Evidence map›Paper›PMID 36471648›Full record

ArticleDeutsches Arzteblatt international2023

The Rising Incidence of Early-Onset Colorectal Cancer.

Luana Fiengo Tanaka, Sieglinde Hechenbichler Figueroa, Vera Popova, Stefanie J Klug, Nina Buttmann-Schweiger

Abstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Trial
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  3. [Prevention and early detection of colorectal cancer].Innere Medizin (Heidelberg, Germany) · 2026
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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

5 authors.

Luana Fiengo TanakaChair of Epidemiology, TUM Department of Sports and Health Sciences, Technical University of Munich(TUM), MunichCenter for International Health, University Hospital, Ludwig Maximilians University (LMU), MunichAssistant Professorship for Exercise, Nutrition, and Health, TUM Department of Sports and HealthSciences, Technical University of Munich (TUM)German Centre for Cancer Registry Data (ZfKD), Robert Koch Institute, BerlinBavarian State Office for Health and Food Safety, Bavarian Cancer Registry, Augsburg RegionalCenter.
Sieglinde Hechenbichler Figueroa
Vera Popova
Stefanie J Klug
Nina Buttmann-Schweiger

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of early-onset (diagnosis before age 50) colorectal cancer (EOCRC) is increasing in some high-income countries. In this study, we examined the trends in EO-CRC incidence in Germany.

methodsWe obtained data on CRC (ICD-10 C18-C20) incidence from the Centre for Cancer Registry Data (excluding cases reported via death certificate only) and on mortality from the official cause of death statistics for 1999-2018 from registries with sufficient incidence coverage. To assess time trends for persons aged 20-49 we calculated the average annual percent changes (AAPC) and corresponding 95% confidence intervals (95% CI). The incidence analyses were stratified by sex, site (proximal colon, distal colon, rectum), age group (20-29, 30-39, and 40-49) and tumor size (T).

resultsEO-CRC accounted for 5.1% (9529 cases) of all colorectal cancers in the selected German regions. The EO-CRC incidence rose annually by 1.16% (95% CI: [0.51; 1.81]) in men and 1.32% [0.80; 1.84] in women. The incidence of proximal colon cancer increased in both sexes (men: AAPC = 3.26 [2.00; 4.53]; women: AAPC = 2.99 [2.17; 3.83]), while the incidence of distal colon cancer remained unchanged.

conclusionThe incidence of EO-CRC in Germany is rising. The reasons are probably multifactorial, reflecting the changing prevalence of early life exposure to risk and protective factors.

Indexed as

Colonic NeoplasmsColorectal NeoplasmsFemaleGermanyHumansIncidenceMaleRegistries

Identifiers

PMID36471648
PMCPMC10080225

What OpenQuestion holds

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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.