Skip to main content
Erschienen in: Digestive Diseases and Sciences 1/2009

01.01.2009 | Original Article

Prevalence of Colorectal Neoplasms in Asian Americans

verfasst von: Khoa D. Lam, Ruel T. Garcia, Long H. Nguyen, Huy Trinh, George Triadafilopoulos, Jeanine T. Phan, Khanh Nguyen, Huy Nguyen, Aijaz Ahmed, Mindie H. Nguyen

Erschienen in: Digestive Diseases and Sciences | Ausgabe 1/2009

Einloggen, um Zugang zu erhalten

Abstract

Purpose To determine the yield of colonoscopy in a predominantly Asian American gastroenterology practice in California from 8/2003 to 2/2005. Results A total 2,723 subjects were included: 87% were Asian and 13% were non-Asian. Advanced neoplasia prevalence was 12% in Asian men and 9% in non-Asian men (P = 0.21), and 8% and 7% in women (P = 0.62). Similar results were found in asymptomatic patients (13% and 13%, P = 0.99, for men; 8% and 6%, P = 0.46, for women). Factors associated with presence of advanced neoplasia were total number of polyps and presence of right-sided lesions. Asian men were more likely to have neoplasia overall compared with non-Asian men with odds ratio (OR) of 2.14 (1.23–3.72); however, there were no significant differences in the prevalences of advanced neoplasia in the two groups. Conclusions Colorectal neoplasia is as prevalent in Asian Americans and preventive guidelines for colorectal cancer should also be advocated for this ethnic group.
Literatur
2.
Zurück zum Zitat Tamura K, et al. Annual changes in colorectal carcinoma incidence in Japan. Analysis of survey data on incidence in Aomori Prefecture. Cancer. 1996;78(6):1187–1194. doi:10.1002/(SICI)1097-0142(19960915)78:6<1187::AID-CNCR4>3.0.CO;2-7.PubMedCrossRef Tamura K, et al. Annual changes in colorectal carcinoma incidence in Japan. Analysis of survey data on incidence in Aomori Prefecture. Cancer. 1996;78(6):1187–1194. doi:10.1002/(SICI)1097-0142(19960915)78:6<1187::AID-CNCR4>3.0.CO;2-7.PubMedCrossRef
5.
Zurück zum Zitat McCracken M, et al. Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin. 2007;57:190–205. McCracken M, et al. Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin. 2007;57:190–205.
13.
Zurück zum Zitat Fenoglio CM, Pascal RR. Colorectal adenomas and cancer: pathologic relationships. Cancer. 1982;50(suppl 11):2601–2608.PubMed Fenoglio CM, Pascal RR. Colorectal adenomas and cancer: pathologic relationships. Cancer. 1982;50(suppl 11):2601–2608.PubMed
17.
Zurück zum Zitat Kandula NR, et al. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006;107(1):184–192. doi:10.1002/cncr.21968.PubMedCrossRef Kandula NR, et al. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006;107(1):184–192. doi:10.​1002/​cncr.​21968.PubMedCrossRef
19.
Zurück zum Zitat Lee MM, et al. Cancer screening practices among primary care physicians serving Chinese Americans in San Francisco. West J Med. 1999;170(3):148–155.PubMed Lee MM, et al. Cancer screening practices among primary care physicians serving Chinese Americans in San Francisco. West J Med. 1999;170(3):148–155.PubMed
26.
Zurück zum Zitat Winawer SJ, et al. The national polyp study. Design, methods, and characteristics of patients with newly diagnosed polyps. The national polyp study workgroup. Cancer. 1992;70(suppl 5):1236–1245. doi:10.1002/1097-0142(19920901)70:3+<1236::AID-CNCR2820701508>3.0.CO;2-4.PubMedCrossRef Winawer SJ, et al. The national polyp study. Design, methods, and characteristics of patients with newly diagnosed polyps. The national polyp study workgroup. Cancer. 1992;70(suppl 5):1236–1245. doi:10.1002/1097-0142(19920901)70:3+<1236::AID-CNCR2820701508>3.0.CO;2-4.PubMedCrossRef
31.
Zurück zum Zitat Wu X, et al. Subsite-specific colorectal cancer incidence rates and stage distributions among Asians and Pacific Islanders in the United States, 1995 to 1999. Cancer Epidemiol Biomarkers Prev. 2004;13(7):1215–1222.PubMed Wu X, et al. Subsite-specific colorectal cancer incidence rates and stage distributions among Asians and Pacific Islanders in the United States, 1995 to 1999. Cancer Epidemiol Biomarkers Prev. 2004;13(7):1215–1222.PubMed
32.
Zurück zum Zitat Cheng TI, et al. Colorectal cancer screening in asymptomaic adults: comparison of colonoscopy, sigmoidoscopy and fecal occult blood tests. J Formos Med Assoc. 2002;101(10):685–690.PubMed Cheng TI, et al. Colorectal cancer screening in asymptomaic adults: comparison of colonoscopy, sigmoidoscopy and fecal occult blood tests. J Formos Med Assoc. 2002;101(10):685–690.PubMed
33.
