INFORMATION BOOKLET
Information Booklet
A
NATIONAL BOWEL CANCER SCREENING PROGRAM
Acknowledgments:
The Australian Government acknowledges the contribution and support of the National Bowel
Cancer Screening Program Advisory Group, including states and territories, in establishing this
program.
National Bowel Cancer Screening Program Information
Booklet
ISBN: 978-1-74241-975-6
Online ISBN: 978-1-74241-976-3
Publications Approval Number: 11331
Copyright Statements:
Paper-based publications
© Commonwealth of Australia 2015
This work is copyright. You may reproduce the whole or part of this work in unaltered form for your
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© Commonwealth of Australia 2015
This work is copyright. You may download, display, print and reproduce the whole or part of this
work in unaltered form for your own personal use or, if you are part of an organisation, for internal
use within your organisation, but only if you or your organisation do not use the reproduction
for any commercial purpose and retain this copyright notice and all disclaimer notices as part of
that reproduction. Apart from rights to use as permitted by the Copyright Act 1968 or allowed
by this copyright notice, all other rights are reserved and you are not allowed to reproduce the
whole or any part of this work in any way (electronic or otherwise) without first being given the
specific written permission from the Commonwealth to do so. Requests and inquiries concerning
reproduction and rights are to be sent to the Communication Branch, Department of Health,
GPO Box 9848, Canberra ACT 2601, or via e-mail to [email protected].
This information booklet cannot be completely comprehensive and is intended as a guide only. It
should not replace individual medical advice and if you have any concerns about your health or
further questions you should raise them with your doctor.
INFORMATION BOOKLET
Table of Contents
Introduction_________________________________________________________ 1
About your bowel___________________________________________________ 2
About bowel cancer__________________________________________________ 3
What is bowel cancer?______________________________________________ 3
How common is bowel cancer?______________________________________ 3
What causes bowel cancer?_________________________________________ 4
What are the symptoms of bowel cancer?______________________________ 4
Can bowel cancer be cured?_________________________________________ 5
Can bowel cancer be prevented?_____________________________________ 5
Who is at risk of bowel cancer?_______________________________________ 6
What is a significant family history of bowel cancer?______________________ 6
Screening for bowel cancer___________________________________________ 7
What is screening?_________________________________________________ 7
What if I’ve been tested for bowel cancer in another process?_____________ 8
What does the FOBT involve?________________________________________ 9
What if I need another test kit?_______________________________________ 9
What if I cannot understand the test’s instructions?______________________ 9
How reliable is the test?____________________________________________ 10
Can I place my samples in the fridge?________________________________ 10
What will happen to my FOBT results?________________________________ 10
What does the FOBT show?________________________________________ 11
What happens if my result is positive_________________________________ 12
What does a colonoscopy involve?___________________________________ 12
Are there any risks from a colonoscopy?______________________________ 13
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NATIONAL BOWEL CANCER SCREENING PROGRAM
Where can I have a colonoscopy?____________________________________ 14
How much does a colonoscopy cost?________________________________ 14
What happens if a bowel cancer is detected?__________________________ 14
What if the colonoscopy doesn’t show anything?_______________________ 14
The National Bowel Cancer Screening Program________________________ 15
What does the program involve?_____________________________________ 15
Why are only people who are over 50 being invited to take part?__________ 16
Do I have to take part?_____________________________________________ 16
What should I do with my test kit if I don’t want to take part?_____________ 16
Can I give my invitation to someone else?_____________________________ 17
What if I choose not to participate in the program?_____________________ 17
Opting off the program__________________________________________ 17
Suspending from the program____________________________________ 17
What if I change my mind about participating in the program?____________ 18
Protecting your personal information_________________________________ 19
What information is kept by the Program Register?_____________________ 19
What will this information be used for?________________________________ 19
Is my information on the Program Register safe?_______________________ 20
Who will my information be provided to?______________________________ 20
What if my personal details are incorrect or change?____________________ 20
For further information_____________________________________________ 21
Websites___________________________________________________________ 22
Bibliography_______________________________________________________ 23
Opt off form________________________________________________________ 25
Suspend form______________________________________________________ 26
ii
INFORMATION BOOKLET
Introduction
In Australia about one in 19 men and one in 28 women will develop bowel cancer
before the age of 751. This is one of the highest rates in the world. In 2011 about
15,151 new cases of bowel cancer were diagnosed and in 2012 approximately
4,000 people died from the disease2. This makes bowel cancer the second most
common cause of cancer-related death after lung cancer.
