Prevalence of Colorectal Neoplasms in Asian Americans

Purpose To determine the yield of colonoscopy in a predominantly Asian American gastroenterology practice in California from 8/2003 to 2/2005. Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian m...

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Veröffentlicht in:Digestive diseases and sciences 2009, Vol.54 (1), p.160-167
Hauptverfasser: Lam, Khoa D, Garcia, Ruel T, Nguyen, Long H, Trinh, Huy, Triadafilopoulos, George, Phan, Jeanine T, Nguyen, Khanh, Nguyen, Huy, Ahmed, Aijaz, Nguyen, Mindie H
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container_end_page 167
container_issue 1
container_start_page 160
container_title Digestive diseases and sciences
container_volume 54
creator Lam, Khoa D
Garcia, Ruel T
Nguyen, Long H
Trinh, Huy
Triadafilopoulos, George
Phan, Jeanine T
Nguyen, Khanh
Nguyen, Huy
Ahmed, Aijaz
Nguyen, Mindie H
description Purpose To determine the yield of colonoscopy in a predominantly Asian American gastroenterology practice in California from 8/2003 to 2/2005. Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian men (P = 0.21), and 8% and 7% in women (P = 0.62). Similar results were found in asymptomatic patients (13% and 13%, P = 0.99, for men; 8% and 6%, P = 0.46, for women). Factors associated with presence of advanced neoplasia were total number of polyps and presence of right-sided lesions. Asian men were more likely to have neoplasia overall compared with non-Asian men with odds ratio (OR) of 2.14 (1.23-3.72); however, there were no significant differences in the prevalences of advanced neoplasia in the two groups. Conclusions Colorectal neoplasia is as prevalent in Asian Americans and preventive guidelines for colorectal cancer should also be advocated for this ethnic group.
doi_str_mv 10.1007/s10620-008-0499-0
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Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian men (P = 0.21), and 8% and 7% in women (P = 0.62). Similar results were found in asymptomatic patients (13% and 13%, P = 0.99, for men; 8% and 6%, P = 0.46, for women). Factors associated with presence of advanced neoplasia were total number of polyps and presence of right-sided lesions. Asian men were more likely to have neoplasia overall compared with non-Asian men with odds ratio (OR) of 2.14 (1.23-3.72); however, there were no significant differences in the prevalences of advanced neoplasia in the two groups. Conclusions Colorectal neoplasia is as prevalent in Asian Americans and preventive guidelines for colorectal cancer should also be advocated for this ethnic group.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-008-0499-0</identifier><identifier>PMID: 18975084</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Boston: Boston : Springer US</publisher><subject>Adenoma - diagnosis ; Adenoma - epidemiology ; Adenoma - ethnology ; Aged ; Asian Americans - ethnology ; Asian Americans - statistics &amp; numerical data ; Biochemistry ; Biological and medical sciences ; California - epidemiology ; Colonoscopy ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - ethnology ; Cross-Sectional Studies ; Digestive system. Abdomen ; Endoscopy ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Mass Screening - methods ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multivariate Analysis ; Oncology ; Original Article ; Predictive Value of Tests ; Prevalence ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Transplant Surgery ; Tumors ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Digestive diseases and sciences, 2009, Vol.54 (1), p.160-167</ispartof><rights>Springer Science+Business Media, LLC 2008</rights><rights>2009 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-dfdfed480199ed49a3480f6f1b550da793a86fc8d2fbe152ee10e05e77f0032c3</citedby><cites>FETCH-LOGICAL-c423t-dfdfed480199ed49a3480f6f1b550da793a86fc8d2fbe152ee10e05e77f0032c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-008-0499-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-008-0499-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,4010,27900,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21011875$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18975084$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lam, Khoa D</creatorcontrib><creatorcontrib>Garcia, Ruel T</creatorcontrib><creatorcontrib>Nguyen, Long H</creatorcontrib><creatorcontrib>Trinh, Huy</creatorcontrib><creatorcontrib>Triadafilopoulos, George</creatorcontrib><creatorcontrib>Phan, Jeanine T</creatorcontrib><creatorcontrib>Nguyen, Khanh</creatorcontrib><creatorcontrib>Nguyen, Huy</creatorcontrib><creatorcontrib>Ahmed, Aijaz</creatorcontrib><creatorcontrib>Nguyen, Mindie H</creatorcontrib><title>Prevalence of Colorectal Neoplasms in Asian Americans</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Purpose To determine the yield of colonoscopy in a predominantly Asian American gastroenterology practice in California from 8/2003 to 2/2005. Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian men (P = 0.21), and 8% and 7% in women (P = 0.62). Similar results were found in asymptomatic patients (13% and 13%, P = 0.99, for men; 8% and 6%, P = 0.46, for women). Factors associated with presence of advanced neoplasia were total number of polyps and presence of right-sided lesions. Asian men were more likely to have neoplasia overall compared with non-Asian men with odds ratio (OR) of 2.14 (1.23-3.72); however, there were no significant differences in the prevalences of advanced neoplasia in the two groups. 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Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian men (P = 0.21), and 8% and 7% in women (P = 0.62). Similar results were found in asymptomatic patients (13% and 13%, P = 0.99, for men; 8% and 6%, P = 0.46, for women). Factors associated with presence of advanced neoplasia were total number of polyps and presence of right-sided lesions. Asian men were more likely to have neoplasia overall compared with non-Asian men with odds ratio (OR) of 2.14 (1.23-3.72); however, there were no significant differences in the prevalences of advanced neoplasia in the two groups. Conclusions Colorectal neoplasia is as prevalent in Asian Americans and preventive guidelines for colorectal cancer should also be advocated for this ethnic group.</abstract><cop>Boston</cop><pub>Boston : Springer US</pub><pmid>18975084</pmid><doi>10.1007/s10620-008-0499-0</doi><tpages>8</tpages></addata></record>
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subjects Adenoma - diagnosis
Adenoma - epidemiology
Adenoma - ethnology
Aged
Asian Americans - ethnology
Asian Americans - statistics & numerical data
Biochemistry
Biological and medical sciences
California - epidemiology
Colonoscopy
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - ethnology
Cross-Sectional Studies
Digestive system. Abdomen
Endoscopy
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Mass Screening - methods
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
Oncology
Original Article
Predictive Value of Tests
Prevalence
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Transplant Surgery
Tumors
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Prevalence of Colorectal Neoplasms in Asian Americans
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