S0221 Do Racial and Gender Disparities Exist in Young Onset Rectal Carcinoma? Untold Story of Ten Years

Arshad, Hafiz Muhammad Sharjeel; Cheema, Ayesha; Arshad, Ayesha; Akbar, Nouman; Uy, Pearl Princess; Sifuentes, Humberto; Yap, John Erikson L.

doi:10.14309/01.ajg.0000702932.82191.8b

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“…Colorectal cancer demonstrates significant biological heterogeneity, which is evident in the varying incidence rates of different cancer subtypes across different demographics, including gender 10 . Gender is a well‐established prognostic factor that is associated with outcomes and survival in CRC 11–14 . While gender is widely recognized as a determinant of CRC incidence, there have been limited investigations into gender differences in outcomes for EO‐CRC and whether these differences vary over time 15 .…”

Section: Introductionmentioning

confidence: 99%

“…10 Gender is a well-established prognostic factor that is associated with outcomes and survival in CRC. [11][12][13][14] While gender is widely recognized as a determinant of CRC incidence, there have been limited investigations into gender differences in outcomes for EO-CRC and whether these differences vary over time. 15 Furthermore, although population-based studies have identified determinants of CRC incidence in various populations, there is currently no existing research specifically examining gender differences in EO-CRC survival across Asian and Middle Eastern countries.…”

Section: Introductionmentioning

confidence: 99%

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Mortality‐to‐incidence ratio of early‐onset colorectal cancer in high‐income Asian and Middle Eastern countries: A systemic analysis of the Global Burden of Diseases Study 2019

Ramadan,

Alsiary,

Aboalola

2023

Cancer Medicine

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BackgroundThe incidence of early‐onset colorectal cancer (EO‐CRC) has been consistently rising leading to a significant cancer burden among younger adults in Asian and Middle Eastern high‐income countries. The study aims to investigate the survival outcomes of EO‐CRC among high‐income Asian and Middle Eastern populations from 1990 to 2019 using the mortality‐to‐incidence ratio, with a focus on examining the differences in gender.MethodsThis is a systematic analysis of the Global Burden of Disease (GBD) 2019 study. We include individuals aged 15 to 49 years old in high‐income Asian and the Middle Eastern countries. The colorectal cancer mortality‐to‐incidence ratio (MIR) was calculated for both genders by dividing the age‐specific mortality rate per 100,000 for colorectal cancer by the age‐specific incidence rate per 100,000 for each nation in the sample for a given year.ResultsAn overall decline in male and female MIR was observed from 1990 to 2019 in Asian and Middle Eastern countries. Ten out of thirteen Asian and Middle Eastern countries had a higher female MIR compared to their male counterparts. The global male MIR was found to be significantly higher than that of female (p‐value 0.008, coefficient estimate: 1.51). In Middle Eastern countries, Saudi Arabia had a significantly higher female MIR compared to their male counterparts (p < 0.0001, coefficient estimate: 12.65).ConclusionThis research addresses the knowledge gap concerning gender‐based differences in EO‐CRC survival outcomes in high‐income Asian and Middle Eastern countries, providing insights into the factors influencing these disparities in these regions. Policymakers should focus on developing targeted prevention and treatment programs for women, and addressing cultural and social barriers that may prevent women from seeking timely medical care.

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Section: Introductionmentioning

confidence: 99%