The good news is that bowel cancer is one of the most curable types of cancer,
if found early. If the cancer is detected before it has spread beyond the bowel,
the chance of surviving for at least five years after diagnosis is 90 per cent3. Early
detection offers the best hope of reducing the number of Australians who die each
year from bowel cancer.
This booklet tells you the main facts about bowel cancer, about a simple screening
test, called a Faecal Occult Blood Test (FOBT), that you can do at home and about
follow-up tests used to look for changes in your bowel, including cancer. It also
tells you about how you can reduce your risk of getting bowel cancer by completing
the free screening test that you have been sent.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
About your bowel
Your bowel is part of your food digestive system. It connects your stomach to your
anus, where waste materials (called a bowel motion or faeces) are passed out of
the body. The function of the bowel is to finish digesting food by absorbing water
and nutrients.
Your bowel has three parts:
• the small bowel – which mainly
absorbs nutrients from
broken-down food
• the colon – which mainly
absorbs water
• the rectum – which stores waste
material until it is passed from the
body through the anus.
The colon and rectum together are known
as the large bowel. Bowel cancer usually
affects the large bowel. Cancer of the
large bowel is also known as colorectal
cancer. Cancer of the small bowel is rare.
Colon
Small Bowel
Rectum
Anus
Illustrations on page 2 and 3 adapted from original illustrations, courtesy The Cancer Council Victoria.
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INFORMATION BOOKLET
About bowel cancer
What is bowel cancer?
Bowel cancer is a malignant growth that develops most commonly inside the large
bowel. Most bowel cancers develop from tiny growths called polyps. Polyps look
like small spots on the bowel lining or like cherries on stalks. Not all polyps become
cancerous. If polyps are removed, your risk of bowel cancer is reduced.
The beginnings of bowel cancer
How common is bowel cancer?
Bowel cancer is one of Australia’s most common cancers, especially for people over
50. In 2011 about 15,151 new cases were diagnosed. It is also a major cause of
cancer deaths, with around 80 Australians dying from bowel cancer each week.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
During 2012, lung, bowel, prostate and breast cancer were the most common
causes of cancer related death in Australia, as shown in Figure 1.
Figure 1: Number of deaths from the most commonly occurring internal cancers in
Australia, 2012
4,822
3,079
3,255
2,795
2,208
1,772
Australian Institute of Health and Welfare 2014. Cancer in Australia: an overview, 2014.
Cancer series No. 90. Cat. No. CAN 88. Canberra: AIHW
What causes bowel cancer?
It is difficult to give one reason, but for most people it is their age and diet that
contribute to the development of bowel cancer.
What are the symptoms of bowel cancer?
Bowel cancer can develop without any obvious symptoms. This is why it is
important to screen.
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INFORMATION BOOKLET
Symptoms can include:
• bleeding from the rectum
or any sign of blood after a
bowel motion
• a recent and persistent change
in your bowel habit, for example
if you have looser bowel motions,
severe constipation and/or if you
need to go to the toilet more
often than usual
• unexplained tiredness (a symptom
of anaemia) or weightloss
• abdominal pain.
REMEMBER:
If you notice any of these
symptoms, it does not mean that
you have bowel cancer, but it is
very important that you discuss
them with your doctor.
Can bowel cancer be cured?
Bowel cancer is one of the most curable types of cancers if found early. That is why
completing the free screening test sent to you is so important.
Can bowel cancer be prevented?
While no cancer is completely preventable, you can lower your risk of bowel cancer
by eating a healthy diet, exercising regularly, reducing your alcohol consumption
and quitting smoking.
It is never too late to make changes to your diet and lifestyle. If you would like
more information on a healthy diet, talk to your doctor or see the program’s web
site at www.cancerscreening.gov.au
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NATIONAL BOWEL CANCER SCREENING PROGRAM
Who is at risk of bowel cancer?
Both men and women are at risk of developing bowel cancer.
