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Worldwide burden of colorectal cancer: a review

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Abstract

Colorectal cancer is a major public health problem, being the third most commonly diagnosed cancer and the fourth cause of cancer death worldwide. There is wide variation over time among the different geographic areas due to variable exposure to risk factors, introduction and uptake of screening as well as access to appropriate treatment services. Indeed, a large proportion of the disparities may be attributed to socioeconomic status. Although colorectal cancer continues to be a disease of the developed world, incidence rates have been rising in developing countries. Moreover, the global burden is expected to further increase due to the growth and aging of the population and because of the adoption of westernized behaviors and lifestyle. Colorectal cancer screening has been proven to greatly reduce mortality rates that have declined in many longstanding as well as newly economically developed countries. Statistics on colorectal cancer occurrence are essential to develop targeted strategies that could alleviate the burden of the disease. The aim of this paper is to provide a review of incidence, mortality and survival rates for colorectal cancer as well as their geographic variations and temporal trends.

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References

  1. Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A (2015) Global cancer statistics, 2012. CA Cancer J Clin 65:87–108

    Article  PubMed  Google Scholar 

  2. Ferlay J, Shin HR, Bray F, Forman D, Mathers C, Parkin DM (2010) Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer 127:2893–2917

    Article  CAS  PubMed  Google Scholar 

  3. Ferlay J, Sorjomataram I, Ervik M et al (2013) GLOBOCAN 2012 v 1.0, Cancer incidence and mortality worldwide: IARC CancerBase No. 11. International Agency for Research on Cancer, Lyon, France. http://globocan.iarc.fr. Accessed 18 Jan 2016

  4. Macrae FA (2015) Colorectal cancer: epidemiology, risk factors, and protective factors. Wolters Kluwer, UpToDate. http://www.uptodate.com/contents/colorectal-cancer-epidemiology-risk-factors-and-protective-factors. Accessed 18 Jan 2016

  5. Boyle P, Langman JS (2000) ABC of colorectal cancer: epidemiology. BMJ 321:805–808

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. AIOM, the Italian Association of Medical Oncology—AIRTUM, the Italian Association of Cancer Registries (2015) I numeri del Cancro in Italia. Intermedia Editore, Brescia. http://www.registri-tumori.it/PDF/AIOM2015/I_numeri_del_cancro_2015.pdf. Accessed 18 Jan 2016

  7. Kohler BA, Sherman RL, Howlader N et al (2015) Annual Report to the Nation on the status of cancer, 1975–2011, featuring incidence of breast cancer subtypes by race/ethnicity, poverty, and state. J Natl Cancer Inst 107:djv048

  8. Edwards BK, Ward E, Kohler BA et al (2010) Annual report to the nation on the status of cancer, 1975–2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer 116:544–573

    Article  PubMed  PubMed Central  Google Scholar 

  9. Siegel RL, Miller KD, Jemal A (2015) Cancer statistics, 2015. CA Cancer J Clin 65:5–29

    Article  PubMed  Google Scholar 

  10. Jemal A, Center MM, De Santis C, Ward EM (2010) Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiol Biomark Prev 19(8):1893–1907

    Article  Google Scholar 

  11. Center MM, Jemal A, Ward E (2009) International trends in colorectal cancer incidence rates. Cancer Epidemiol Biomark Prev 18:1688–1694

    Article  Google Scholar 

  12. Center MM, Jemal A, Smith RA, Ward E (2009) Worldwide variations in colorectal cancer. CA Cancer J Clin 59:366–378

    Article  PubMed  Google Scholar 

  13. Martin JJ, Hernandez LS, Gonzalez MG, Mendez CP, Rey Galan C, Guerrero SM (2008) Trends in childhood and adolescent obesity prevalence in Oviedo (Asturias, Spain) 1992–2006. Acta Paediatr 97:955–958

    Article  PubMed  Google Scholar 

  14. Boyle P, Leon ME (2002) Epidemiology of colorectal cancer. Br Med Bull 64:1–25

    Article  PubMed  Google Scholar 

  15. Bray F, Moller B (2006) Predicting the future burden of cancer. Nat Rev Cancer 6:63–74

    Article  CAS  PubMed  Google Scholar 

  16. Nowatzki J, Moller B, Demers A (2011) Projection of future cancer incidence and new cancer cases in Manitoba, 2006–2025. Chronic Dis Can 31:71–78

