Trends in Colorectal Cancer Mortality in the United States, 1999 - 2020.

IF 1.4 Q4 GASTROENTEROLOGY & HEPATOLOGY Gastroenterology Research Pub Date : 2023-08-01 DOI:10.14740/gr1631
Alexander Kusnik, Sarath Lal Mannumbeth Renjithlal, Ari Chodos, Sanjana Chetana Shanmukhappa, Mohamed Magdi Eid, Keerthi Mannumbeth Renjith, Richard Alweis
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Abstract

Background: The United States faces a significant public health issue with colorectal cancer (CRC), which remains the third leading cause of cancer-related fatalities despite early diagnosis and treatment progress.

Methods: This investigation utilized death certificate data from the Centers for Disease Control and Prevention Wide-Ranging OnLine Data for Epidemiologic Research (CDC WONDER) database to investigate trends in CRC mortality and location of death from 1999 to 2020. Additionally, the study utilized the annual percent change (APC) to estimate the average annual rate of change over the specific time period for the given health outcome. Incorporating the location of death in this study served the purpose of identifying patterns related to CRC and offering valuable insights into the specific locations where deaths occurred.

Results: Between 1999 and 2020, there were 1,166,158 CRC-related deaths. The age-adjusted mortality rates (AAMRs) for CRC consistently declined from 20.7 in 1999 to 12.5 in 2020. Men had higher AAMR (18.8) than women (13.4) throughout the study. Black or African American patients had the highest AAMR (21.1), followed by White (15.4), Hispanic/Latino (11.8), American Indian or Alaska native (11.4), and Asian or Pacific Islanders (10.2). The location of death varied, with 41.99% at home, 28.16% in medical facilities, 16.6% in nursing homes/long-term care facilities, 7.43% in hospices, and 5.80% at other/unknown places.

Conclusion: There has been an overall improvement in AAMR among most ethnic groups, but an increase in AAMR has been observed among white individuals below the age of 55. Notably, over one-quarter of CRC-related deaths occur in medical facilities.

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1999 - 2020年美国结直肠癌死亡率趋势
背景:美国面临着结直肠癌(CRC)的重大公共卫生问题,尽管早期诊断和治疗取得了进展,但结直肠癌仍然是癌症相关死亡的第三大原因。方法:本研究利用来自疾病控制和预防中心广泛在线流行病学研究数据(CDC WONDER)数据库的死亡证明数据,调查1999年至2020年结直肠癌死亡率和死亡地点的趋势。此外,该研究利用年变化百分比(APC)来估计给定健康结果的特定时间段内的平均年变化率。将死亡地点纳入本研究的目的是确定与CRC相关的模式,并为死亡发生的具体地点提供有价值的见解。结果:1999年至2020年间,有1,166,158例与crc相关的死亡。结直肠癌的年龄调整死亡率(AAMRs)持续下降,从1999年的20.7下降到2020年的12.5。在整个研究过程中,男性的AAMR(18.8)高于女性(13.4)。黑人或非裔美国人患者的AAMR最高(21.1),其次是白人(15.4),西班牙裔/拉丁裔(11.8),美洲印第安人或阿拉斯加本地人(11.4),亚洲或太平洋岛民(10.2)。死亡地点各不相同,41.99%在家中,28.16%在医疗机构,16.6%在养老院/长期护理机构,7.43%在临终关怀机构,5.80%在其他/未知地点。结论:在大多数种族群体中,AAMR总体上有所改善,但在55岁以下的白人群体中,AAMR有所增加。值得注意的是,四分之一以上与crc有关的死亡发生在医疗设施内。
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Gastroenterology Research
Gastroenterology Research GASTROENTEROLOGY & HEPATOLOGY-
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