Incidence, treatment and relative survival of early-onset colorectal cancer in the Netherlands since 1989
Previous studies showed that the incidence of early-onset colorectal cancer (EO-CRC, diagnosis
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| Veröffentlicht in: | European journal of cancer (1990) 2022-05, Vol.166, p.134-144 |
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| container_title | European journal of cancer (1990) |
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| creator | Swartjes, Hidde Brouwer, Nelleke P.M. de Nes, Lindsey C.F. van Erning, Felice N. Verhoeven, Rob H.A. Vissers, Pauline A.J. de Wilt, Johannes H.W. |
| description | Previous studies showed that the incidence of early-onset colorectal cancer (EO-CRC, diagnosis |
| doi_str_mv | 10.1016/j.ejca.2022.01.029 |
| format | Article |
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Data from 1989 to 2018 were retrieved from the Netherlands Cancer Registry. Non-standardised age-specific incidence rates were calculated, and trends were assessed using Joinpoint regression. Treatment and 5-year relative survival trends were provided and compared between EO-CRC and 50- to 59-year-old patients.
The EO-CRC incidence annually increased with 0.7–2.1% over the last decades. CRC incidence for the 50- to 59-year-old population annually increased with 0.8–1.7% until 2006 and showed a major increase in incidence after the introduction of nationwide screening in 2014. Stage III and Stage IV CRC primarily increased across the studied age groups, while Stage I and Stage II CRC did not. Patients with EO-CRC received multimodal treatment more often than 50- to 59-year-old patients, but differences were minor. Relative survival increased over time and showed little differences between EO-CRC and 50- to 59-year-old patients.
Only few epidemiological and clinical differences were found between EO-CRC and 50- to 59-year-old patients; hence, the urge for a specific approach of EO-CRC in screening and treatment guidelines might be tempered.
•Early-onset colorectal cancer (EO-CRC) incidence increased in the Netherlands with 0.7–2.1% over the last decades.•This increase in incidence was highly comparable to the 50- to 59-year-old population.•EO-CRC treatment and relative survival differed slightly from 50- to 59-year-old patients with CRC.•The urge for a specific approach of EO-CRC in guidelines might be tempered.</description><identifier>ISSN: 0959-8049</identifier><identifier>EISSN: 1879-0852</identifier><identifier>DOI: 10.1016/j.ejca.2022.01.029</identifier><identifier>PMID: 35290914</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Age ; Age of onset ; Cancer ; Colorectal cancer ; Colorectal carcinoma ; Colorectal neoplasms ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - therapy ; Epidemiology ; Health services ; Humans ; Incidence ; Mass Screening ; Middle Aged ; Netherlands - epidemiology ; Patients ; Registries ; Survival ; Survival analysis ; Therapy ; Trends</subject><ispartof>European journal of cancer (1990), 2022-05, Vol.166, p.134-144</ispartof><rights>2022 The Author(s)</rights><rights>Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. May 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-ea630eaaf1dbedebaddecb95620743ed315429e1db9747e7e60eb641c2acefea3</citedby><cites>FETCH-LOGICAL-c428t-ea630eaaf1dbedebaddecb95620743ed315429e1db9747e7e60eb641c2acefea3</cites><orcidid>0000-0001-7349-2032 ; 0000-0002-0677-888X ; 0000-0001-9678-1611</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejca.2022.01.029$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35290914$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Swartjes, Hidde</creatorcontrib><creatorcontrib>Brouwer, Nelleke P.M.</creatorcontrib><creatorcontrib>de Nes, Lindsey C.F.</creatorcontrib><creatorcontrib>van Erning, Felice N.</creatorcontrib><creatorcontrib>Verhoeven, Rob H.A.</creatorcontrib><creatorcontrib>Vissers, Pauline A.J.</creatorcontrib><creatorcontrib>de Wilt, Johannes H.W.</creatorcontrib><title>Incidence, treatment and relative survival of early-onset colorectal cancer in the Netherlands since 1989</title><title>European journal of cancer (1990)</title><addtitle>Eur J Cancer</addtitle><description>Previous studies showed that the incidence of early-onset colorectal cancer (EO-CRC, diagnosis <50 years) is rising in Western countries. Additionally, young patients present with more advanced disease. Integrated nationwide assessment of epidemiologically and clinically relevant trends would provide more insight into this specific group of patients with CRC. We aimed to provide an analysis of trends in age- and stage-specific incidence, characteristics, treatment and relative survival of patients with EO-CRC in the Netherlands and compare these with 50- to 59-year-old patients.
