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#glennthecancerwarrior -terminal BRAF MSS

Colon Cancer - Information about the current situation

Colorectal cancer trends and alarming growing instances amongst younger people

Using data from WFO with their cancer over time research for England and Wales, Colorectal cancer % per 100k population. Split by age and time. The trend is very alarming Overall trends may look positive on linked charts (chart #1) with instances peaking before declining from 2010 onwards and mortality rates continually decrease. HOWEVER, look at just those aged less than 50 and the picture is very different (chart #2). A sharp continual increase in instances since cira year 2,000. Despite no recent material changes in testing amongst the young. Mortality rates (chart #4) flat-lined in circa 2000 and are creeping up again, i.e. people aged less than 50 are more to get and die from colorectal cancer despite advancements in treatment. The increase in instances amongst those aged < 40 is particularly stark (chart #5), a similar trend was evident for both males and females.
Colon cancer instances over time in England Wales UK all ages(1)
Colon cancer instances over time in England and Wales age less thaan 50(2)
Colon cancer mortality rates over time in England and Wales all ages(3)
Colon cancer instances over time in England and Wales age less thaan 50(4)
Age co horts Males(5)







What is Colon Cancer and why is learning about it important for most of us

Being a terminally ill sufferer I don't have the capacity to write lots and lots in this space , I have summarised and shared to certain figures of authority as to the difficulties faced currently. This should also help both patients, carers and broader public. This is a large reason IMO why the situation in the UK is sub optimal and needless deaths , including mine soon, are occuring.

At a time when my family and I desperately need appropriate support for this chronic illness our degree or stress, our suffering is made worse due to some apparent shortcomings across the cancer life cycle. Sadly we are not alone, a growing number of sufferers with the same cancer type as me are facing the same difficulties due to these shortcomings. Each year a number of avoidable deaths occur and also sufferers die leaving loved ones behind earlier than necessary. These shortcomings in summary are:

Current colon cancer testing guidance is hopelessly out of date. I and most others with BRAF, tend to be comparatively healthy 30 - 50 year olds who despite having stage 4 cancer do no fit into the target population. Nor would would we fit into the slow 4 year planned expansion.

Current colon cancer guidance on symptoms and stated increased risks of developing bowel cancer like me they are typically and almost exclusively: do not fit with the profile of sufferers with this cancer type. Fit, energetic and well within healthy BMI ranges. For example I was a serious amateur cyclist not so far off of pro level in terms of fitness. Ate a healthy diet, either did not smoke/ drink or if so we well within low weekly quantities and units. I for example never smoked and drank a low amount Do not have type 2 diabetes, inflammatory disease or family history of bowel cancer.

When this cancer (typically by stage 4) is diagnosed, we are treated with a care system in the UK that is 10 to 20 years behind the rest of developing countries:

NICE is slow to approve the usage of new treatments for UK usage and therefore stifling access to life extending treatment options / treatment advancement Standard treatment lines specifically for BRAF mutations (which currently carries a poorer prognosis, probably in part due to this) are limited.

Access to modern tests such as genology reports and modern treatments such as selective radiation therapy, badly needed to combat what is an aggressive form of stage 4 cancer is limited. The funding model for spend on cancer in the UK appears to be one dimensional and very far from taking a holistic approach, considers simply the number of people diagnosed with that cancer type each year. Not taking account level of severity upon diagnosis for the sufferer or their family, the trend in yearly number and probabilities of diagnosis, the degree to which support upon diagnosis is fit for purpose vs that in other developed countries.