The risk is greater if you:
• are aged 50 years and over – your risk increases with age;
• have had an inflammatory bowel disease, such as Crohn disease or
ulcerative colitis;
• have previously had special types of polyps, called adenomas, in the bowel; or
• have a significant family history of bowel cancer or polyps.
What is a significant family history of bowel cancer?
You are considered to have a significant family history of bowel cancer if a close
relative (parent, brother, sister or child) developed bowel cancer at a young age
(under 50 years) or if more than one relative on the same side of your family has
had bowel cancer.
More than 75 per cent of people who develop bowel cancer do not have a family
history of bowel cancer4.
If you think you have a family history of bowel cancer, you should talk to your
doctor about your risk of getting the disease.
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INFORMATION BOOKLET
Screening for bowel cancer
What is screening?
Screening involves testing for bowel cancer in people who do not have any obvious
symptoms of the disease. The aim is to find polyps or cancer early when they are
easier to treat and cure.
Bowel cancer can develop without any early warning signs.
The cancer can grow on the inside wall of the bowel for several years before
spreading to other parts of the body. Often very small amounts of blood leak from
these growths and pass into the bowel motion before any symptoms are noticed.
A test called a Faecal Occult Blood Test (FOBT) can detect small amounts of blood
in your bowel motion. Although no screening test is 100 per cent accurate, the
FOBT is at present the most well researched screening test for bowel cancer.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
The National Health and Medical Research Council (NHMRC) recommend screening
with an FOBT every two years from the age of 50 years5.
If you develop any of the symptoms of bowel cancer or discover a family history of
bowel cancer you should contact your doctor as soon as possible to talk about the
type of testing that is most suitable for you.
What if I’ve been tested for bowel cancer in
another process?
If you:
• have had a bowel condition in the last 12 months which is currently under
treatment; or
• have had a recent colonoscopy (anytime in the last 5 years); or
• are scheduled for a colonoscopy in the next few weeks;
then you may wish to discuss your participation in the screening program with
your doctor. Please advise the Information Line (1800 118 868) if your doctor
recommends that you do not need to participate in the program.
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INFORMATION BOOKLET
What does the FOBT involve?
The FOBT is a simple test that you do at home before sending samples to a
pathology laboratory for analysis. The test is quick, easy and painless. To increase
the chances of detecting tiny amounts of blood in your bowel motion, you will
need to take samples from two separate bowel motions. Ideally, samples should be
collected as close together as possible and preferably no more than 2-3 days apart.
The accuracy of the results can be affected by temperature and by the time from
sampling to analysis. Taking the samples as close together as you can, storing them
correctly and returning them quickly for analysis will ensure that your result is as
accurate as possible. If it takes longer than 14 days from when you take the first
sample to when your samples reach the pathology laboratory, you will be sent
another kit to complete.
The FOBT kit includes an instruction sheet, and you should read this carefully
before doing the sampling.
Once you have collected the samples, send them to the pathology laboratory
for testing in the reply paid envelope provided in the kit. When sending in your
samples make sure you include your signed Participant Details Form. You are
encouraged to nominate your doctor on the form. If you don’t have a regular
doctor, but attend a clinic or service (such as an Aboriginal Medical Service) for
health care, then you can nominate that service.
The pathology laboratory will send your test results to you and your doctor/health
service (if nominated). If you have a positive test result, you will need to discuss the
result with your doctor/health service.
What if I need another test kit?
If you lose or damage your test kit and need a replacement, please contact the
Information Line on 1800 118 868
What if I cannot understand the test’s instructions?
Call the FOBT Helpline on 1800 738 365 if you are unsure how to do the test.
They will talk you through it step by step.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
How reliable is the test?
No screening test is 100 per cent accurate. As with most tests, the sooner the
samples can be analysed, the more accurate the result. Taking the samples as close
together as you can, storing them correctly and posting them promptly will ensure
that the most accurate results are obtained.
Blood starts to break down once it leaves the body. The liquid in the collection
tube acts as a preservative for blood. Certain conditions can cause blood to break
down at a faster rate and, once the blood breaks down, it is harder to detect in
the screening process. This may result in a ‘false negative’. Samples that are
exposed to high temperatures for extended periods, or delayed in analysis,
may be affected in this way.
