Trends in the incidence of early‐onset colorectal cancer in all 50 United States from 2001 through 2017

Cancer ◽  
2021 ◽  
Author(s):  
Rajesh R. Shah ◽  
Valentine O. Millien ◽  
Wilson L. Costa ◽  
Abiodun O. Oluyomi ◽  
Milena Gould Suarez ◽  
...  
2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 302-302
Author(s):  
Laura Amweg ◽  
Laura Hayman

Abstract Objectives To examine the behavioral, socioeconomic, clinical and systemic characteristics of colorectal cancer (CRC) in young adults (19–49 years of age) in the United States (U.S). Methods A systematic literature review was performed using PRISMA methodology. Eleven electronic databases were searched for the extant literature. Study eligibility criteria included colorectal cancer patients in the United States aged 19–49 years. Articles published in peer-reviewed journals in English between January 2009-April 2019 were included. Results Diet, smoking, low physical activity, and gut microbiome changes were identified as modifiable risk factors associated with early-onset colorectal cancer (EOCRC). Racial disparities existed where African American and Hispanic populations had a higher incidence of EOCRC compared to non-Hispanic Whites. Results suggested that delays in EOCRC diagnosis were caused by delays between symptom presentation and appropriate screening. Limitations included use of non-longitudinal cross-sectional analysis, which cannot explain etiologic causes. Conclusions Public health efforts are needed for better adherence to a healthy dietary pattern and increasing physical activity, to bring awareness to young adults and clinicians alike to know the symptoms of EOCRC, and for young people to get screened early in an ethnically-inclusive manner to reduce disparities. Findings suggest more prospective, longitudinal studies need to be conducted and analyzed to study the etiologic factors of EOCRC. Funding Sources The authors have no funding sources to report.


2019 ◽  
Vol 111 (10) ◽  
pp. 1104-1106 ◽  
Author(s):  
Rebecca L Siegel ◽  
Genet A Medhanie ◽  
Stacey A Fedewa ◽  
Ahmedin Jemal

Abstract The extent to which the increase in early-onset colorectal cancer (CRC) in the United States varies geographically is unknown. We analyzed changes in CRC incidence and risk factors among people aged 20–49 years by state using high-quality population-based cancer registry data provided by the North American Association of Central Cancer Registries and national survey data, respectively. Early-onset CRC incidence was mostly stable among blacks and Hispanics but increased in 40 of 47 states among non-Hispanic whites, most prominently in western states. For example, rates increased in Washington from 6.7 (per 100 000) during 1995–1996 to 11.5 during 2014–2015 (rate ratio = 1.73, 95% confidence interval = 1.48 to 2.01) and in Colorado from 6.0 to 9.5 (rate ratio = 1.57, 95% confidence interval = 1.30 to 1.91). Nevertheless, current CRC incidence was highest in southern states. From 1995 to 2005, increases occurred in obesity prevalence in all states and heavy alcohol consumption in one-third of states, but neither were correlated with CRC incidence trends. Early-onset CRC is increasing most rapidly among whites in western states. Etiologic studies are needed to explore early life colorectal carcinogenesis.


2020 ◽  
Vol 9 (23) ◽  
pp. 9150-9159
Author(s):  
Wesal H. Abualkhair ◽  
Meijiao Zhou ◽  
Carolina O. Ochoa ◽  
Leonel Lacayo ◽  
Caitlin Murphy ◽  
...  

2020 ◽  
Vol 3 (1) ◽  
pp. e1920407 ◽  
Author(s):  
Wesal H. Abualkhair ◽  
Meijiao Zhou ◽  
Dennis Ahnen ◽  
Qingzhao Yu ◽  
Xiao-Cheng Wu ◽  
...  

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