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CC BY-NC-ND 4.0 · Journal of Coloproctology 2022; 42(03): 266-272
DOI: 10.1055/s-0042-1755240
Review Article

Colorectal Cancer: Comparative Analysis Between Two Series of Patients Separated by More Than Three Decades

Teresa Moreno Djadou 
1   Department of Colorectal Surgery, Cleveland Clinic Florida, United States
,
Antonio Rey
2   Department of Colorectal Surgery, University Hospital Ramon and Cajal, Spain
,
Javier Die
2   Department of Colorectal Surgery, University Hospital Ramon and Cajal, Spain
,
Eduardo Lobo
2   Department of Colorectal Surgery, University Hospital Ramon and Cajal, Spain
,
Juan Carlos García Pérez
2   Department of Colorectal Surgery, University Hospital Ramon and Cajal, Spain
› Author Affiliations Funding None.
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Abstract

Aim This study characterizes Colorectal Cancer (CRC) incidence in the University Hospital Ramon and Cajal, Madrid, and analyzes variations over time. It establishes risk groups, aiming to discover whether diagnosis can be determined in less advanced stages of disease.

Method Evolutionary epidemiological study of genetic and environmental factors contributing to the development of CRC in this district that enables the comparison of two cohorts of patients separated by 37 years: G1 (patients of current group) and G2 (patients of historical group). The main risk variables gleaned retrospectively were analyzed and the statistical association between cohorts was determined.

Results The mean age of patients increased significantly from 64 to 71 along with the incidence of ascending colon cancer. G1 scored higher than G2 for: the incidence of colon cancer in men, detection of adenomatous polyps (48.1%), percentage of resectability with curative intent (80.4%), and Dukes A stage (34.1%) (p < 0.001).

Conclusion Biological aspects of CRC have been compared against its profile three decades earlier. We can confirm the existence of concrete changes in the manifestation and staging at the time of diagnosis or following earlier treatment.

Keywords

colorectal cancer - risk factors - tumor stage

Disclosures

T. Moreno Djadou, A. Rey, J. Die, E. Lobo, J.C. García have no conflicts of interest or financial ties to disclose.




Publication History

Received: 29 March 2022

Accepted: 27 June 2022

Article published online:
20 September 2022

© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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