To reduce the breakdown of any blood in the samples, it is important not to expose
them to high temperatures and to complete the test promptly.
Can I place my samples in the fridge?
Yes. Given the tiny amount of sample required and the four protective coverings
(the sampling tube, the transport tube, the plastic ziplock bag and the reply
paid envelope) there should be no risk of contamination with other contents
of your fridge.
The fridge provides the most stable conditions for your sample but
DO NOT FREEZE.
What will happen to my FOBT results?
The results will be sent to you, your doctor (if you have nominated one) and also
to the Program Register about two weeks after you post your completed test to
the laboratory.
If you opt off the Program after you have completed a FOBT and sent it for analysis,
the results of the test will still be sent to you and your doctor (if nominated).
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INFORMATION BOOKLET
What does the FOBT show?
The FOBT shows whether or not blood
was found in your samples.
If no blood is found in the samples you
send to the laboratory, your FOBT result
is negative. However, this does not
mean that you do not have or can never
develop bowel cancer, as some bowel
cancers do not bleed or only bleed on
and off. The NHMRC recommends that
you have an FOBT every two years from
the age of 50 years6.
If you develop any symptoms of bowel
cancer after receiving a negative result,
see your doctor immediately.
If blood is present in the samples you
send to the laboratory, your FOBT result
is positive. About one in 13 people will
have a positive result, indicating the
presence of blood7. This may be due to conditions other than cancer, such as
polyps, haemorrhoids or inflammation of the bowel, but the cause of the bleeding
needs to be investigated. If blood is detected, you will be asked to contact your
doctor to discuss the result.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
What happens if my result is positive
If your FOBT result is positive, you will need to discuss the result with your doctor.
Your doctor may recommend a further test, usually a colonoscopy, to find the
cause of the bleeding. You should discuss with your doctor any risks associated
with such testing.
What does a colonoscopy involve?
A colonoscopy is a procedure to examine the bowel. The usual procedure for a
colonoscopy is described below.
The day before:
The day before the colonoscopy you will be asked to drink a special preparation to
help empty your bowel. This is very important, because it helps the doctor see the
lining of your bowel more clearly and find any changes. You will need to be near a
bathroom all day, so you may need to take time off work or plan ahead if you need
to travel for your colonoscopy.
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INFORMATION BOOKLET
The day of the procedure:
On the day of the procedure you may be given a sedative that will make you feel
drowsy. The doctor will then insert a narrow flexible tube into the rectum. This
tube is called a colonoscope. It has a very small camera attached to it, which lets
the doctor look for polyps or cancerous growths in the bowel.
The test itself takes about 20 to 30 minutes and is usually carried out in a hospital
or day clinic. After the procedure you will remain in the hospital recovery area for
about two hours until the effect of the sedation wears off.
You may then go home. You will need to have someone come and pick you up.
Because of the sedation, it is very important that you do not drive a car, travel
on public transport alone (including in a taxi), operate machinery, sign legal
documents or drink alcohol for 24 hours after your test.
If any polyps are seen, the doctor will usually remove them immediately and test
them for cancer. You may feel some discomfort after the procedure, but this will
settle quickly. You should not feel any pain.
Further details on colonoscopy can be found on the program’s website:
www.cancerscreening.gov.au
Are there any risks from a colonoscopy?
Complications from colonoscopy may occur. Serious complications may include
perforation (making a hole) of the bowel wall (about 1 in 1,000 examinations)
and/or major bleeding from the bowel (about 3 in 1,000 examinations)8.
You could also have a poor reaction to the bowel preparation and/or to the
sedatives or anaesthetic. Rare side effects can occur with any procedure.
Death is a remote possibility.
It is important that you discuss the risks and benefits with your doctor before
consenting to any procedure, including colonoscopy.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
Where can I have a colonoscopy?
Colonoscopies are generally performed in a hospital or day clinic by a specialist.
You will usually need a referral from your doctor and can be referred as a public or
private patient. There are waiting lists for colonoscopy in some parts of Australia.
If you are concerned you should discuss this with your doctor in the first instance.
How much does a colonoscopy cost?
