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Open AccessFeature PaperArticle

Evaluation of Colorectal Cancer Incidence Trends in the United States (2000–2014)

Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA
Department of Clinical and Digital Health Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA 30912, USA
Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA 30310, USA
Department of Family Medicine, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA
Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(2), 22;
Received: 28 December 2017 / Revised: 23 January 2018 / Accepted: 23 January 2018 / Published: 30 January 2018
(This article belongs to the Section Oncology)
Colorectal cancer (CRC) incidence rates have declined in recent years for people of all races/ethnicities; however, the extent to which the decrease varies annually by demographic and disease-related characteristics is largely unknown. This study examines trends and annual percent change (APC) in the incidence among persons diagnosed with CRC in the United States of America from 2000–2014. The data obtained from the National Cancer Institute’s Surveillance, Epidemiology, and End Results (SEER) Program were analyzed, and all persons (N = 577,708) with malignant CRC recorded in the SEER 18 database from 2000 to 2014 were characterized according to sex, race, age at diagnosis, disease site and stage. Incidence rates and APC were calculated for the entire study period. Overall, the incidence rate of CRC decreased from 54.5 in 2000 to 38.6 per 100,000 in 2014, with APC = −2.66 (p < 0.0001). Decline in rates was most profound between 2008 and 2011 from 46.0 to 40.7 per 100,000 (APC = −4.04; p < 0.0001). Rates were higher for males (vs. females; rate ratio (RR) = 1.33) and for blacks (vs. whites; RR = 1.23). Proximal colon cancers at the localized stage were the predominant cancers. An increase in rate was observed among people younger than 50 years (6.6 per 100,000, APC= 1.5). The annual rate of CRC has decreased over time. However, the development and implementation of interventions that further reduce the disparities among demographic and disease-related subgroups are warranted. View Full-Text
Keywords: Colorectal cancer; incidence; rates; annual percent change; SEER Colorectal cancer; incidence; rates; annual percent change; SEER
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Ansa, B.E.; Coughlin, S.S.; Alema-Mensah, E.; Smith, S.A. Evaluation of Colorectal Cancer Incidence Trends in the United States (2000–2014). J. Clin. Med. 2018, 7, 22.

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