Assessing the national trends in colon cancer among Native Americans: A 12 year SEER database study
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Final Accepted Manuscript
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Univ Arizona, UA Dept Surg, Div Surg OncolIssue Date
2017-08-01
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EXCERPTA MEDICA INC-ELSEVIER SCIENCE INCCitation
Thuraisingam, R., Jandova, J., Pandit, V., Michailidou, M., & Nfonsam, V. N. (2017). Assessing the national trends in colon cancer among Native Americans: A 12 year SEER database study. The American Journal of Surgery, 214(2), 228-231.Journal
AMERICAN JOURNAL OF SURGERYRights
Published by Elsevier Inc.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Introduction: Native Americans (NA) form a unique cohort of colon cancer (CC) patients among whom the variability in demographics and cancer characteristics remains unclear. Methods: We abstracted the national estimates for NA with CC using the Surveillance, Epidemiology, and End Result (SEER) database. Trend analysis of incidence, variation in location and patient demographic analysis were performed. Results: A total number of 26,674 NA with CC were reported during the 12-year study period. While the overall incidence of CC decreased by 12% during the study period, incidence increased by 38% in NA. Incidence of CC was more prevalent and higher increase (42%) seen in NA females than males (p = 0.02; 34%). Stage III tumors represented 29% of all CC, sigmoid colon the most common site location (38%) with 72% of all tumors being moderately differentiated. 55% tumors were localized in left, 36% in right and 9% in transverse colon. 92% of the NA were insured. Conclusion: Incidence of CC continues to rise in NA with majority of CC presented at higher stage and moderate differentiation. Published by Elsevier Inc.Note
12 month embargo; available online 22 November 2016.ISSN
1879-1883PubMed ID
28010880Version
Final accepted manuscriptSponsors
NCI Cancer Center Support Grant [P30 CA023074]ae974a485f413a2113503eed53cd6c53
10.1016/j.amjsurg.2016.11.033
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