The Government pays a Medicare rebate for colonoscopies performed in the
private sector. Depending on whether you have your colonoscopy as a public or
private patient, you may have to pay an additional gap fee. You should discuss
the possible costs with your doctor and health insurance fund.
What happens if a bowel cancer is detected?
You will usually require surgery if a bowel cancer is found. If the cancer is found
at an early stage, the chance of a full recovery is high. Most people will be able
to return to their current lifestyle.
What if the colonoscopy doesn’t show anything?
A clear colonoscopy means that no polyps or cancerous growths were detected.
Your specialist will discuss your result with you and the frequency and type of
future testing required based on your individual circumstances. This may include
a return to two yearly FOBT screening, as recommended by the NHMRC9.
In the meantime, if you develop any of the symptoms described in this book,
you should see your doctor immediately.
14
INFORMATION BOOKLET
The National Bowel Cancer Screening
Program
The National Bowel Cancer Screening Program has been initiated by the Australian
Government, in partnership with state and territory governments, to help detect
bowel cancer early and reduce the number of Australians who die each year from
the disease.
What does the program involve?
The program is currently inviting Australians turning 50, 55, 60, 65, 70 or 74 years
of age to take part.
Other age groups will be added progressively, so that by 2020 all Australians aged
50 to 74 years will be invited to screen every two years. This is consistent with the
recommendations of the NHMRC10.
More information about the introduction of biennial (two yearly) screening is
available from the program website at: www.cancerscreening.gov.au.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
The names and addresses of people eligible to take part in the program are drawn
from Medicare or Department of Veterans’ Affairs records. Most people receive
their invitation around the time of their birthday, but it may be up to six months
after their birthday. People living in hotter areas of Australia will receive their
invitation during the cooler months of the year.
Eligible people are sent a bowel cancer screening test kit (a FOBT) by mail and
asked to take samples from two separate bowel motions before sending the
completed test back to the laboratory for analysis. There is no cost involved in
completing the test.
Why are only people who are over 50 being invited to
take part?
Research shows that the risk of developing bowel cancer rises significantly from
the age of 50.
The NHMRC recommends screening with a FOBT every two years from the age
of 50 years11. You should talk to your doctor about regular FOBT screening.
Do I have to take part?
No. Participation in the program
is voluntary – it is your choice.
If you do not complete the FOBT, one
reminder letter will be sent to you.
What should I do with my
test kit if I don’t want to
take part?
You should dispose of your test kit
in your rubbish bin. Please do not
return your unused kit or give it to
another person.
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INFORMATION BOOKLET
Can I give my invitation to someone else?
No. At the moment the free screening test is only available for those people who
have been invited to take part in the program. If you know someone who wants to
have a test for bowel cancer, or is concerned about their health, you should advise
them to contact their doctor.
What if I choose not to participate in the program?
Opting off the program
If you choose not to take part in the program, you can opt off. Please do not return
your unused test kit or give it to another person.
By choosing to opt off of the program, you will not receive any reminder letters
and you will not be invited to screen in the future, unless you notify the program
that you now want to be involved.
You can opt off of the program by completing the opt off form on page 25
of this information booklet or by ringing the Program Information Line on
1800 118 868. If you opt off by telephone, a confirmation letter will be sent to you.
If you have opted off of the program but then decide to participate by doing the
FOBT sent to you, you will be considered a participant in the program. This means
that your test results will be recorded on the Program Register and reminder letters
will be sent to you, if necessary.
Suspending from the program
If you are unable to participate in the program now, but would like to in the near
future, you can suspend your participation for up to one year. Or, you can choose
to have a test kit sent to you when you are next eligible to participate in the
program (in five years time).
You can do this by completing the suspend form on page 26 of this information
booklet or by ringing the Program Information Line on 1800 118 868. If you
suspend over the telephone, a confirmation letter will be sent to you.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
If you choose to suspend your participation in the program, you will be asked to
nominate a preferred date to recommence, after which the Program Register will
send you invitations to screen and other program correspondence.
What if I change my mind about participating in the
program?
If you decide in the future you want to become involved in the program, call
the Program Information Line on 1800 118 868.
The Program Information Line will be able to tell you about your eligibility to
participate and when you may expect to receive a test kit.
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INFORMATION BOOKLET
Protecting your personal information
What information is kept by the Program Register?
