Colorectal Cancer Incidence and Mortality Rates Among New York City Adults Ages 20-54 years during 1976-2015

Area of Science:

• Oncology
• Epidemiology
• Public Health

Background:

• Colorectal cancer (CRC) incidence is increasing in younger populations.
• Mortality rates for CRC are rising among younger white Americans.
• Understanding local trends is vital for targeted interventions.

Purpose of the Study:

• To analyze colorectal cancer (CRC) incidence and mortality trends in New York City adults aged 20-54.
• To examine these trends by race and age group from 1976 to 2015.
• To inform public health strategies and clinical practice.

Main Methods:

• Utilized New York State Cancer Registry data for New York City.
• Analyzed incidence and mortality trends for adults aged 20-54.
• Calculated Annual Percent Change (APC) with statistical significance (P < .05).

Main Results:

• CRC incidence increased in adults aged 20-49, with Black individuals showing the highest APC (2.2%) compared to whites (0.5%).
• Incidence also rose in Black individuals aged 50-54 (0.8% annually), but not in whites.
• CRC mortality decreased across all analyzed age and race groups.

Conclusions:

• Local cancer registry data are valuable for understanding specific population trends.
• Timely colorectal cancer (CRC) screening is essential for all age groups.
• Clinicians should maintain a high index of suspicion for CRC in patients presenting with relevant symptoms.