Data from 1989 to 2018 were retrieved from the Netherlands Cancer Registry. Non-standardised age-specific incidence rates were calculated, and trends were assessed using Joinpoint regression. Treatment and 5-year relative survival trends were provided and compared between EO-CRC and 50- to 59-year-old patients.
The EO-CRC incidence annually increased with 0.7–2.1% over the last decades. CRC incidence for the 50- to 59-year-old population annually increased with 0.8–1.7% until 2006 and showed a major increase in incidence after the introduction of nationwide screening in 2014. Stage III and Stage IV CRC primarily increased across the studied age groups, while Stage I and Stage II CRC did not. Patients with EO-CRC received multimodal treatment more often than 50- to 59-year-old patients, but differences were minor. Relative survival increased over time and showed little differences between EO-CRC and 50- to 59-year-old patients.
Only few epidemiological and clinical differences were found between EO-CRC and 50- to 59-year-old patients; hence, the urge for a specific approach of EO-CRC in screening and treatment guidelines might be tempered.
•Early-onset colorectal cancer (EO-CRC) incidence increased in the Netherlands with 0.7–2.1% over the last decades.•This increase in incidence was highly comparable to the 50- to 59-year-old population.•EO-CRC treatment and relative survival differed slightly from 50- to 59-year-old patients with CRC.•The urge for a specific approach of EO-CRC in guidelines might be tempered.</description><subject>Age</subject><subject>Age of onset</subject><subject>Cancer</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal neoplasms</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - therapy</subject><subject>Epidemiology</subject><subject>Health services</subject><subject>Humans</subject><subject>Incidence</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Netherlands - epidemiology</subject><subject>Patients</subject><subject>Registries</subject><subject>Survival</subject><subject>Survival analysis</subject><subject>Therapy</subject><subject>Trends</subject><issn>0959-8049</issn><issn>1879-0852</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtP3TAQhS1EBRfaP8CissSmC5KOHedhiQ1C5SGhdgNry7EnwlFuTG3nSvx7HF3aBQs2M4vzzdHoHELOGJQMWPNzLHE0uuTAeQmsBC4PyIZ1rSygq_kh2YCsZdGBkMfkJMYRANpOwBE5rmouQTKxIe5-Ns7ibPCCpoA6bXFOVM-WBpx0cjukcQk7t9MT9QNFHabXws8REzV-8gFNyorR2SBQN9P0jPQ35hmmbBJpdFmhTHbyK_ky6Cnit_d9Sp5ufj1e3xUPf27vr68eCiN4lwrUTQWo9cBsjxZ7bS2aXtYNh1ZUaCtWCy4xq7IVLbbYAPaNYIZrgwPq6pT82Pu-BP93wZjU1kWDU_4H_RIVbwSAaBm0GT3_gI5-CXP-LlNNDq8DJjLF95QJPsaAg3oJbqvDq2Kg1iLUqNYi1FqEAqZyEfno-7v10m_R_j_5l3wGLvcA5ix2DoOKxq09WLeGqqx3n_m_Af2_mpw</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Swartjes, Hidde</creator><creator>Brouwer, Nelleke P.M.</creator><creator>de Nes, Lindsey C.F.</creator><creator>van Erning, Felice N.</creator><creator>Verhoeven, Rob H.A.</creator><creator>Vissers, Pauline A.J.</creator><creator>de Wilt, Johannes H.W.</creator><general>Elsevier Ltd</general><general>Elsevier Science Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7349-2032</orcidid><orcidid>https://orcid.org/0000-0002-0677-888X</orcidid><orcidid>https://orcid.org/0000-0001-9678-1611</orcidid></search><sort><creationdate>202205</creationdate><title>Incidence, treatment and relative survival of early-onset colorectal cancer in the Netherlands since 1989</title><author>Swartjes, Hidde ; Brouwer, Nelleke P.M. ; de Nes, Lindsey C.F. ; van Erning, Felice N. ; Verhoeven, Rob H.A. ; Vissers, Pauline A.J. ; de Wilt, Johannes H.W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-ea630eaaf1dbedebaddecb95620743ed315429e1db9747e7e60eb641c2acefea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age</topic><topic>Age of onset</topic><topic>Cancer</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal neoplasms</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - therapy</topic><topic>Epidemiology</topic><topic>Health services</topic><topic>Humans</topic><topic>Incidence</topic><topic>Mass Screening</topic><topic>Middle Aged</topic><topic>Netherlands - epidemiology</topic><topic>Patients</topic><topic>Registries</topic><topic>Survival</topic><topic>Survival analysis</topic><topic>Therapy</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Swartjes, Hidde</creatorcontrib><creatorcontrib>Brouwer, Nelleke P.M.