Subscribe to RSS
DOI: 10.1055/s-0044-1800889
Evaluation of the Relationship Between Colorectal Cancer Incidence and Colonoscopy: The Importance of Early Diagnosis
Abstract
Objective The present study evaluated the relationship between the incidence of colorectal cancer and colonoscopy in Santa Catarina from 2018 to 2022.
Methods Observational study of ecological type, which includes all confirmed cases of CRC in the state of Santa Catarina from 2018 to 2022, across health macro-regions. The data were obtained from SINAN, through TABNET/DATASUS. The variables gender, age group, race, type of care, average cost per hospitalization, days of stay, deaths, and mortality rates were evaluated.
Results In the period from 2018 to 2022, there were more than 28,000 cases of CRC in the state of Santa Catarina, with the Grande Oeste region being responsible for the highest incidence throughout the studied period. The main age group is between 70 and 79 years old; As for gender, most cases are predominantly male; about race, white ethnicity is predominant; the nature of service is, for the most part, elective; the average value per hospital stay is 2,355.41; total hospital stay days are 120,924; the number of deaths is 1553 and the mortality rate is (5.44/100.00). Regarding colonoscopy, the largest number of colonoscopies performed was in Grande Florianópolis.
Conclusion There is a high incidence of CRC cases in the state of Santa Catarina. Males and those aged 70 to 79 are the most affected by CRC in Santa Catarina. The Grande Oeste region has a higher incidence of cases compared with other health macro-regions.
Authors' Contributions
TGS and KSM: Substantial contributions to the conception or design of the work, data collection, analysis, interpretation, writing of the articles, and final version to be published. All authors agree and take responsibility for the content of this version of the manuscript to be published.
Data Availability
Not applicable.
Research Funding
The research was conducted with the researchers' funding.
Publication History
Received: 20 July 2024
Accepted: 24 October 2024
Article published online:
18 December 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Gupta S. Screnning for colorretal cancer. Hematol Oncol Clin North Am 2022; 36 (03) 393-414
- 2 Cubiella J., Marzo-Castillejo M., Mascort-Roca J.J.. et al; Sociedad Española de Medicina de Familia y Comunitaria y Asociación Española de Gastroenterología. Clinical practice guideline. Diagnosis and prevention of colorectal cancer. 2018 Update. Gastroenterol Hepatol 2018; 41 (09) 585-596 (English Edition)
- 3 Instituto Nacional de Câncer - INCA [Internet]. 2023 [cited 2023 Mar 21]. Estatísticas de câncer. Available from: https://www.gov.br/inca/pt-br/assuntos/cancer/numeros/
- 4 Baidoun F, Elshiwy K, Elkeraie Y. et al. Colorectal Cancer Epidemiology: Recent Trends and Impact on Outcomes. Curr Drug Targets 2021; 22 (09) 998-1009
- 5 Shaukat A, Kahi CJ, Burke CA, Rabeneck L, Sauer BG, Rex DK. ACG Clinical Guidelines: Colorectal Cancer Screening 2021. Am J Gastroenterol 2021; 116 (03) 458-479
- 6 Jain S, Maque J, Galoosian A, Osuna-Garcia A, May FP. Optimal Strategies for Colorectal Cancer Screening. Curr Treat Options Oncol 2022; 23 (04) 474-493
- 7 Saito Y, Oka S, Kawamura T. et al. Colonoscopy screening and surveillance guidelines. Dig Endosc 2021; 33 (04) 486-519
- 8 Ladabaum U, Dominitz JA, Kahi C, Schoen RE. Strategies for Colorectal Cancer Screening. Gastroenterology 2020; 158 (02) 418-432
- 9 Hultcrantz R. Aspects of colorectal cancer screening, methods, age and gender. J Intern Med 2021; 289 (04) 493-507
- 10 Kim SY, Kim HS, Park HJ. Adverse events related to colonoscopy: Global trends and future challenges. World J Gastroenterol 2019; 25 (02) 190-204
