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01-08-2007

The Changing Distribution of Colorectal Cancer in Barbados: 1985–2004

Authors: Andrew P. Zbar, M.D., M.B.B.S., F.R.C.S.(Edinb.), F.R.C.S.(Gen.), F.R.A.C.S., F.C.C.S., Michael Inniss, M.B.B.S., Patsy R. Prussia, M.B.B.S., D.M.(U.W.I.), F.I.A.C., Radhakanth Shenoy, M.B.B.S., M.D.R.T., D.M.R.T.

Published in: Diseases of the Colon & Rectum | Issue 8/2007

Purpose

Recent reports have suggested a shift to the right in older female patients of colon cancer. This is believed to be representative of more accessible national endoscopic screening programs.

Methods

We report the demographic shift in colorectal cancer based on an analysis of resection specimens during four five-year time periods from 1985 to 2004 at the University Hospital, Barbados. Differences in population-based colorectal cancer incidence, age, gender, site, stage, and presentation (emergency vs. elective) are analyzed.

Results

A total of 1,014 specimens obtained from 993 patients were analyzed, showing a progressive population-based increase in colorectal cancer in Barbados during this 20-year time period. There was an increase in right-sided tumors (P < 0.0001) without a concomitant decline in left-sided tumors. There was a significant increase in Dukes A cancers (P < 0.0001) without gender predilection. During the time period, there was a significant reduction in right-sided tumors presenting as emergencies (P < 0.005) without an effect of stage or gender.

Conclusions

There has been a steady increase in both right-sided and left-sided colonic cancers without gender predilection. The increase in early-stage tumors and reduction in emergency presentations during the latter part of the study suggests value in instituting a formal national colonoscopic screening program to assess its prospective effect on these parameters.

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Title: The Changing Distribution of Colorectal Cancer in Barbados: 1985–2004
Authors: Andrew P. Zbar, M.D., M.B.B.S., F.R.C.S.(Edinb.), F.R.C.S.(Gen.), F.R.A.C.S., F.C.C.S.
Michael Inniss, M.B.B.S.
Patsy R. Prussia, M.B.B.S., D.M.(U.W.I.), F.I.A.C.
Radhakanth Shenoy, M.B.B.S., M.D.R.T., D.M.R.T.
Publication date: 01-08-2007
Publisher: Springer-Verlag
Published in: Diseases of the Colon & Rectum / Issue 8/2007
Print ISSN: 0012-3706
Electronic ISSN: 1530-0358
DOI: https://doi.org/10.1007/s10350-007-0238-1

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The Changing Distribution of Colorectal Cancer in Barbados: 1985–2004

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Purpose

Methods

Results

Conclusions

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