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Erschienen in: Digestive Diseases and Sciences 9/2017

19.06.2017 | Original Article

Racial Disparities in Clinical Presentation and Survival Times Among Young-Onset Colorectal Adenocarcinoma

verfasst von: Hafiz Muhammad Sharjeel Arshad, Christopher Kabir, Eula Tetangco, Natahsa Shah, Hareth Raddawi

Erschienen in: Digestive Diseases and Sciences | Ausgabe 9/2017

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Abstract

Background

Recently published data indicate increasing incidence of colorectal adenocarcinoma (CRC) in young-onset (<50 years) patients.

Aims

This study examines racial disparities in presentation and survival times among non-Hispanic Blacks (NHB) and Hispanics compared with non-Hispanic Whites (NHW).

Methods

A retrospective single-center cohort study was conducted from 2004 through 2014 using 96 patient medical charts with a diagnosis of young-onset CRC. Age, gender, primary site, and histological stage at the time of diagnosis were assessed for survival probabilities by racial group over a minimum follow-up period of 5 years.

Results

Among subjects with CRC diagnosis before 50 years of age, the majority of subjects were between 40 and 50 years, with CRC presentation occurring among this age group for 51 (79.7%) of NHW, 18 (81.8%) of NHB, and 5 (50.0%) of Hispanics. The majority of all patients presented with advanced stages of CRC (31.3% with stage III and 27.1% with stage IV). NHB exhibited statistically significantly worse survival compared to NHW (adjusted hazard ratio for death = 2.09; 95% confidence interval 1.14–3.84; P = 0.02). A possible trend of worse survival was identified for Hispanics compared to NHW, but this group was low in numbers and results were not statistically significant.

Conclusion

Disparities between racial groups among young-onset CRC cases were identified in overall survival and reflect growing concern in rising incidence and differentiated care management.
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Metadaten
Titel
Racial Disparities in Clinical Presentation and Survival Times Among Young-Onset Colorectal Adenocarcinoma
verfasst von
Hafiz Muhammad Sharjeel Arshad
Christopher Kabir
Eula Tetangco
Natahsa Shah
Hareth Raddawi
Publikationsdatum
19.06.2017
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 9/2017
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-017-4653-4

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