- 11 Yoshida N, Mano Y, Matsuda T. et al. Complications of colonoscopy in Japan: An analysis using large-scale health insurance claims data. J Gastroenterol Hepatol 2021; 36 (10) 2745-2753
- 12 Davidson KW, Barry MJ, Mangione CM. et al; US Preventive Services Task Force. Screening for Colorectal Cancer: US Preventive Services Task Force Recommendation Statement. JAMA 2021; 325 (19) 1965-1977
- 13 Moura AR, Marques AD, Dantas MS. et al. Trends in the incidence and mortality of colorectal cancer in a brazilian city. BMC Res Notes 2020; 13 (01) 560
- 14 Kolb JM, Hu J, DeSanto K. et al. Early-Age Onset Colorectal Neoplasia in Average-Risk Individuals Undergoing Screening Colonoscopy: A Systematic Review and Meta-Analysis. Gastroenterology 2021; 161 (04) 1145-1155.e12
- 15 Anderson JC, Robinson CM, Butterly LF. Young adults and metachronous neoplasia: risks for future advanced adenomas and large serrated polyps compared with older adults. Gastrointest Endosc 2020; 91 (03) 669-675
- 16 Sharma R, Abbasi-Kangevari M, Abd-Rabu R. et al; GBD 2019 Colorectal Cancer Collaborators. Global, regional, and national burden of colorectal cancer and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Gastroenterol Hepatol 2022; 7 (07) 627-647
- 17 Rawla P, Sunkara T, Barsouk A. Epidemiology of colorectal cancer: incidence, mortality, survival, and risk factors. Prz Gastroenterol 2019; 14 (02) 89-103
- 18 Mazidimoradi A, Hadavandsiri F, Momenimovahed Z, Salehiniya H. Impact of the COVID-19 Pandemic on Colorectal Cancer Diagnosis and Treatment: a Systematic Review. J Gastrointest Cancer 2023; 54 (01) 171-187
- 19 Degeling K, Baxter NN, Emery J. et al. An inverse stage-shift model to estimate the excess mortality and health economic impact of delayed access to cancer services due to the COVID-19 pandemic. Asia Pac J Clin Oncol 2021; 17 (04) 359-367
- 20 Goodarzi E, Beiranvand R, Naemi H, Momenabadi V, Khazaei Z. Worldwide incidence and mortality of colorectal cancer and human development index (hdi): an ecological study. World Cancer Research J 2019; 6: e1433
- 21 Caló Rdos S. Souza RAG de, Alves MR, Carvalho AE de, Galvão ND. Desenvolvimento socioeconômico e mortalidade por câncer colorretal em uma unidade federativa da Amazônia Legal, de 2005 a 2016. Revista Brasileira de Epidemiologia. [ Internet ]. 2022 [cited 2024 Jan 12];25(suppl 1). Available from: https://doi.org/10.1590/1980-549720220006.supl.1.1
- 22 Maringe C, Spicer J, Morris M. et al. The impact of the COVID-19 pandemic on cancer deaths due to delays in diagnosis in England, UK: a national, population-based, modelling study. Lancet Oncol 2020; 21 (08) 1023-1034
- 23 Miyamori D, Kamitani T, Yoshida S. et al. Impact of the COVID-19 pandemic on the mortality among patients with colorectal cancer in Hiroshima, Japan: A large cancer registry study. Cancer Med 2023; 12 (21) 20554-20563
- 24 Borges J, Ribeiro ES, De Sousa Martins F. et al. Perfil Epidemiológico de 702 Pacientes Submetidos à Endoscopia Digestiva Baixa no Serviço de Endoscopia do Hospital Geral César Calls. Gastroenterol Endosc Dig 2012; 31 (02) 57-59
- 25 Musa Y, Abdulkadir YM, Manko M. et al. A 10-year review of colonoscopy at aminu kano teaching hospital, Kano Nigeria. Niger J Clin Pract 2021; 24 (07) 1072-1076
- 26 Batista de Sousa J, Marques Silva S, Bianca de Lacerda Fernandes M. et al. Colonoscopias realizadas por médicos residentes em hospital universitário: análise consecutiva de 1000 casos. ABCD Arq Bras Cir Dig Artigo Original. 2012; 25 (01) 9-12
- 27 Gudissa FG, Alemu B, Gebremedhin S, Gudina EK, Desalegn H. Colonoscopy at a tertiary teaching hospital in Ethiopia: a five-year retrospective review. PAMJ Clinical Medicine 2021;5.