A new study led by American Cancer Society (ACS) researchers shows that early-onset colorectal cancer (CRC) incidence rates are rising in 27 of 50 countries/territories worldwide, 20 of which have either exclusive or faster increases for early-onset disease. In 14 countries, including the United States, rates are increasing in young adults while stabilizing in those 50 years and older. The research is published today in the journal The Lancet Oncology.
"The increase in early-onset colorectal cancer is a global phenomenon," said Dr. Hyuna Sung, senior principal scientist, cancer surveillance research at the American Cancer Society and lead author of the study. "Previous studies have shown this rise in predominately high-income Western countries, but now, it is documented in various economies and regions worldwide."
The primary study objective was to examine contemporary CRC incidence trends in young versus older adults using data through 2017 from 50 countries/territories. Data were compiled using the Cancer Incidence in Five Continents Plus and trends were examined for age-standardized incidence rates of CRC ranging from 1943-2017. Temporal trends were visualized and quantified by age at diagnosis (25-49 years and 50-74 years). Average annual percentage changes (AAPC) were estimated for the last 10 years of data.