A. C. Chambers
Demographic trends in the incidence of young-onset colorectal cancer: A population-based study
Chambers, A. C.; Dixon, S. W.; White, Paul; Williams, A. C.; Thomas, M. G.; Messenger, D. E.
S. W. Dixon
Paul White Paul.White@uwe.ac.uk
Associate Professor in Applied Statistics
A. C. Williams
M. G. Thomas
D. E. Messenger
Background: Evidence is emerging that the incidence of colorectal cancer is increasing in young adults, but the descriptive epidemiology required to better understand these trends is currently lacking.
Methods: A population-based cohort study was carried out including all adults aged 20–49 years diagnosed with colorectal cancer in England between 1974 and 2015. Data were extracted from the National Cancer Registration and Analysis Service database using ICD-9/10 codes for colorectal cancer. Temporal trends in age-specific incidence rates according to sex, anatomical subsite, index of multiple deprivation quintile and geographical region were analysed using Joinpoint regression.
Results: A total of 56 134 new diagnoses of colorectal cancer were analysed. The most sustained increase in incidence rate was in the group aged 20–29 years, which was mainly driven by a rise in distal tumours. The magnitude of incident rate increases was similar in both sexes and across Index of Multiple Deprivation quintiles, although the most pronounced increases in incidence occurred in the southern regions of England.
Conclusion: Colorectal cancer should no longer be considered a disease of older people. Changes in incidence rates should be used to inform future screening policy, preventative strategies and research agendas, as well as increasing public understanding that younger people need to be aware of the symptoms of colorectal cancer.
Chambers, A. C., Dixon, S. W., White, P., Williams, A. C., Thomas, M. G., & Messenger, D. E. (2020). Demographic trends in the incidence of young-onset colorectal cancer: A population-based study. British Journal of Surgery, 107(5), 595-605. https://doi.org/10.1002/bjs.11486
|Journal Article Type||Article|
|Acceptance Date||Nov 27, 2019|
|Online Publication Date||Mar 9, 2020|
|Publication Date||Apr 1, 2020|
|Deposit Date||Dec 2, 2019|
|Publicly Available Date||Mar 10, 2021|
|Journal||British Journal of Surgery|
|Peer Reviewed||Peer Reviewed|
Demographic trends in the incidence of young-onset colorectal cancer in England: a population-based study, 1974-2015
Publisher Licence URL
This is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
You might also like
Comparison of Sentinel-2 and Landsat-8 in assessing vegetation response to soil moisture variation in droughty environments
Presentation / Conference