Clinical Epidemiology and Risk Prediction for Gastrointestinal Cancers

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Epidemiology and Prevention".

Deadline for manuscript submissions: 1 October 2024 | Viewed by 2010

Special Issue Editor


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Guest Editor
Division of Cancer Prevention & Control, College of Medicine, The Ohio State University, Columbus, OH, USA
Interests: precision prevention; chemoprevention; colorectal cancer; epigenetics; cancer risk factors; inflammation

Special Issue Information

Dear Colleagues,

Globally, gastrointestinal cancers continue to be a substantial public health burden. Of these, only colorectal cancer has population-based screening recommendations (e.g., colonoscopy, sigmoidoscopy, and FOBT/FIT). Endoscopic surveillance for esophageal cancer is suggested for those at increased risk, but other gastrointestinal cancers lack these recommendations. Therefore, a better understanding of who may be at increased risk, and the factors that contribute to this risk, are necessary to improve cancer detection at earlier stages. This is particularly important for gastrointestinal cancers, where there is (1) limited understanding of risk and (2) poor outcomes. This Special Issue of Cancers will explore innovative techniques in clinical epidemiology, as well as novel methods to predict risk for gastrointestinal cancers. We welcome original research and reviews. 

Dr. Holli Loomans-Kropp
Guest Editor

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • gastrointestinal cancers
  • genetic risk
  • polygenic risk scores
  • exposome
  • lifestyle risk factors
  • biomarkers
  • chemoprevention

Published Papers (1 paper)

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Research

12 pages, 2770 KiB  
Article
The National Burden of Colorectal Cancer in the United States from 1990 to 2019
by Saqr Alsakarneh, Fouad Jaber, Azizullah Beran, Mohammad Aldiabat, Yazan Abboud, Noor Hassan, Mohamed Abdallah, Thaer Abdelfattah, Laith Numan, Wendell Clarkston, Mohammad Bilal and Aasma Shaukat
Cancers 2024, 16(1), 205; https://doi.org/10.3390/cancers16010205 - 1 Jan 2024
Cited by 3 | Viewed by 1690
Abstract
CRC accounts for approximately a tenth of all cancer cases and deaths in the US. Due to large differences in demographics among the different states, we aim to determine trends in the CRC epidemiology and across different states, age groups, and genders. CRC [...] Read more.
CRC accounts for approximately a tenth of all cancer cases and deaths in the US. Due to large differences in demographics among the different states, we aim to determine trends in the CRC epidemiology and across different states, age groups, and genders. CRC rates, age-adjusted to the standard US population, were obtained from the GBD 2019 database. Time trends were estimated as annual percentage change (APC). A pairwise comparison was conducted between age- and gender-specific trends using the tests of parallelism and coincidence. Age-specific trends were also assessed in two age subgroups: younger adults aged 15–49 years and older adults aged 50–74 years. We also analyzed the prevalence, incidence, mortality, and DALYs in the US between 1990 and 2019. A total of 5.53 million patients were diagnosed with CRC in the US between 1990 and 2019. Overall, CRC incidence rates have significantly increased in younger adults (11.1 per 100,000 persons) and decreased in older adults (136.8 per 100,000 persons) (AAPC = 1.2 vs. −0.6; AAPC difference = 1.8, p < 0.001). Age-specific trends were neither identical (p < 0.001) nor parallel (p < 0.001), suggesting that CRC incidence rates are different and increasing at a greater rate in younger adults compared to older adults. However, for both men and women (49.4 and 35.2 per 100,000 persons), incidence rates have decreased over the past three decades at the same rate (AAPC = −0.5 vs. −0.5; AAPC difference = 0, p = 0.1). Geographically, the southern states had the highest mortality rates with Mississippi having the highest rate of 20.1 cases per 100,000 population in 2019. Massachusetts, New York, and the District of Colombia had the greatest decreases in mortality over the study period (−42.1%, −41.4%, and −40.9%). Decreased mortality was found in all states except Mississippi, where the mortality of CRC increased over the study period (+1.5%). This research provides crucial insights for policymakers to tailor resource allocation, emphasizing the dynamic nature of CRC burden across states and age groups, ultimately informing targeted strategies for prevention and intervention. Full article
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