Evidence map›Paper›PMID 41332918›Full record

ArticleHealth science reports2025

Global Burden of Colorectal Cancer in Adolescents and Young Adults From 1990 to 2021: A Systematic Analysis of the Global Burden of Disease Study 2021.

Ya-Fei He, Lu Zhang, Dun-Zhong Hu, Chang-Zheng Li, Dan Zhang, Yan-Ni Li, Ning-Bo Hao, Ling Zhao

Abstract read
In one paragraph

Article in Health science reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Ya-Fei HeDepartment of Intensive Care Medicine Beijing Zhongguancun Hospital Beijing China.
Lu ZhangDepartment of Anesthesiology Zibo Central Hospital Zibo China.
Dun-Zhong HuDepartment of Emergency Medicine PLA Rocket Force Characteristic Medical Center Beijing China.
Chang-Zheng LiDepartment of Gastroenterology PLA Rocket Force Characteristic Medical Center Beijing China.
Dan ZhangDepartment of Gastroenterology PLA Rocket Force Characteristic Medical Center Beijing China.
Yan-Ni LiHealth Management Section PLA Rocket Force Characteristic Medical Center Beijing China.
Ning-Bo HaoDepartment of Gastroenterology PLA Rocket Force Characteristic Medical Center Beijing China.ORCID https://orcid.org/0000-0002-6403-2189
Ling ZhaoDepartment of Anesthesiology PLA Rocket Force Characteristic Medical Center Beijing China.ORCID https://orcid.org/0009-0004-8420-8710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Colorectal cancer (CRC) is a major global health concern, with rising early-onset cases (EOCRC) among adolescents and young adults (AYAs, 15-39 years). This study evaluates the global burden, trends, and risk factors of AYA CRC from 1990 to 2021 using Global Burden of Disease (GBD) 2021 data. Methods: Utilizing GBD 2021 estimates, we analyzed incidence, prevalence, mortality, disability-adjusted life years (DALYs), and attributable risk factors. To analyze temporal trends, we employed joinpoint regression with a maximum of four nodes, and future burden projections were generated using ARIMA models. Analyses were stratified by age, sex, region, and Socio-Demographic Index (SDI). Results: Global AYA CRC incidence rose from 41,384 cases in 1990 to 70,201 in 2021 (AAPC: 0.35), with the highest age-standardized incidence rate (ASIR) in East Asia (5.11 per 100,000). Mortality decreased (AAPC: -1.00), driven by improved healthcare, while prevalence increased. Low whole-grain intake (15.9% DALYs) and high red meat consumption (12.7%) dominated globally, while high BMI emerged as a growing contributor, particularly in high-SDI regions. Males had higher burden than females, peaking at ages 35-39. By 2060, the ASIR is projected to rise by 14.7%, with the most pronounced increases in low-middle SDI regions, where healthcare infrastructure remains underdeveloped. Conclusion: The rising incidence of AYA CRC underscores urgent needs for targeted prevention, early screening, and lifestyle interventions addressing modifiable risks like diet and obesity. Geographic and socioeconomic disparities highlight the importance of equitable healthcare access to mitigate future burden.

Indexed as

adolescents and young adultscolorectal cancerglobal burden of diseaseincidencemortality

Identifiers

PMID41332918
PMCPMC12665505

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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.