Rising incidence and impact of early‐onset colorectal cancer in the Asia‐Pacific with higher mortality in females from Southeast Asia: a global burden analysis from 2010 to 2019

Author:

Danpanichkul Pojsakorn1ORCID,Moolkaew Pinyada2ORCID,Kanjanakot Yatawee3,Polpichai Natchaya4,Jaroenlapnopparat Aunchalee5,Kim Donghee6,Lukens Frank J.7,Wassef Wahid89,Fallon Michael B.89,Chen Vincent L.10,Lui Rashid11ORCID,Wijarnpreecha Karn89ORCID

Affiliation:

1. Immunology Unit, Department of Microbiology, Faculty of Medicine Chiang Mai University Chiang Mai Thailand

2. Faculty of Medicine Chiang Mai University Chiang Mai Thailand

3. Department of Surgery School of Medicine, Mae Fah Luang University Chiang Rai Thailand

4. Department of Internal Medicine Weiss Memorial Hospital Chicago Illinois USA

5. Department of Medicine Mount Auburn Hospital/Harvard Medical School Cambridge Massachusetts USA

6. Division of Gastroenterology and Hepatology Stanford University School of Medicine Stanford California USA

7. Division of Gastroenterology and Hepatology Mayo Clinic Florida Jacksonville Florida USA

8. Division of Gastroenterology and Hepatology, Department of Medicine University of Arizona College of Medicine Phoenix Arizona USA

9. Division of Gastroenterology and Hepatology, Department of Internal Medicine Banner University Medical Center Phoenix Arizona USA

10. Division of Gastroenterology and Hepatology, Department of Internal Medicine University of Michigan Ann Arbor Michigan USA

11. Department of Clinical Oncology, and Division of Gastroenterology and Hepatology, Department of Medicine and Therapeutics, Institute of Digestive Diseases The Chinese University of Hong Kong Hong Kong SAR China

Abstract

AbstractBackground and AimEarly‐onset colorectal cancer (CRC) is a growing global health concern, especially in the Asia‐Pacific region. However, comprehensive research on this topic from the region is lacking. Our study aims to investigate trends in early‐onset CRC in Asia over 10 years, filling this research gap.MethodsThis study utilized data from the Global Burden of Disease Study 2019 to assess temporal trends in early‐onset CRC in the Asia‐Pacific. The analysis included estimating annual frequencies and age‐standardized rates (ASRs) of early‐onset CRC incidence, death, and disability‐adjusted life‐years (DALYs) by gender.ResultsThe incidence of early‐onset CRC significantly increased in both regions with higher increase and in the Western Pacific region. Notable increases were observed among males in the Western Pacific and females in Southeast Asia (SEA). Mortality rates remained stable in the Western Pacific but increased by 10.6% in SEA, especially among females. DALYs due to CRC also increased significantly in SEA, with a greater rise among females. The Western Pacific had the highest CRC incidence, and in SEA, the mortality rate was higher in females than males.ConclusionsOur study reveals a substantial increase in early‐onset CRC in the Asia‐Pacific underscoring the urgency for effective interventions. Thus, a comprehensive approach comprising controlled risk reduction, health promotion to heightened disease awareness, and implementation of effective screening strategies should be executed timely to mitigate the burden of early‐onset CRC.

Publisher

Wiley

Subject

Gastroenterology,Hepatology

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