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Colorectal cancer patients in a tertiary hospital in Indonesia: Prevalence of the younger population and associated factors

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World Journal of Clinical Cases 2021年第32期9卷 9804-9814页

作者： Dadang Makmun Marcellus Simadibrata Murdani Abdullah Ari F Syam Hamzah Shatri Achmad Fauzi KakaRenaldi Hasan Maulahela Amanda P Utari Rabbinu R Pribadi virly n muzellina Saskia A nursyirwan Division of Gastroenterology Pancreatobiliary&Digestive EndoscopyDepartment of Internal MedicineFaculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National General HospitalJakarta 10430Indonesia Clinical Epidemiology Unit Department of Internal MedicineFaculty of Medicine Universitas Indonesia-Cipto Mangunkusumo National General HospitalJakarta 10430Indonesia

BACKGROUnD An increasing trend in colorectal cancer(CRC)occurring at younger ages has been observed worldwide,even though incidence is declining in the general *** currently available guidelines still recommend CRC screening for older populations,despite an alarming rise in early-onset CRC *** stratification is necessary to further determine the population most at risk for early-onset ***,epidemiological data on related clinical characteristics and potential risk factors,especially in developing countries,have not been widely *** To investigate the prevalence,demographics,clinicopathologic features,and associated factors of young-onset CRC patients in a tertiary hospital in *** Patients undergoing colonoscopy examination between 2008 and 2019,yielding a diagnosis of CRC were identified from medical *** subjects were classified into two groups according to their age at diagnosis,namely early-onset(18-49 years old)and late-onset(≥50-years-old).Demographic data,characteristics,and risk factors of both onset age groups were evaluated using the chisquare and Fisher’s exact *** Among 495 CRC patients confirmed by histopathology,205(41.4%)were classified as early-onset and 290(58.6%)as *** subjects in the earlyonset CRC group were male(53.7%),with 89.8%displaying adenocarcinoma histopathology.A majority(78%)of the early-onset CRC patients had left-sided tumors,with the rectum(41%)and rectosigmoid(17.6%)being the most common *** pain was the most frequent symptom in the early-onset CRC patients(55.6%),which was significantly higher than that in the late-onset CRC patients(43.8%,Pnset CRC cases were more likely to be underweight(34.6%vs 20.0%,Pnset CRC *** proportion of subjects with suspected hereditary nonpolyposis colorectal cancer(HnPCC)was also higher in the early-onset CRC group than in the late-onset age group(9.3%vs 4.1%,P<0.05).

关键词： Colorectal cancer Early onset Epidemiology Associated factors Tertiary hospital Indonesia

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