Changes in colorectal cancer incidence by site and age from 1973 to 2015: a SEER database analysis

被引:6
|
作者
Yang, Lin [1 ]
Liu, Shousheng [2 ]
Xiong, Zhenchong [2 ]
Cao, Huijiao [2 ]
He, Wenzhuo [2 ]
Xie, Qiankun [1 ]
Jiang, Chang [2 ]
Zhang, Bei [2 ]
Xia, Liangping [2 ]
机构
[1] Southern Med Univ, Nanfang Hosp, Dept Radiat Oncol, 1023 South Shatai Rd, Guangzhou 510515, Peoples R China
[2] Sun Yat Sen Univ, Collaborat Innovat Ctr Canc Med, Dept Gen Med, State Key Lab Oncol South China,Canc Ctr, 651 Dongfeng East Rd, Guangzhou 510060, Peoples R China
基金
中国国家自然科学基金;
关键词
Colorectal cancer; SEER database; Tumor location shift; Age-standardized survival; RISK; TRENDS; STAGE; EPIDEMIOLOGY; COLONOSCOPY; DIAGNOSIS; MORTALITY; COLON;
D O I
10.1007/s40520-020-01721-x
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Previous studies have reported incidence and mortality declines for colorectal cancer (CRC). We evaluated recent temporal trends of colorectal cancer in the United States for the last 4 decades. Using the Surveillance, Epidemiology, and End Results (SEER) database, we identified primary CRCs diagnosed between 1973 and 2015. Temporal changes were evaluated by 6-year time periods. Age-adjusted incidence rates and annual percentage change (APC) for CRC were calculated by site and gender. Age-standardized relative survival rates were also evaluated. We identified 878,632 CRC patients, 51% of whom were men. For both genders, the proportions of new diagnoses of right-sided colon cancer (RCC) remained relatively stable, with the APC of - 0.8 and - 0.6 for the male and the female, respectively. There was a relative increase in RCC for the younger aged group (< 49 years). In contrast, the proportions of left-sided colon cancer (LCC) and rectosigmoid-cancer (RSC) decreased significantly over time. For those aged 0-49, the age adjusted incidence rates showed a small increase (in both genders), whereas age-adjusted incidence rates declined for those aged 50-64 and > 65 (in both genders). Our study showed near significance in the decline of CRC mortality rates in this population, except the 1-year age-standardized survival of LCC and RSC, and the 5-year age-standardized RCC in females. There was a significant increase in RCC for the younger aged group (< 49 years). In contrast, the proportions of LCC and RSC decreased significantly over time.
引用
收藏
页码:1937 / 1946
页数:10
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