    CAS  PubMed  Google Scholar 

  17. Doubeni CA, Laiyemo AO, Major JM et al (2012) Socioeconomic status and the risk of colorectal cancer: an analysis of more than a half million adults in the National Institutes of Health-AARP Diet and Health Study. Cancer 118:3636–3644

    Article  PubMed  PubMed Central  Google Scholar 

  18. Doubeni CA, Major JM, Laiyemo AO et al (2012) Contribution of behavioral risk factors and obesity to socioeconomic differences in colorectal cancer incidence. J Natl Cancer Inst 104:1353–1362

    Article  PubMed  PubMed Central  Google Scholar 

  19. Klabunde CN, Cronin KA, Breen N, Waldron WR, Ambs AH, Nadel MR (2011) Trends in colorectal cancer test use among vulnerable populations in the United States. Cancer Epidemiol Biomark Prev 20:1611–1621

    Article  Google Scholar 

  20. Siegel R, Desantis C, Jemal A (2014) Colorectal cancer statistics, 2014. CA Cancer J Clin 64:104–117

    Article  PubMed  Google Scholar 

  21. Irby K, Anderson WF, Henson DE, Devesa SS (2006) Emerging and widening colorectal carcinoma disparities between Blacks and Whites in the United States (1975–2002). Cancer Epidemiol Biomark Prev 15:792–797

    Article  Google Scholar 

  22. Byers TE, Wolf HJ, Bauer KR et al (2008) The impact of socioeconomic status on survival after cancer in the United States: findings from the National Program of Cancer Registries Patterns of Care Study. Cancer 113:582–591

    Article  PubMed  Google Scholar 

  23. Swan J, Breen N, Coates RJ et al (2003) Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer 97:1528–1540

    Article  PubMed  Google Scholar 

  24. Murphy G, Devesa SS, Cross AJ et al (2011) Sex disparities in colorectal cancer incidence by anatomic subsite, race and age. Int J Cancer 128:1668–1675

    Article  CAS  PubMed  Google Scholar 

  25. Meissner HI, Breen N, Klabunde CN, Vernon SW (2006) Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomark Prev 15:389–394

    Article  Google Scholar 

  26. Singh H, Montalban JM, Mahmud S (2014) Epidemiology of colorectal carcinoma. In: Talley NJ, Locke GR, Moayyedi P, Wet J, Ford AC, Saito YA (eds) GI epidemiology: diseases and clinical methodology, 2nd edn. John Wiley & Sons, Chichester, pp 213–221

    Chapter  Google Scholar 

  27. Davis DM, Marcet JE, Frattini JC, Prather AD, Mateka JJ, Nfonsam VN (2011) Is it time to lower the recommended screening age for colorectal cancer? J Am Coll Surg 213:352–361

    Article  PubMed  Google Scholar 

  28. Tawadros PS, Paquette IM, Hanly AM, Mellgren AF, Rothenberger DA, Madoff RD (2015) Adenocarcinoma of the rectum in patients under age 40 is increasing: impact of signet-ring cell histology. Dis Colon Rectum 58:474–478

    Article  PubMed  Google Scholar 

  29. Cheng L, Eng C, Nieman LZ, Kapadia AS, Du XL (2011) Trends in colorectal cancer incidence by anatomic site and disease stage in the United States from 1976 to 2005. Am J Clin Oncol 34:573–580

    Article  PubMed  Google Scholar 

  30. National Cancer Institute, Division of Cancer Control and Population Sciences, Surveillance Research Program, Cancer Statistics Branch (2013) Surveillance, Epidemiology, and End Results (SEER) Program SEER*Stat Database: North American Association of Central Cancer Registries (NAACCR) Incidence-CiNA Analytic File, 1995–2010, for Expanded Races, custom file with county, ACS Facts and Figures projection project, North American Association of Central Cancer Registries, Bethesda

  31. Howlader N, Noone AM, Krapcho M et al (2015) SEER cancer statistics review, 1975–2012, National Cancer Institute, Bethesda. http://seer.cancer.gov/csr/1975_2012/. Accessed 18 Jan 2016

  32. Rabeneck L, Davila JA, El-Serag HB (2003) Is there a true “shift” to the right colon in the incidence of colorectal cancer? Am J Gastroenterol 98:1400–1409

