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Titolo:
Subsite-specific incidence rate and stage of disease in colorectal cancer by race, gender, and age group in the United States, 1992-1997
Autore:
Wu, XC; Chen, VW; Steele, B; Ruiz, B; Fulton, J; Liu, LH; Carozza, SE; Greenlee, R;
Indirizzi:
Louisiana State Univ, Hlth Sci Ctr, Dept Publ Hlth & Prevent Med, New Orleans, LA 70112 USA Louisiana State Univ New Orleans LA USA 70112 , New Orleans, LA 70112 USA Ctr Dis Control, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Canc Prevent & Control, Atlanta, GA 30333 USA Ctr Dis Control Atlanta GA USA 30333 ent & Control, Atlanta, GA 30333 USA Louisiana State Univ, Hlth Sci Ctr, Dept Pathol, New Orleans, LA 70112 USALouisiana State Univ New Orleans LA USA 70112 , New Orleans, LA 70112 USA Rhode Isl Dept Hlth, Providence, RI 02908 USA Rhode Isl Dept Hlth Providence RI USA 02908 lth, Providence, RI 02908 USA Univ So Calif, Dept Prevent Med, Canc Surveillance Program, Keck Sch Med, Los Angeles, CA 90089 USA Univ So Calif Los Angeles CA USA 90089 Sch Med, Los Angeles, CA 90089 USA Texas A&M Univ Syst, Dept Epidemiol & Biostat, Hlth Sci Ctr, Sch Rural Publ Hlth, Bryan, TX USA Texas A&M Univ Syst Bryan TX USA Ctr, Sch Rural Publ Hlth, Bryan, TX USA Amer Canc Soc, Atlanta, GA 30329 USA Amer Canc Soc Atlanta GA USA 30329Amer Canc Soc, Atlanta, GA 30329 USA
Titolo Testata:
CANCER
fascicolo: 10, volume: 92, anno: 2001,
pagine: 2547 - 2554
SICI:
0008-543X(20011115)92:10<2547:SIRASO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
NUTRITION EXAMINATION SURVEY; PROXIMAL COLON-CANCER; 3RD NATIONAL-HEALTH; ASYMPTOMATIC ADULTS; PREVENTIVE SERVICES; GENETIC ALTERATIONS; RACIAL-DIFFERENCES; PHYSICAL-ACTIVITY; TIME TRENDS; US ADULTS;
Keywords:
colorectal; anatomic subsite; stage of disease; race; gender; age;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
69
Recensione:
Indirizzi per estratti:
Indirizzo: Wu, XC Louisiana State Univ, Hlth Sci Ctr, Dept Publ Hlth & Prevent Med, New Orleans, LA 70112 USA Louisiana State Univ New Orleans LA USA 70112 rleans, LA 70112 USA
Citazione:
X.C. Wu et al., "Subsite-specific incidence rate and stage of disease in colorectal cancer by race, gender, and age group in the United States, 1992-1997", CANCER, 92(10), 2001, pp. 2547-2554

Abstract

BACKGROUND. Subsite specific incidence rates of colorectal cancer vary considerably by age, gender, and race. This variation may be related not only to distinctions in exposure to genetic and environment factors but also to current strategies of early detection screening. Patterns of stage of disease in anatomic subsite may reflect the effect of screening. This study usedthe largest aggregation of cancer incidence data in the U.S. to examine subsite specific incidence rates of colorectal cancer and the relation of stage of disease to anatomic subsites by race, gender, and age group. METHODS. Data on the incidence of invasive colorectal cancer were obtainedfrom 28 population-based central cancer registries. Age-specific and age-adjusted rates and stage distributions were analyzed by subsite, race, and gender. RESULTS. The impact of screening can be observed in the percentage of localized disease, which increased from 31.9% among cancers in the proximal colon to 37.0% in the descending colon to 41.5% in the distal colorectum. Within the same subsite, blacks were less likely than whites to receive a diagnosis of localized disease and more likely to receive a diagnosis of distantdisease whereas stage distributions were approximately the same for males and females. Blacks were more likely than whites to receive a diagnosis of proximal colon cancer than distal colorectal cancer. The male-to-female rate ratios progressively increased from the proximal colon to the distal colorectum. The ratios of proximal-to-distal colorectal cancer gradually increased with advancing age. CONCLUSIONS. Differentials in stage of disease by subsites indicate a needfor a targeted effort at early detection of cancer in the proximal colon. Risk factors and higher risk populations for colorectal cancers in each subsite need to be studied further to guide actions for improving the efficacyof screening. (C) 2001 American Cancer Society.

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Documento generato il 06/04/20 alle ore 07:00:04