International incidence trends in early- and late-onset colorectal cancer: a population-based study

被引:22
作者
Lu, Xiao-qin [1 ]
Li, Yong [2 ]
Wang, Wei [3 ]
Feng, Wen-tao [4 ]
Shi, Ou-min [5 ]
Wang, Qi [1 ,3 ,6 ]
机构
[1] Zhengzhou Univ, Affiliated Hosp 2, Dept Obstet & Gynecol, Zhengzhou 450014, Henan, Peoples R China
[2] Guizhou Prov Peoples Hosp, Dept Oncol, Guiyang 550002, Guizhou, Peoples R China
[3] Zhengzhou Univ, Sch Publ Hlth, Zhengzhou 450001, Henan, Peoples R China
[4] Jiaozuo Tradit Chinese Med Hosp, Dept Acupuncture & Moxibust, Jiaozuo 454000, Henan, Peoples R China
[5] Shenzhen Univ, Affiliated Hosp 1, Hlth Sci Ctr, Shenzhen Peoples Hosp 2, Shenzhen 518020, Peoples R China
[6] China Canada Med & Hlth Sci Assoc, Toronto, ON L3R 1A3, Canada
基金
中国国家自然科学基金;
关键词
Colon cancer; Rectal cancer; Early onset; Late onset; Incidence; RISK; CHINA; DISEASE; BURDEN; COLON; PREVALENCE; MORTALITY; OBESITY;
D O I
10.1007/s00384-020-03558-2
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Purpose Knowing the global incidence of colorectal cancer (CRC), by sex and age of onset, is of great importance for understanding the disease burden of CRC. Methods The CRC incidence data, by cancer site, age of onset, sex, country, and year, were retrieved from the Cancer Incidence in Five Continents Vol. Plus database. Estimated annual percentage changes (EAPC) were calculated to quantify the temporal trends in the CRC age-standardized incidence rate. Results Globally, the incidence of late-onset CRC was heterogeneous and remained increasing in most countries. The highest incidence of late-onset colon and rectal cancer was both found in males in Slovakia (156.5/100,000 and 121.5/100,000, respectively). The most pronounced increases were mostly observed in developing countries, such as Brazil (colon cancer: EAPC = 5.87, 95% CI 3.18, 8.63; rectal cancer: EAPC = 4.68; 95% CI 2.78, 6.62). The highest incidence of early-onset colon and rectal cancer was found in females in Switzerland (4.2/100,000) and in males in South Korea (4.6/100,000), respectively. The incidences of early-onset CRC were increased in parts of countries, including countries experiencing a decline in late-onset CRC incidence, such as the USA, Germany, and Australia. The temporal trends of colon cancer were mostly aligned with those of rectal in most countries, independent of sex and age of onset. Conclusion The increase of early-onset CRC incidence suggests more prevention initiatives are urgently warranted for young adults in the near future. Targeted and effective prevention measures are still needed among elderly populations.
引用
收藏
页码:1077 / 1086
页数:10
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