Epidemiology and clinical characteristics of colorectal cancer and advanced adenoma: a single center experience in Jordan

  • 0Department of Internal Medicine, Section of Gastroenterology, Jordan University Hospital, Amman, Jordan.

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Summary

This summary is machine-generated.

Colorectal polyps are prevalent in Jordan, affecting 28.1% of patients. Risk factors include older age, high BMI, male gender, and certain health conditions, highlighting the need for targeted screening for colorectal cancer (CRC).

Area Of Science

  • Gastroenterology
  • Epidemiology
  • Oncology

Background

  • Colorectal polyps are precursors to colorectal cancer (CRC).
  • Understanding the epidemiology and clinical characteristics of colorectal polyps is crucial for developing effective screening programs.

Purpose Of The Study

  • To evaluate the epidemiology and clinical characteristics of colorectal polyps.
  • To identify predictors of colorectal polyps in a Jordanian cohort.
  • To inform the formulation of an appropriate screening program for colorectal cancer.

Main Methods

  • Retrospective chart review of 965 patients undergoing colonoscopy at Jordan University Hospital (January-September 2018).
  • Evaluation of demographics, comorbidities, lifestyle, medical history, and polyp characteristics.
  • Binary logistic regression analysis to identify predictors of colorectal polyps.

Main Results

  • Colorectal polyps were detected in 28.1% of patients.
  • Positive predictors for polyps included older age, high BMI, male gender, diabetes, dyslipidemia, ischemic heart disease, and family history of CRC.
  • The most common polyp location was the right colon (51%), and the most common histologic subtype was tubular adenoma (48.2%).
  • The prevalence of colorectal cancer (CRC) was 18.65 per 1000 patients.

Conclusions

  • Colorectal polyps and CRC are notably prevalent in the Jordanian population.
  • Awareness campaigns, targeted screening, and promotion of healthy lifestyles are recommended to reduce the disease burden, especially in high-risk individuals.

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