出生队列结肠直肠癌 (CRC):对研究和实践的影响
Samir Gupta1, Folasade P May2, Sonia S Kupfer3
1Section of Gastroenterology, Jennifer Moreno San Diego VA Medical Center, San Diego, California; Division of Gastroenterology, Department of Medicine, and Moores Cancer Center, University of California, La Jolla, California.
概括
结肠直肠癌 (CRC) 的风险在1960年后出生的年轻一代中正在增加,这一现象被称为"出生队列CRC". 这种趋势影响到所有种族群体,包括更先进的诊断阶段.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 结肠直肠癌 (CRC) 发病率由于出生队列效应而发生变化.
- 早期发病的CRC (EOCRC,年龄<50岁) 发病率正在上升,特别是在出生于1960年或之后的人群中.
研究的目的:
- 定义和描述"出生队列CRC",不仅仅是EOCRC.
- 研究这种流行病学转变的独特特征和潜在原因.
- 概述其对研究和临床实践的影响.
主要方法:
- 根据不同年龄组和出生年龄的发病率趋势,定义了"出生队列CRC".
- 分析了CRC诊断特征,包括癌症部位和阶段.
- 通过出生队伍的透视来审查潜在的风险因素和病因.
主要成果:
- 出生队列CRC显示在连续出生队列 (1960年出生或以上) 中的发病率增加.
- 这种现象包括EOCRC上升,50-54岁的发病率增加,55-74岁的高原.
- 独特的特点包括,在所有种族/族群中,直肠癌与结肠癌的增加,以及诊断时的远程与局部癌症的增加.
结论:
- "出生队列CRC"是一个独特的流行病学实体,超越了EOCRC.
- 了解这种趋势对于识别风险因素,病因和机制至关重要.
- 解决出生队列CRC对于公共卫生和临床实践变化至关重要.
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