Colorectal cancer cases are increasing among people under the age of 50, researchers say

Half of all new diagnoses are in people under 66, the report said.

The median age will decrease

2017-Latest Available Data-52,547 Died of colorectal cancer nationwide, According to Centers for Disease Control and Prevention.

In this report, the American Cancer Society found that the median age of people diagnosed with colorectal cancer was 72 years in 1989.

ACS researchers Percentage of people diagnosed with colorectal cancer It declines in the United States over the age of 65, but increases in young adults.

Scientists knew that cases of colorectal cancer were increasing in younger age groups. “But we were surprised how fast it was happening,” said Rebecca Siegel, research co-author and scientific director of research. American Cancer Society In Atlanta.

“This report is very important because it not only provides a snapshot of the current colorectal cancer burden, but it also provides a window into the future,” she said, if the number of young adults continues to increase. It should be noted that unique challenges in this patient population-such as fertility and the need to maintain sexual function, and the risk of long-term therapeutic effects due to their life expectancy.

The obesity epidemic may be a factor

The report included, inter alia, data on colorectal cancer cases and deaths from the National Cancer Institute and the US Centers for Disease Control and Prevention.

Based on an analysis of the data, the researchers found that the number of cases of colorectal cancer among people under the age of 50 has increased since the mid-1990s.

The study found that between 2012 and 2016, the incidence in that age group increased 2.2% each year, including tumors found in both the colon and rectum.

Researchers found that in adults between the ages of 50 and 64, the incidence of colorectal cancer declined in the 2000s, then the course reversed, with an annual increase of 1% between 2011 and 2016. It was It continued in the 2000s, and the percentage decreased 3.3% every year from 2011 to 2016.

“Most of the lower incidence in the elderly is due to increased screening, but the cause of the increased incidence in the younger age group is still unknown,” Siegel said.

“The prevalence of obesity is probably the contributor, but it doesn’t seem to be the only cause,” she said. “Diet has a major impact on the risk of colorectal cancer, and the various things we consume, including drugs such as antibiotics, play a role in determining gut health, especially the microbes that make up our microbiome. There are many studies investigating how it affects.”

Physicians need to follow up on young patients

This review highlighted the probable mortality from colorectal cancer and determined future predictions for this disease. With the exception of some types of skin cancer, Colorectal cancer is the third leading cause of cancer death Among American men and women.

From 2008 to 2017, colorectal cancer mortality decreased by 3% annually in adults 65 years and older and 0.6% annually in adults aged 50 to 64, but increased 1.3% annually in adults under 50 years old Did.

The report also shows that “significant disparities” in race and geography persist, with mortality rates among Alaska Natives almost 3 times as white And About twice that of a black man..

Incidence rates were 30 per 100,000 Asian/Pacific islanders, 38.6 whites, 45.7 blacks, and 89 Alaska indigenous people, according to the data.

Research was limited and scientists could not accurately determine why a particular reduction or increase in colorectal cancer occurred among different age groups.

Nevertheless, researchers were able to predict future trends by predicting an estimated 53,200 deaths from colorectal cancer in 2020 at 7% (3,640) in adults under the age of 50.

The analysis also predicted 147,950 newly diagnosed cases of colorectal cancer in the United States this year, or about 12%, or 17,930 cases diagnosed in adults under the age of 50.

The analysis “may build more consensus to begin screening by age 50,” Siegel said.

“In addition, this should wake up clinicians to be better at timely follow-up of young patients who are symptomatic for colorectal cancer,” she said.

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