Evidence map›Paper›PMID 31055721›Full record

ReviewDigestive diseases and sciences2019

Clinical and Genetic Characteristics of Colorectal Cancer in Persons under 50 Years of Age: A Review.

Williamson B Strum, C Richard Boland

Abstract readReview
PubMed Publisher
In one paragraph

Review in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. The Young: Early-Onset Colon Cancer.Clinics in colon and rectal surgery · 2025
    Review
  5. Epigenetic differences in the tumor suppressor genesInnovative surgical sciences · 2024
    Article
  6. Article
  7. Reduced Implementation and Completion of Average-Risk Annual Fecal Immunochemical Test Colorectal Cancer Screening in Black Patients Aged 45-49 Years.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  8. Molecular genetics of early-onset colorectal cancer.World journal of biological chemistry · 2023
    Review
  9. Article
  10. miR-31-5p-Oncology letters · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Observational
  18. Review
  19. Early-onset colorectal cancer: initial clues and current views.Nature reviews. Gastroenterology & hepatology · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Williamson B StrumDivision of Gastroenterology, Scripps Clinic Medical Group, 10666 North Torrey Pines Road, La Jolla, CA, 92037, USA.
C Richard BolandDivision of Gastroenterology, University of California San Diego, 9500 Gilman Drive #0956, La Jolla, CA, 92093, USA. crboland@ucsd.edu.ORCID 0000-0002-8120-5088
Scripps Clinic Medical Group · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of colorectal cancer (CRC) in persons under the age of 50 years (EOCRC) is increasing even as the incidence of CRC in persons over age 50 is decreasing. This has led to recommendations to lower the age of CRC screening to age 45. It is not clear whether EOCRC is identical to CRCs in older patients or whether there are distinctive features between the two groups. AIMS AND

methodsWe reviewed the literature on the clinical and genetic aspects of EOCRC.

resultsWe found that there is an increased likelihood of a strong genetic basis for EOCRC, but that at least 80% of cases do not come from the known high-penetrance cancer syndromes. Early-onset CRCs tend to occur in the distal colon or rectum, are more likely to be detected due to cancer-related symptoms, appear to be increasing in whites more than non-whites on a population-wide analysis, and are more likely to present in an advanced stage of disease. There are some unique genetic features of EOCRC, including an increased proportion of tumors with LINE-1 hypomethylation, and combined chromosomal and microsatellite stability.

conclusionsEOCRC deserves additional attention because of the high number of life years at risk with EOCRC, and the implications for earlier CRC screening. Additional focus is needed on determining whether some cases of EOCRC have a unique mechanistic basis.

Indexed as

AdultAge FactorsColorectal NeoplasmsEarly Detection of CancerGenetic MarkersGenetic TestingHumansIncidenceGenetic MarkersColorectal cancer screeningEarly-onset colorectal cancerFamilial colorectal cancerGenetics

Identifiers

PMID31055721
OpenAlexW2944303590

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.