The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020

Abstract Introduction Currently, nearly one-third of newly diagnosed Colorectal cancer (CRC) cases and associated deaths worldwide are from China. Among Chinese provinces, Fujian exhibited the highest CRC mortality rate. This study aims to analyze long-term trends of CRC epidemiology in Xiamen, Fuji...

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Main Authors: Lingxian Qiu, Wenting Luo, Youlan Chen, Zhinan Guo, Jiali Quan, Jiahuang Chi, Yingying Guan, Yue Huang, Yilan Lin
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-024-21010-w
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author Lingxian Qiu
Wenting Luo
Youlan Chen
Zhinan Guo
Jiali Quan
Jiahuang Chi
Yingying Guan
Yue Huang
Yilan Lin
author_facet Lingxian Qiu
Wenting Luo
Youlan Chen
Zhinan Guo
Jiali Quan
Jiahuang Chi
Yingying Guan
Yue Huang
Yilan Lin
author_sort Lingxian Qiu
collection DOAJ
description Abstract Introduction Currently, nearly one-third of newly diagnosed Colorectal cancer (CRC) cases and associated deaths worldwide are from China. Among Chinese provinces, Fujian exhibited the highest CRC mortality rate. This study aims to analyze long-term trends of CRC epidemiology in Xiamen, Fujian, China. Methods Data were obtained from various cancer surveillance systems, including the Xiamen Cancer Register system, the Xiamen Death Register system, and the household registration system. Trends in incidence, mortality and survival rates from 2011 to 2020 were analyzed using annual percent changes (APC) and average annual percent changes (AAPC), stratified by sex and residency status. Results A total of 7,406 new cases and 3,726 CRC-related deaths were reported from Xiamen. The age-standardized of incidence and mortality rates were 26.09 per 100,000 and 12.70 per 100,000, respectively. The observed 5-year survival rate was 46.65%, with an age-standardized survival of 51.24%. CRC incidence in Xiamen is significantly increasing (AAPC = 4.90%). In contrast, trends in CRC mortality and survival rates are not significant. Urban areas exhibited higher rates of CRC incidence, mortality, and survival rate compared to rural areas, though rural areas showed a more marked upward trend. Conclusions The burden of CRC in Xiamen is notably high, with a concerning increasing in incidence. This underscores the urgent need for targeted strategies to address this public health challenges.
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spelling doaj-art-7aa7a549596c4739b24f4f31a7a20f842025-01-26T12:56:06ZengBMCBMC Public Health1471-24582025-01-012511710.1186/s12889-024-21010-wThe incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020Lingxian Qiu0Wenting Luo1Youlan Chen2Zhinan Guo3Jiali Quan4Jiahuang Chi5Yingying Guan6Yue Huang7Yilan Lin8Xiamen Center for Disease Control and PreventionDepartment of Research, The First Affiliated Hospital of Xiamen UniversityXiamen Center for Disease Control and PreventionXiamen Center for Disease Control and PreventionState Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, School of Public Health, Xiamen UniversityXiamen Center for Disease Control and PreventionZhongshan Hospital, Fudan University (Xiamen Branch)State Key Laboratory of Vaccines for Infectious Diseases, Xiang An Biomedicine Laboratory, School of Public Health, Xiamen UniversityXiamen Center for Disease Control and PreventionAbstract Introduction Currently, nearly one-third of newly diagnosed Colorectal cancer (CRC) cases and associated deaths worldwide are from China. Among Chinese provinces, Fujian exhibited the highest CRC mortality rate. This study aims to analyze long-term trends of CRC epidemiology in Xiamen, Fujian, China. Methods Data were obtained from various cancer surveillance systems, including the Xiamen Cancer Register system, the Xiamen Death Register system, and the household registration system. Trends in incidence, mortality and survival rates from 2011 to 2020 were analyzed using annual percent changes (APC) and average annual percent changes (AAPC), stratified by sex and residency status. Results A total of 7,406 new cases and 3,726 CRC-related deaths were reported from Xiamen. The age-standardized of incidence and mortality rates were 26.09 per 100,000 and 12.70 per 100,000, respectively. The observed 5-year survival rate was 46.65%, with an age-standardized survival of 51.24%. CRC incidence in Xiamen is significantly increasing (AAPC = 4.90%). In contrast, trends in CRC mortality and survival rates are not significant. Urban areas exhibited higher rates of CRC incidence, mortality, and survival rate compared to rural areas, though rural areas showed a more marked upward trend. Conclusions The burden of CRC in Xiamen is notably high, with a concerning increasing in incidence. This underscores the urgent need for targeted strategies to address this public health challenges.https://doi.org/10.1186/s12889-024-21010-wColorectal cancerIncidenceMortalitySurvival rateTrend
spellingShingle Lingxian Qiu
Wenting Luo
Youlan Chen
Zhinan Guo
Jiali Quan
Jiahuang Chi
Yingying Guan
Yue Huang
Yilan Lin
The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020
BMC Public Health
Colorectal cancer
Incidence
Mortality
Survival rate
Trend
title The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020
title_full The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020
title_fullStr The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020
title_full_unstemmed The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020
title_short The incidence, mortality, and survival rate of colorectal cancer in Xiamen, China, from 2011 to 2020
title_sort incidence mortality and survival rate of colorectal cancer in xiamen china from 2011 to 2020
topic Colorectal cancer
Incidence
Mortality
Survival rate
Trend
url https://doi.org/10.1186/s12889-024-21010-w
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