Affordable Care Act. For those who don’t want a colonoscopy,  there are other options available. However, colonoscopies are still the gold standard of screenings as they remove polyps and the removal of polyps help prevent cancer from developing.

Knowing Your Family History

Genetic medical grade testing is an important proactive tool in diagnosing colorectal cancer. It is now more affordable and accessible than ever before.

Lynch syndrome for example is the most common genetic trait for colorectal cancer. Polyps in the colon develop into cancer faster for persons with Lynch syndrome than those with other genetic predispositions. Those who have it are also at an increased risk of ovarian cancer, endometrial cancer, and pancreatic cancer, among several others. 

Other Preventative Measures

  • Increase the amount of veggies in your diet.
  • Aspirin has been known to reduce the formation of polyps, but has it’s side effects.
  • If you have had polyps in the past, keep up with your follow up surveillance.

Watch the full episode of Dr. Whitney Jones on Kentucky Health here: 


Dr. Whitney Jones is a practicing Gastroenterologist, former therapeutic endoscopist and Clinical Professor at the University of Louisville from 1994 until 2017. He joined GHP in 2017 cofounding its new east Louisville division, Gastroenterology & Endoscopy Associates, PLLC, alongside Drs. Ashok Kapur and Laszlo Makk.

Prevent Colorectal Cancer: Get Screened

Colorectal cancer is the second leading cause of cancer death in the United States. It’s expected to kill more than 50,000 Americans this year alone. The good news? If caught early, the survival rate is very high.

Colorectal Cancer in the U.S.

That’s why screening for colorectal cancer is so important. Screening is generally recommended for all average-risk patients aged 50-75.

People who have a family member with colorectal cancer or polyps are at increased risk and might need to start screening before age 50.

High-risk factors include a personal history of polyps, inflammatory bowel disease, chronic ulcerative colitis, or a family history of colorectal cancer or polyps.

What are the Options for Screening?

There are four main ways to screen for colorectal cancer:

Colonoscopy: Colonoscopy uses a flexible, lighted tool called a colonoscope to view the entire colon and remove cancerous and precancerous growths called polyps if they are detected.
Fecal immunochemical test (FIT): This test checks the stool for tiny amounts of blood given off by polyps or colorectal cancer.
CT colonography: This involves a CT scanner and computer programs to create a three-dimensional view of the inside of the colon and rectum that can be used to identify polyps or cancer.
Cologuard: This tests the stool for tiny amounts of blood and identifies altered DNA from cancer or polyps that end up in the stool.

Colonoscopy is The Best Colorectal Screening Method

Which Screening Option is Best?

Preventing cancer should always be the first goal. Most colorectal cancers begin as polyps. Finding, quantifying, localizing, and removing polyps through screening colonoscopy is the most effective strategy for preventing colorectal cancer. That’s why colonoscopy remains the gold standard for colon cancer screening.

The Multi-Society Task Force on Colorectal Cancer recommends that physicians should offer colonoscopy first. For patients who decline to have a colonoscopy, the FIT test should be offered next, followed by second-tier tests such as Cologuard and CT colonography for patients who decline both first-line options.

A 2014 study published in the New England Journal of Medicine of 10,000 patients found that screening colonoscopy was better at finding cancer than both Cologuard and the FIT test. FIT and Cologuard were also not as good as colonoscopy at finding pre-cancerous polyps – and unlike colonoscopy, FIT and Cologuard can’t remove polyps.

Cologuard missed 1 in 13 people who had colorectal cancer detected by screening colonoscopy. Cologuard also missed more than 30 percent of polyps that will soon be cancer and almost 60 percent of polyps that may become cancer.

The FIT test missed almost 1 in 4 people who had colorectal cancer detected by screening colonoscopy. FIT also missed more than 50 percent of polyps that will soon be cancer and more than 75 percent of polyps that may become cancer.

Which Colorectal Screen Test is Most Effective

Check with Your Insurance Provider

Patients may also have insurance considerations when choosing a test. A follow-up colonoscopy is recommended for positive FIT and Cologuard tests. Individuals with a positive FIT test or Cologuard test who are covered by Medicare may face a costly co-insurance bill after the recommended follow-up colonoscopy.

While insurance covers 100 percent of the preventive screening test, a follow-up colonoscopy for a positive FIT or Cologuard is considered a diagnostic or therapeutic service and may not be fully covered.

Almost one in six people who use the Cologuard test will have a positive result that suggests the presence of colorectal cancer. For almost half of those patients (45 percent), the colonoscopy will show their result from the Cologuard test was a false positive.

Check with your insurance provider before you are screened. Ask how much you should expect to pay if you need a follow-up colonoscopy for a positive FIT or Cologuard test result. This can help you avoid surprise costs.

Insurance Coverage for Colorectal Screening

Talk with Your Doctor

There are several ways to be screened. Remember, Colonoscopy is the gold standard, but if you’re unable to be screened by colonoscopy there are other appropriate options. Talk with your primary care physician about which screening test is best for you and do research about the available options to ensure you’re choosing the best test according to science.