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Sachsen gegen Darmkrebs
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Für Ärzte

Sehr geehrte Frau Kollegin,
sehr geehrter Herr Kollege,

in Deutschland erkranken jährlich etwa 70.000 Menschen an einem kolorektalen Karzinom, knapp 30.000 Menschen versterben an dieser grundsätzlich heilbaren Erkrankung pro Jahr. Seit Einführung der präventiven Koloskopie für Versicherte ab dem 55. Lebensjahr haben etwa 15 % der Anspruchsberechtigten diese effektivste Vorsorgemaßnahme wahrgenommen. Dabei wurden bei knapp 1 % der Untersuchten, die völlig beschwerdefrei waren, bereits ein kolorektales Karzinom entdeckt und bei etwa 7-10 % wurden fortgeschrittene Adenome gefunden, die als unmittelbare Vorstufen von etwa 85 % der kolorektalen Karzinome anzusehen sind. Berücksicht man zusätzlich, dass es sich bei etwa der Hälfte der so entdeckten Karzinome um Frühformen, d.h. um Erkrankungen in einem Tumorstadium mit einer 5 Jahresüberlebensrate von bis zu 95 % handelt, so hat diese Untersuchungsmethode ihre Effektivität als Früherkennungsmethode bereits jetzt eindrucksvoll unter Beweis gestellt.

Der Berufsverband niedergelassener Gastroenterologen in Sachsen e.V. hat mit freundlicher Unterstützung der Eisai GmbH die Initiative „Sachsen gegen Darmkrebs“ ins Leben gerufen, die die Anspruchsberechtigten aufklären und motivieren soll, diese effektive Maßnahme der Vorsorge zu nutzen und die die kooperierenden Kollegen mit aktuellen Informationen und durch die Bereitstellung von Materialien zum Thema unterstützt.

Darüber hinaus sieht es die Initiative als ihre Aufgabe an, bestehende organisatorische Engpässe zu beheben und damit die Qualität einer effektiven Darmkrebs-Vorsorge perspektivisch zu sichern.Der initiale Schritt der Vorsorge kolorektaler Karzinome liegt jedoch bei Ihnen, in Ihrer Funktion als Hausarzt oder mit der Prävention betrautem Kollegen. Ihnen wollen wir z.B. mit unserem Handbuch in kurzer Form wesentliche, für das Patientengespräch nützliche Hinweise geben und Ihnen Hilfsmittel zur Motivierung der Patienten, wie die „Patientenquittung“, zur Verfügung stellen und Sie mit Tipps zur Abrechnung und Dokumentation unterstützen.

Die Schirmherrschaft für diese Initiative hat dankenswerter Weise Frau Staatsministerin Helma Orosz (Sächsisches Staatsministerium) übernommen. Als Kooperationspartner konnten wir bisher die Sächsische Zeitung und die Freie Presse Chemnitz gewinnen, die Kooperation mit weiteren Medien ist geplant. Auf dieser Website und in unserem Praxishandbuch finden eine Liste von Ärzten, die die präventive Koloskopie auf hohem Niveau sachsenweit durchführen. Den jeweils aktuellen Stand können Sie bei der KV Sachsen erfahren.

Die Prävention kolorektaler Karzinome ist eine gemeinsame, gesamtgesellschaftliche und gesundheitspolitische Aufgabe. Wir bitten Sie um Ihre Unterstützung. Es erscheint durchaus möglich, dass wir durch gemeinsame Anstrengungen in den nächsten 10 Jahren die Zahl der Patienten, die an einem kolorektalen Karzinom sterben müssen, um mehr als 50 % senken können.

Ihr

Priv. Doz. Dr. med. Gerhard Heptner
Internist/Gastroenterologe
Vorsitzender des BNG in Sachsen e. V.

 


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