</creatorcontrib><creatorcontrib>de Nes, Lindsey C.F.</creatorcontrib><creatorcontrib>van Erning, Felice N.</creatorcontrib><creatorcontrib>Verhoeven, Rob H.A.</creatorcontrib><creatorcontrib>Vissers, Pauline A.J.</creatorcontrib><creatorcontrib>de Wilt, Johannes H.W.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cancer (1990)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Swartjes, Hidde</au><au>Brouwer, Nelleke P.M.</au><au>de Nes, Lindsey C.F.</au><au>van Erning, Felice N.</au><au>Verhoeven, Rob H.A.</au><au>Vissers, Pauline A.J.</au><au>de Wilt, Johannes H.W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence, treatment and relative survival of early-onset colorectal cancer in the Netherlands since 1989</atitle><jtitle>European journal of cancer (1990)</jtitle><addtitle>Eur J Cancer</addtitle><date>2022-05</date><risdate>2022</risdate><volume>166</volume><spage>134</spage><epage>144</epage><pages>134-144</pages><issn>0959-8049</issn><eissn>1879-0852</eissn><abstract>Previous studies showed that the incidence of early-onset colorectal cancer (EO-CRC, diagnosis <50 years) is rising in Western countries. Additionally, young patients present with more advanced disease. Integrated nationwide assessment of epidemiologically and clinically relevant trends would provide more insight into this specific group of patients with CRC. We aimed to provide an analysis of trends in age- and stage-specific incidence, characteristics, treatment and relative survival of patients with EO-CRC in the Netherlands and compare these with 50- to 59-year-old patients.
Data from 1989 to 2018 were retrieved from the Netherlands Cancer Registry. Non-standardised age-specific incidence rates were calculated, and trends were assessed using Joinpoint regression. Treatment and 5-year relative survival trends were provided and compared between EO-CRC and 50- to 59-year-old patients.
The EO-CRC incidence annually increased with 0.7–2.1% over the last decades. CRC incidence for the 50- to 59-year-old population annually increased with 0.8–1.7% until 2006 and showed a major increase in incidence after the introduction of nationwide screening in 2014. Stage III and Stage IV CRC primarily increased across the studied age groups, while Stage I and Stage II CRC did not. Patients with EO-CRC received multimodal treatment more often than 50- to 59-year-old patients, but differences were minor. Relative survival increased over time and showed little differences between EO-CRC and 50- to 59-year-old patients.
Only few epidemiological and clinical differences were found between EO-CRC and 50- to 59-year-old patients; hence, the urge for a specific approach of EO-CRC in screening and treatment guidelines might be tempered.
•Early-onset colorectal cancer (EO-CRC) incidence increased in the Netherlands with 0.7–2.1% over the last decades.•This increase in incidence was highly comparable to the 50- to 59-year-old population.•EO-CRC treatment and relative survival differed slightly from 50- to 59-year-old patients with CRC.•The urge for a specific approach of EO-CRC in guidelines might be tempered.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>35290914</pmid><doi>10.1016/j.ejca.2022.01.029</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-7349-2032</orcidid><orcidid>https://orcid.org/0000-0002-0677-888X</orcidid><orcidid>https://orcid.org/0000-0001-9678-1611</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Age Age of onset Cancer Colorectal cancer Colorectal carcinoma Colorectal neoplasms Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Colorectal Neoplasms - therapy Epidemiology Health services Humans Incidence Mass Screening Middle Aged Netherlands - epidemiology Patients Registries Survival Survival analysis Therapy Trends |
| title | Incidence, treatment and relative survival of early-onset colorectal cancer in the Netherlands since 1989 |
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