Clinical Edge Journal Scan

Early-onset CRC may have survival benefits over late-onset CRC


 

Key clinical point: Patients diagnosed with colorectal cancer (CRC) at an early age showed modest survival advantage over those diagnosed at a later age, particularly in patients with early-stage cancer. Findings emphasize on the importance of early CRC detection in the younger population.

Major finding: After adjustments, most notably for stage, patients with CRC diagnosed at an age younger than 50 years vsvs 51-55 years had a lower risk for death (hazard ratio [HR], 0.95; P less than .001). The advantage of reduced mortality was greatest in patients diagnosed between 35 and 39 years of age (adjusted HR, 0.88; P less than .001) and limited to individuals diagnosed at stages I and II (both P less than .001).

Study details: Findings are from a cohort study of 769,871 patients from the National Cancer Database, who were diagnosed with primary CRC.

Disclosures: The study was funded by the National Institutes of Health and American Association for Cancer Research grant to Stand Up To Cancer, a division of the Entertainment Industry Foundation. Some of the authors reported receiving grants and personal fees, speaking fees, and serving as a consultant for various sources.

Source: Cheng E et al. JAMA Netw Open. 2021 Jun 16. doi:10.1001/jamanetworkopen.2021.12539.

Recommended Reading

Antibiotic linked to rise in early onset colon cancer?
MDedge Hematology and Oncology
Mutational signature may reveal underlying link between red meat and CRC
MDedge Hematology and Oncology
Good survival, outcomes with TARE for HCC in practice
MDedge Hematology and Oncology
Higher preoperative dietary fiber intake may reduce complications after CRC surgery
MDedge Hematology and Oncology
No benefit of adding pembrolizumab to neoadjuvant chemoradiotherapy in LARC
MDedge Hematology and Oncology
Survival correlates with response to preoperative chemotherapy in CRPM patients undergoing CRS/HIPEC
MDedge Hematology and Oncology
Efficacy of EGFR treatment for metastatic CRC differs with primary tumor location
MDedge Hematology and Oncology
Adherence to CRC screening programs essential even in asymptomatic average-risk individuals
MDedge Hematology and Oncology
Higher total vitamin D intake tied to reduced risk for early-onset CRC
MDedge Hematology and Oncology
No prognostic impact of primary tumor location in mCRC patients under later-line REG or FTD/TPI
MDedge Hematology and Oncology