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早发性结直肠癌的趋势和特征差异:2016年至2021年全国住院患者样本分析

Disparity in trends and characteristics of early onset colorectal cancer: analysis from the National Inpatient Sample, 2016 to 2021.

作者信息

Suenghataiphorn Thanathip, Danpanichkul Pojsakorn, Kulthamrongsri Narathorn, Duangsonk Kwanjit, Amadi Nwonukwuru

机构信息

Department of Internal Medicine, Griffin Hospital, Derby, Connecticut, USA.

Department of Internal Medicine, Texas Tech University Health Science Center, Lubbock, Texas, USA.

出版信息

Proc (Bayl Univ Med Cent). 2024 Sep 19;37(6):928-933. doi: 10.1080/08998280.2024.2401757. eCollection 2024.

DOI:10.1080/08998280.2024.2401757
PMID:39440091
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11492710/
Abstract

INTRODUCTION

Colon cancer is the second most common cause of death in the United States. With an increasing number of patients diagnosed at younger ages, the disease remains a significant burden. However, recent data on early onset patients admitted with colon cancer are still limited.

METHODS

We utilized the 2016 to 2021 National Inpatient Sample to investigate trends and characteristics of colon cancer hospitalizations. Nonelective participants were divided into early onset and normal-age groups, with a cut point of 50 years old. In addition, we also investigated factors associated with the risk of inpatient mortality in the study population.

RESULTS

There were 26,903 early onset nonelective colon cancer hospitalizations in the population group, amounting to 11.91% of total colon cancer hospitalizations. No significant changes or trends were seen from 2016 to 2021. Compared to the normal-age population group, there was a disproportionate number of Blacks, Hispanics, and Asian Americans, as well as those with obesity and tobacco usage.

CONCLUSION

Some demographic factors and comorbidities disproportionately affect early onset colon cancer patients when compared to the normal-age population group. Further investigations are necessary to combat the growing incidence of early onset colon cancer.

摘要

引言

结肠癌是美国第二大常见死因。随着越来越多的患者在年轻时被诊断出患有该病,它仍然是一个重大负担。然而,目前关于因结肠癌入院的早发性患者的最新数据仍然有限。

方法

我们利用2016年至2021年的全国住院患者样本,来研究结肠癌住院治疗的趋势和特征。非选择性参与者被分为早发性组和正常年龄组,以50岁为分界点。此外,我们还研究了与研究人群住院死亡率风险相关的因素。

结果

该人群组中有26,903例早发性非选择性结肠癌住院病例,占结肠癌住院病例总数的11.91%。2016年至2021年期间未观察到显著变化或趋势。与正常年龄人群组相比,黑人、西班牙裔和亚裔美国人以及肥胖和吸烟人群的比例过高。

结论

与正常年龄人群组相比,一些人口统计学因素和合并症对早发性结肠癌患者的影响更大。有必要进行进一步调查,以应对早发性结肠癌发病率不断上升的情况。