Evidence map›Paper›PMID 36230718›Full record

ArticleCancers2022

Significant Rise of Colorectal Cancer Incidence in Younger Adults and Strong Determinants: 30 Years Longitudinal Differences between under and over 50s.

Dimitra Sifaki-Pistolla, Viktoria Poimenaki, Ilektra Fotopoulou, Emmanouil Saloustros, Dimitrios Mavroudis, Lampros Vamvakas, Christos Lionis

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
5.3field-weighted citation impact, top 3% 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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  8. Review
  9. Detection ofOncology research · 2026
    Article
  10. Combination Therapy Using Heat-KilledIranian journal of biotechnology · 2025
    Article
  11. Review
  12. Article
  13. Article
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  15. Article
  16. Article
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  18. Article
  19. Colorectal Cancer: Risk Factors, Novel Approaches in Molecular Screening and Treatment.International journal of molecular and cellular medicine · 2025
    Review
  20. Article
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

7 authors at 2 institutions in 1 country.

Dimitra Sifaki-PistollaDepartment of Social Medicine, School of Medicine, Clinic of Social and Family Medicine, University of Crete, 700 13 Heraklion, Greece.ORCID 0000-0001-9345-6266
Viktoria PoimenakiDepartment of Social Medicine, School of Medicine, Clinic of Social and Family Medicine, University of Crete, 700 13 Heraklion, Greece.
Ilektra FotopoulouDepartment of Social Medicine, School of Medicine, Clinic of Social and Family Medicine, University of Crete, 700 13 Heraklion, Greece.
Emmanouil SaloustrosDepartment of Oncology, University Hospital of Larissa, 413 34 Larisa, Greece.
Dimitrios MavroudisCancer Registry of Crete, School of Medicine, University of Crete, 700 13 Heraklion, Greece.
Lampros VamvakasCancer Registry of Crete, School of Medicine, University of Crete, 700 13 Heraklion, Greece.
Christos LionisDepartment of Social Medicine, School of Medicine, Clinic of Social and Family Medicine, University of Crete, 700 13 Heraklion, Greece.ORCID 0000-0002-9324-2839
University of Crete · GRUniversity Hospital of Larissa · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: There is evidence in the recent literature that the incidence patterns of colorectal cancer (CRC) have changed considerably over the years, tending to rise rapidly in individuals under 50 years old compared with those over 50 years. The current study aimed to assess the incidence of CRC in Crete from 1992−2021 and compare them among younger and older adults. (2) Methods: Data on malignant neoplasms of colon, rectosigmoid junction, and rectum have been extracted from the database of the Regional Cancer Registry of Crete. (3) Results: The number of these cases for the period 1992−2021 was 3857 (n = 2895 colon and n = 962 rectum). The mean age-specific incidence rate (ASpIR/100,000/year) of colon cancer patients <50 years was 7.2 (95% CI 5.1−9.7), while for patients ≥50 years the ASpIR was 149 (95% CI 146.2−153.4). ASpIR presented a 29.6% increase from 2001 to 2011 in the age group of 20−34 years and further increase is expected from 2022−2030 (projected change, 42.8%). The main risk factors were the pack years (p = 0.01), alcohol consumption (0.02), and farmer occupation (0.04), especially during 2012−2021. (4) Conclusions: We confirmed an increased incidence of CRC in young adults <50 in a European population with low cancer incidence in the past and a worrisome prediction for the near future. The observed trends clearly indicate that starting CRC screening at an earlier age may be essential.

Indexed as

big-datacolon cancercolorectal cancermetastasispopulation-based cohortrectal cancerrisk factorssurvivaltreatment

Identifiers

PMID36230718
PMCPMC9563745
OpenAlexW4303613701

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.