The Program Register is administered by the Department of Human Services.
It keeps personal information such as your name, contact details, age, gender,
Medicare number, results of your screening test, the name of your nominated
doctor and other health professionals who provide screening services to you
and the results of any further tests you may have such as colonoscopy and
histopathology results.
To invite you to take part in the program your name has been drawn from either
the Medicare or Department of Veterans’ Affairs enrolment records.
What will this information be used for?
Your personal details will be used to:
• remind you to complete your FOBT;
• assist you to receive appropriate follow up and access to health services in
accordance with clinical guidelines;
• send reminder letters and/or make telephone calls (where necessary) to you and
your nominated doctor;
• invite you again in the future to complete FOBTs during the period you are
eligible to participate except during any time you opt off or suspend your
participation;
• contact medical service providers to request relevant reports be submitted to
the Program Register;
• check Medicare and Department of Veterans’ Affairs claims for bowel
examinations if required; and
• monitor and evaluate the effectiveness of the program and its impact on the
incidence of bowel cancer.
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NATIONAL BOWEL CANCER SCREENING PROGRAM
Is my information on the
Program Register safe?
You can be assured that your personal
information and test results kept on
the Program Register are protected by
the Privacy Act 1988 and your personal
details will be handled in accordance with
the Australian Privacy Principles set out
within that Act. Further information is
available on the Program website –
www.cancerscreening.gov.au/nbcsp-privacy
Who will my information be
provided to?
Personal information kept on the Program
Register may be disclosed to health
professionals who provide services under
the program, such as your nominated
doctor, medical specialists, the pathology
laboratory responsible for analysing your
FOBT samples, employees and contracted service providers of state and territory
health departments, the Australian Government Department of Health, the
Australian Institute of Health and Welfare and any authorised third party you
have nominated.
What if my personal details are incorrect or change?
If your personal details change or are listed incorrectly please call
the Program Information Line on 1800 118 868.
20
INFORMATION BOOKLET
For further information
FOBT Helpline:
For information about how to do the Faecal Occult Blood Test.
National Bowel Cancer Screening Program
Information Line:
1800 738 365
1800 118 868
Cancer Council Helpline:
Your state or territory cancer council provides a confidential
service where you can talk about your concerns or questions
about cancer with specially trained staff. The staff can send
you written information and can put you in touch with
services in your local area.
Translating and Interpreting Service:
13 11 20
13 14 50
TTY:
Teletypewriter service to assist people with a hearing
impairment.
1800 810 586
21
NATIONAL BOWEL CANCER SCREENING PROGRAM
Websites
National Bowel Cancer Screening
Program
www.cancerscreening.gov.au
Australian Capital Territory
www.actcancer.org
New South Wales
www.nswcc.org.au
Northern Territory
www.cancercouncilnt.com.au
State/Territory Cancer Councils
Queensland
www.qldcancer.com.au
South Australia
www.cancersa.org.au
Tasmania
www.cancertas.org.au
Victoria
www.cancervic.org.au
Western Australia
www.cancerwa.asn.au
Cancer Council Australia
www.cancer.org.au
Health Insite
www.healthinsite.gov.au
Gastroenterological Society of
Australia
www.gesa.org.au
Bowel Cancer Australia
www.bowelcanceraustralia.org
22
INFORMATION BOOKLET
Bibliography
1. Australian Institute of Health and Welfare 2014. Cancer in Australia: an
overview, 2014. Cancer series No. 90. Cat. No. CAN 88. Canberra: AIHW, p 102
2. ibid, p 102.
3. Commonwealth Department of Health and Family Services, Colorectal Cancer
Screening: A report of the Australian Health Technology Advisory Committee,
Canberra, Canberra, 1997, p 11.
4. ibid, p 72.
5. The National Health and Medical Research Council (NHMRC) Clinical Practice
Guidelines for the Prevention, Early Detection and Management of Colorectal
Cancer (2nd edition, December 2005), p 38.
6. ibid, p 38.
7. AIHW 2012. National Bowel Cancer Screening Program: annual monitoring
report: Phase 2, July 2008-June 2011. CANCER SERIES NO. 65. CAN 61.
Canberra: AIHW, p 25.
