![Page 1: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/1.jpg)
Colorectal Cancer Disease Pathway Management:
North East Ontario Context
Amanda Hey MD CCFP FCFP
Regional Primary Care Lead
Northeast Cancer Centre, HSN
![Page 2: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/2.jpg)
Faculty/Presenter Disclosure
Faculty: Amanda Hey, Annelind Wakegijig, Agnes Kanawase, Roger Boyer II, Jamie White, Michael Loreto, Kathleen Callaghan, Julie Whitten, Traci Franklin, Sherri Baker, Silvana Spadafora, Patrick Critchley
Relationships with commercial interests:•Grants/Research Support: none•Speakers Bureau/Honoraria: none•Consulting Fees: none•Other: none
![Page 3: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/3.jpg)
Disease Pathway Management
![Page 4: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/4.jpg)
Disease Pathway Management
https://www.cancercare.on.ca/ocs/qpi/dispathmgmt/
![Page 5: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/5.jpg)
Disease Pathway Management
https://www.cancercare.on.ca/ocs/qpi/dispathmgmt
![Page 6: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/6.jpg)
Evidence Alone is Never Enough
Evidence
CircumstanceValues
Context
JAMA Users’ Guide to the Medical LiteratureAmerican Medical Association
![Page 7: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/7.jpg)
Panel Sequence
• Panel facilitator presents case• Panelist present their topic sequentially • Audience Q&A at the END of each panel
Panel 1: Screening-Diagnosis
Panel 2: Treatment
Panel 3: Treatment-Survivorship-Palliative
![Page 8: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/8.jpg)
Regional Aboriginal Cancer Lead
Will provide leadership on FNIM cancer care in the region by:
• Engaging and collaborating with primary care providers• Championing the ACS II strategic vision in collaboration with RCP staff• Strategic planning and program design• Peer education and training
8
![Page 9: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/9.jpg)
Colorectal Cancer: A Case for Action
Annelind Wakegijig MD CCFP
Regional Aboriginal Cancer Lead
Northeast Cancer Centre, HSN
![Page 10: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/10.jpg)
Colorectal Cancer Rates 2007
Male Incidence Female Incidence Male Mortality Female Mortality0
10
20
30
40
50
60
70
80
Age Standardized Incidence and Mortality Rates
North East Ontario
Rat
e p
er 1
00,0
00
https://www.cancercare.on.ca/cms/ Accessed October 2013
![Page 11: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/11.jpg)
CRC and Ontario First Nations
Colorectal cancer incidence, Ontario,1968-2001, ages 15-74
Rates age-standardized to the 1991 Canadian populationHorizontal bars around First Nations rates indicate 95% confidence limits
0
10
20
30
40
50
60
70
80
90
Females
Year of diagnosis
1968-1975
1984-1991
1992-1996
1997-2001
1976-1983
Males
0
10
20
30
40
50
60
70
80
90
1976-1983
1968-1975
1984-1991
1992-1996
1997-2001
Source: Surveillance & Aboriginal Cancer Care Units, CCO (2007)
Year of diagnosis
First NationsAll Ontario
![Page 12: Colorectal Cancer Disease Pathway Management, Northeast Ontario Context, Dr. Amanda Hey](https://reader033.vdocuments.net/reader033/viewer/2022051817/54822e60b07959290c8b4734/html5/thumbnails/12.jpg)
Mr. TW: Case History 1
56 yr. First Nation male• Mother was diagnosed with CRC age 66• He was at Residential School as a child• He seeks advice from his social worker• He attends his community health centre• His nurse practitioner assess him at
increased risk for CRC• He is referred for colonoscopy