Colorectal cancer statistics, 2020
Tóm tắt
Colorectal cancer (CRC) is the second most common cause of cancer death in the United States. Every 3 years, the American Cancer Society provides an update of CRC occurrence based on incidence data (available through 2016) from population‐based cancer registries and mortality data (through 2017) from the National Center for Health Statistics. In 2020, approximately 147,950 individuals will be diagnosed with CRC and 53,200 will die from the disease, including 17,930 cases and 3,640 deaths in individuals aged younger than 50 years. The incidence rate during 2012 through 2016 ranged from 30 (per 100,000 persons) in Asian/Pacific Islanders to 45.7 in blacks and 89 in Alaska Natives. Rapid declines in incidence among screening‐aged individuals during the 2000s continued during 2011 through 2016 in those aged 65 years and older (by 3.3% annually) but reversed in those aged 50 to 64 years, among whom rates increased by 1% annually. Among individuals aged younger than 50 years, the incidence rate increased by approximately 2% annually for tumors in the proximal and distal colon, as well as the rectum, driven by trends in non‐Hispanic whites. CRC death rates during 2008 through 2017 declined by 3% annually in individuals aged 65 years and older and by 0.6% annually in individuals aged 50 to 64 years while increasing by 1.3% annually in those aged younger than 50 years. Mortality declines among individuals aged 50 years and older were steepest among blacks, who also had the only decreasing trend among those aged younger than 50 years, and excluded American Indians/Alaska Natives, among whom rates remained stable. Progress against CRC can be accelerated by increasing access to guideline‐recommended screening and high‐quality treatment, particularly among Alaska Natives, and elucidating causes for rising incidence in young and middle‐aged adults.
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Tài liệu tham khảo
Surveillance, Epidemiology, and End Results (SEER) Program, 2019, SEER*Stat Database: North American Association of Central Cancer Registries (NAACCR) Incidence–CiNA Analytic File, 1995‐2016, for NHIAv2 Origin, Custom File With County, ACS Facts and Figures projection Project
Surveillance, Epidemiology, and End Results (SEER) Program, 2019, SEER*Stat Database: Incidence‐SEER 9 Regs Research Data With Delay Adjustment, Nov. 2018 Sub (1975‐2016) <Katrina/Rita Population Adjustment>‐Linked To County Attributes‐Total US, 1969‐2017 Counties
Surveillance, Epidemiology, and End Results (SEER) Program, 2019, SEER*Stat Database: Incidence‐SEER 18 Regs Research Data + Hurricane Katrina Impacted Louisiana Cases, Nov. 2018 Sub (2000‐2016)‐Linked To County Attributes‐Total US, 1969‐2017 Counties
Howlader N, 2019, SEER Cancer Statistics Review, 1975‐2016
Surveillance, Epidemiology, and End Results (SEER) Program, 2019, SEER*Stat Database: Mortality‐All COD, Aggregated With State, Total US (1969‐2017) <Katrina/Rita Population Adjustment>
Centers for Disease Control and Prevention.Behavioral Risk Factor Surveillance System Survey Data. Accessed September 4 2019.cdc.gov/brfss/
Centers for Disease Control and Prevention, 2012, Methodologic changes in the Behavioral Risk Factor Surveillance System in 2011 and potential effects on prevalence estimates, MMWR Morb Mortal Wkly Rep., 61, 410
National Center for Health Statistics, Division of Health Interview Statistics, 2019, National Health Interview Survey Public Use Data File 2018
Percy C, 2000, International Classification of Diseases for Oncology
Surveillance, Epidemiology, and End Results (SEER) Program, 2019, SEER*Stat software
Surveillance, Epidemiology, and End Results (SEER) Program, 2019, SEER*Stat Database: National Program of Cancer Registries (NPCR) and SEER Incidence‐US Cancer Statistics (USCS) file for Delay Adjustment‐1999‐2016‐jbk 072919
Statistical Research and Applications Branch, National Cancer Institute, 2019, Joinpoint Regression Program. Version 4.7.0.0
Statistical Research and Applications Branch, National Cancer Institute, 2019, DevCan—Probability of Developing or Dying of Cancer Software. Version 6.7.7
Semega J, 2019, P60‐266. Income and Poverty in the United States: 2018
Kelly JJ, 2012, Colorectal cancer in Alaska Native people, 2005‐2009, Gastrointest Cancer Res., 5, 149
Ang CSP, 2018, Genomic landscape of appendiceal neoplasms, JCO Precision Oncol., 2, 1
American Joint Commission on Cancer, 2010, Summary of Changes: Understanding the Changes from the Sixth to the Seventh Edition of the AJCC Staging Manual
Bosman FT, 2010, WHO Classification of Tumours of the Digestive System
North American Association of Central Cancer Registries ICD‐O‐3 Update Implementation Work Group.Guidelines for ICD‐O‐3 Update Implementation. Effective January 1 2019. Accessed December 31 2019.naaccr.org/wp-content/uploads/2019/12/ICD-O-3-Implementation-Guide-FINAL.pdf
Fedewa SA, 2019, Colorectal cancer screening patterns after the American Cancer Society's recommendation to initiate screening at age 45 years, Cancer