8. The National Health and Medical Research Council (NHMRC) Clinical Practice
Guidelines for the Prevention, Early Detection and Management of Colorectal
Cancer (2nd edition, December 2005), p 92.
9. ibid, p 38.
10. ibid, p 38.
11. ibid, p 38.
23
NATIONAL BOWEL CANCER SCREENING PROGRAM
You can find the program information in your language from the Link at the bottom of this page or call
the Translating and Interpreting Service on 131 450 for assistance.
ARABIC
‫يمكنك العثور على المعلومات الخاصة بالبرنامج باللغة العربية عن‬
‫) في أسفل هذه الصفحة أو اتصل بخدمة الترجمة‬Link( ‫طريق الوصلة‬
.‫ للحصول على مساعدة‬131 450 ‫الخطية والشفهية على الرقم‬
CHINESE SIMPLIFIED
关于这个计划的中文资料请见本页底部的链接：Link
您也可以致电翻译口译服务处要求协助，号码是131 450。
CHINESE TRADITIONAL
關於這個計劃的中文資料請見本頁底部的鏈接：Link
您也可以致電翻譯口譯服務處要求協助，號碼是131 450。
CROATIAN
Informacije o programu na Vašem jeziku možete naći na
linku )Link( na dnu ove stranice, ili nazovite za pomoć Službu
prevoditelja i tumača na 131 450.
DUTCH
U kunt informatie over het programma in uw eigen taal
vinden via de Link onderaan deze pagina, of u kunt hulp
vragen aan de Tolk- en Vertaaldienst op nummer 131 450.
FILIPINO
Makikita ninyo ang impormasyon ng program sa inyong
wika mula sa Link na nasa ibaba ng pahinang ito o tumawag
sa Translating and Interpreting Service )Mga Serbisyo ng
Interpreter( sa 131 450 upang magpatulong.
GERMAN
Klicken Sie für Informationen zum Programm in Ihrer
Sprache auf den Link am unteren Seitenrand, oder lassen Sie
sich unter 131 450 vom Übersetzer- und Dolmetscherdienst
helfen.
GREEK
Μπορείτε να βρείτε τις πληροφορίες του προγράμματος στη
γλώσσα σας από το σύνδεσμο )Link( στο κάτω μέρος αυτής
της σελίδας ή καλέστε τις Υπηρεσίες Μεταφραστών και
Διερμηνέων στο 131 450 για βοήθεια.
ITALIAN
Potete trovare le informazioni nella vostra lingua sul
programma seguendo il Link in calce alla presente pagina
oppure chiamando il servizio traduzioni e interpreti al
numero 131 450 per l’assistenza del caso.
KHMER
elakGñkGacrkeXIjB&t(manGMBIkmµviZICaPasarbs´elakGñk
tamry;kartP¢ab´)Link(enAcugTMB&renH ßTUrs&BÞeTAesvabkERb
Pasasresr nigniyay elx 131 450 edIm|IsuMCMnYy.
KOREAN
한국어로 된 프로그램 정보는 이 페이지 하단의 링크
)Link( 에서 찾으실 수 있습니다. 혹은 통번역 서비스에
131 450으로 전화하여 언어지원을 받으십시오.
MACEDONIAN
Информации за програмата на вашиот јазик можете да
најдете ако притиснете на линкот )Link( кој се наоѓа во
долниот дел на оваа страница или ако телефонирате за
помош во Службата за писмено и усмено преведување на
131 450.
MALTESE
Int tista’ ssib it-tagħrif dwar il-programm fil-lingwa tiegħek
mill-‘Link’ fil-qiegħ ta’ din il-paġna jew ċempel lis-Servizzi tatTraduzzjonijiet u tal-Interpretar fuq 131 450 għall-għajnuna.
NEPALESE
तपाईले कार्यक्रमको जानकारीहरु रस पानाको तल दिईएको
ललङक(link)मा आफननै भाषामा पाउनुहुनेछ अथवा सहरोगको
लालग ट्ानसलेदिं ङग एण्ड ईनिरपेदिङगस ् सलभ्यस )Translating
and Interpreting Service( को 131 450 फोन गनुह
्य ोला।
POLISH
Informację o programie w swoim języku znaleźć możesz
klikając na Link na dole tej strony, lub dzwoniąc o pomoc do
Służby Tłumaczy pod numer 131 450.