Zurück zum Zitat Chiu HM, et al. A prospective study of the frequency and the topographical distribution of colon neoplasia in asymptomatic average-risk Chinese adults as determined by colonoscopic screening. Gastrointest Endosc. 2005;61(4):547–553. doi:10.1016/S0016-5107(05)00121-5.PubMedCrossRef Chiu HM, et al. A prospective study of the frequency and the topographical distribution of colon neoplasia in asymptomatic average-risk Chinese adults as determined by colonoscopic screening. Gastrointest Endosc. 2005;61(4):547–553. doi:10.​1016/​S0016-5107(05)00121-5.PubMedCrossRef
36.
Zurück zum Zitat Okamoto M, et al. Rectosigmoid findings are not associated with proximal colon cancer: analysis of 6,196 consecutive cases undergoing total colonoscopy. World J Gastroenterol. 2005;11(15):2249–2254.PubMed Okamoto M, et al. Rectosigmoid findings are not associated with proximal colon cancer: analysis of 6,196 consecutive cases undergoing total colonoscopy. World J Gastroenterol. 2005;11(15):2249–2254.PubMed
38.
Zurück zum Zitat Neugut AI, Jacobson JS, De Vivo I. Epidemiology of colorectal adenomatous polyps. Cancer Epidemiol Biomarkers Prev. 1993;2(2):159–176.PubMed Neugut AI, Jacobson JS, De Vivo I. Epidemiology of colorectal adenomatous polyps. Cancer Epidemiol Biomarkers Prev. 1993;2(2):159–176.PubMed
40.
Zurück zum Zitat Tsai CJ, Lu DK. Small colorectal polyps: histopathology and clinical significance. Am J Gastroenterol. 1995;90(6):988–994.PubMed Tsai CJ, Lu DK. Small colorectal polyps: histopathology and clinical significance. Am J Gastroenterol. 1995;90(6):988–994.PubMed
41.
Zurück zum Zitat Feczko PJ, et al. Small colonic polyps: a reappraisal of their significance. Radiology. 1984;152(2):301–303.PubMed Feczko PJ, et al. Small colonic polyps: a reappraisal of their significance. Radiology. 1984;152(2):301–303.PubMed
42.
Zurück zum Zitat Waye JD, et al. Small colon polyps. Am J Gastroenterol. 1988;83(2):120–122.PubMed Waye JD, et al. Small colon polyps. Am J Gastroenterol. 1988;83(2):120–122.PubMed
43.
Zurück zum Zitat Wallace MB, et al. Is colonoscopy indicated for small adenomas found by screening flexible sigmoidoscopy? Ann Intern Med. 1998;129(4):273–278.PubMed Wallace MB, et al. Is colonoscopy indicated for small adenomas found by screening flexible sigmoidoscopy? Ann Intern Med. 1998;129(4):273–278.PubMed
52.
Zurück zum Zitat Nguyen GT, Bellamy SL. Cancer information seeking preferences and experiences: disparities between Asian Americans and Whites in the Health Information National Trends Survey (HINTS). J Health Commun. 2006;11(suppl 1):173–180. doi:10.1080/10810730600639620.PubMedCrossRef Nguyen GT, Bellamy SL. Cancer information seeking preferences and experiences: disparities between Asian Americans and Whites in the Health Information National Trends Survey (HINTS). J Health Commun. 2006;11(suppl 1):173–180. doi:10.​1080/​1081073060063962​0.PubMedCrossRef
53.
Zurück zum Zitat Neugut AI, et al. Diagnostic yield of colorectal neoplasia with colonoscopy for abdominal pain, change in bowel habits, and rectal bleeding. Am J Gastroenterol. 1993;88(8):1179–1183.PubMed Neugut AI, et al. Diagnostic yield of colorectal neoplasia with colonoscopy for abdominal pain, change in bowel habits, and rectal bleeding. Am J Gastroenterol. 1993;88(8):1179–1183.PubMed
54.
Zurück zum Zitat Rex DK. Colonoscopy: a review of its yield for cancers and adenomas by indication. Am J Gastroenterol. 1995;90(3):353–365.PubMed Rex DK. Colonoscopy: a review of its yield for cancers and adenomas by indication. Am J Gastroenterol. 1995;90(3):353–365.PubMed
Metadaten
Titel
Prevalence of Colorectal Neoplasms in Asian Americans
verfasst von
Khoa D. Lam
Ruel T. Garcia
Long H. Nguyen
Huy Trinh
George Triadafilopoulos
Jeanine T. Phan
Khanh Nguyen
Huy Nguyen
Aijaz Ahmed
Mindie H. Nguyen
Publikationsdatum
01.01.2009
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 1/2009
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-008-0499-0

Weitere Artikel der Ausgabe 1/2009

Digestive Diseases and Sciences 1/2009 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Reizdarmsyndrom: Diäten wirksamer als Medikamente

29.04.2024 Reizdarmsyndrom Nachrichten

Bei Reizdarmsyndrom scheinen Diäten, wie etwa die FODMAP-arme oder die kohlenhydratreduzierte Ernährung, effektiver als eine medikamentöse Therapie zu sein. Das hat eine Studie aus Schweden ergeben, die die drei Therapieoptionen im direkten Vergleich analysierte.

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.