    PubMed  Google Scholar 

  33. American Cancer Society (2011) Global cancer facts and figures, 2nd edn. American Cancer Society, Atlanta

    Google Scholar 

  34. Ferlay J, Soerjomataram I, Dikshit R et al (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN. Int J Cancer 136:E359–E386

    Article  CAS  PubMed  Google Scholar 

  35. Bosetti C, Levi F, Rosato V et al (2011) Recent trends in colorectal cancer mortality in Europe. Int J Cancer 129:180–191

    Article  CAS  PubMed  Google Scholar 

  36. Bosetti C, Bertuccio P, Malvezzi M et al (2013) Cancer mortality in Europe, 2005–2009, and an overview of trends since 1980. Ann Oncol 24:2657–2671

    Article  CAS  PubMed  Google Scholar 

  37. Chatenoud L, Bertuccio P, Bosetti C et al (2014) Trends in mortality from major cancers in the Americas: 1980–2010. Ann Oncol 25:1843–1853

    Article  CAS  PubMed  Google Scholar 

  38. Siegel R, Ma J, Zou Z, Jemal A (2014) Cancer statistics, 2014. CA Cancer J Clin 64:9–29

    Article  PubMed  Google Scholar 

  39. Soneji S, Iyer SS, Armstrong K, Asch DA (2010) Racial disparities in stage-specific colorectal cancer mortality: 1960–2005. Am J Public Health 100:1912–1916

    Article  PubMed  PubMed Central  Google Scholar 

  40. Potosky AL, Harlan LC, Kaplan RS, Johnson KA, Lynch CF (2002) Age, sex, and racial differences in the use of standard adjuvant therapy for colorectal cancer. J Clin Oncol 20:1192–1202

    Article  PubMed  Google Scholar 

  41. Wang A, Clouston SA, Rubin MS, Colen CG, Link BG (2012) Fundamental causes of colorectal cancer mortality: the implications of informational diffusion. Milbank Q 90:592–618

    Article  PubMed  PubMed Central  Google Scholar 

  42. Albano JD, Ward E, Jemal A, Anderson R, Cokkinides VE, Murray T, Henley J, Liff J, Thun MJ (2007) Cancer mortality in the United States by education level and race. J Natl Cancer Inst 99:1384–1394

    Article  PubMed  Google Scholar 

  43. Jackson-Thompson J, Ahmed F, German RR, Lai SM, Friedman C (2006) Descriptive epidemiology of colorectal cancer in the United States, 1998–2001. Cancer 107:1103–1111

    Article  PubMed  Google Scholar 

  44. Jemal A, Clegg LX, Ward E, Ries LA, Wu X, Jamison PM, Wingo PA, Howe HL, Anderson RN, Edwards BK (2004) Annual report to the nation on the status of cancer, 1975–2001, with a special feature regarding survival. Cancer 101:3–27

    Article  PubMed  Google Scholar 

  45. National Cancer Institute, Division of Cancer Control and Population Sciences, Surveillance Research Program, Cancer Statistics Branch (2013) Surveillance, Epidemiology, and End Results (SEER) Program. SEER*Stat Database: Incidence-SEER 9 Regs Public Use, Nov. 2011 Sub (1973–2010)-Linked to County Attributes-Total US, 1969–2011 Counties. Bethesda

  46. DeSantis CE, Lin CC, Mariotto AB et al (2014) Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin 64:252–271

    Article  PubMed  Google Scholar 

  47. Allemani C, Weir HK, Carreira H et al (2015) Global surveillance of cancer survival 1995–2009: analysis of individual data for 25,676,887 patients from 279 population-based registries in 67 countries (CONCORD-2). Lancet 385:977–1010

    Article  PubMed  Google Scholar 

  48. Sant M, Allemani C, Santaquilani M, Knijn A, Marchesi F, Capocaccia R (2009) EUROCARE-4. Survival of cancer patients diagnosed in 1995-1999. Results and commentary. Eur J Cancer. 45:931–991

    Article  PubMed  Google Scholar 

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Correspondence to Felice Pirozzi.

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Favoriti, P., Carbone, G., Greco, M. et al. Worldwide burden of colorectal cancer: a review. Updates Surg 68, 7–11 (2016). https://doi.org/10.1007/s13304-016-0359-y

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