RUSSIAN
Информация о программе на вашем языке приводится
через линк )Link( в нижней части этой страницы. Кроме
того, для получения помощи можно позвонить в
Переводческую службу TIS по тел. 131 450.
SERBIAN
Информације о програму на вашем језику можете да
нађете преко везе )Link( на крају ове странице или
назовите Службу за превођење и тумачење на 131 450
ако вам треба помоћ.
SPANISH
Puede encontrar información en español sobre el programa
en el Link )vínculo( al pie de esta página, o llamar al Servicio
de Traducción e Interpretación al 131 450 por ayuda..
TURKISH
Programa ilişkin olarak kendi dilinizdeki bilgiyi, bu sayfanın
sonundaki Link ‘ten bulabilir veya 131 450’den Yazılı ve Sözlü
Çeviri Servisi’ni arayabilirsiniz.
VIETNAMESE
Quý vị có thể tìm thông tin về chương trình này qua tiếng Việt
tại nối kết trang mạng )Link( ở cuối trang này, hoặc gọi đến
Dịch vụ Thông Phiên dịch )TIS( qua số 131 450 để được trợ giúp.
LINK
http://www.cancerscreening.gov.au/translations
http://www.cancerscreening.gov.au/internet/screening/publishing.nsf/Content/multilingual-information-1
24
INFORMATION BOOKLET
National Bowel Cancer Screening Program
Opt
Off Form booklet
Information
Opt off form
This form is to be used if you do not wish to participate in the program.
ID number
Family Name
Date of Birth
Given Name(s)
Female
/
/
Male
Please provide your reason for opting off the program:
having regular
colonoscopies
under cancer care
having regular FOBT
screening
uncomfortable with process
medical advice not to
participate
other
privacy concerns
not interested
I understand by choosing to opt off:
•
I will not receive any reminder letters and will not be invited to screen in the future,
unless I notify the program that I want to be involved.
•
If I have opted off the program but then decide to participate by doing the program FOBT,
I will be considered a participant in the program. This means my test results will be
recorded on the Program Register and reminder letters will be sent to me if necessary.
Signed
Dated
/
/
Please Note: This form must be signed by the person invited to participate in the program
or a third party authorised to act on their behalf. If signing on behalf of the invitee please
provide your name and contact information:
Authorised third party name
Authorised third party contact numbers:
Work: (
)
Home: (
)
Once you have completed this form, please
remove it from the booklet and send it to the
Program Register at the following address
(no postage stamp required):
(Mobile)
NBCSP Register
Reply Paid 83245
Canberra BC ACT 2610
PAG E 27
25
NATIONAL BOWEL CANCER SCREENING PROGRAM
National Bowel Cancer Screening Program
Suspend Form
Suspend form
This form is to be used if you wish to suspend your participation in the
program for a period of time.
ID number
Family Name
Date of Birth
Given Name(s)
Female
seeking doctor’s advice
illness
recent bowel cancer
screening
travelling
/
/
Male
other
recent colonoscopy
I wish to suspend my participation until (tick one of the following):
/
/
(Please enter the date you wish to recommence in the program.
This cannot be greater than one year from the date you were
invited to participate)
I am next eligible to participate in the program
Signed
Dated
/
/
Please Note: This form must be signed by the person invited to participate in the program
or a third party authorised to act on their behalf. If signing on behalf of the invitee please
provide your name and contact information:
Authorised third party name
Authorised third party contact numbers:
Work: (
)
Home: (
Once you have completed this form, please
remove it from the booklet and send it to the
Program Register at the following address
(no postage stamp required):
)
(Mobile)
NBCSP Register
Reply Paid 83245
Canberra BC ACT 2610
PAG E 28
26
NATIONAL BOWEL CANCER SCREENING PROGRAM
National Bowel Cancer Screening Program
Monday to Friday during business hours (8.30am to 5.00pm)
in each state and territory
Translating and Interpreting Service 13 14 50
TTY 1800 810 586
www.cancerscreening.gov.au
28
All information in this publication is correct as at November 2015
11331 November 2015
Information Line 1800 118 868