Abstract
Introduction and Objective
Colorectal cancer is the fourth prevalent cancer in the world and there are several factors effective on development of the disease. These factors vary based on geographical distribution. The present study is aimed at surveying epidemiology of colorectal cancer and its risk factors in Kermanshah-Iran between 2009 and 2014.
Methodology
A descriptive cross-sectional study was carried out on all colorectal cancer cases in two Kermanshah-based hospitals Imam Reza and Taleghani between 2009 and 2014. Demographic and epidemiological information was collected from the medical files and interviewing the patients. The collected data was analyzed in SPSS.
Findings
Totally, 336 patients had been registered from 2009 to 2014. Mean and standard deviation of age was 59.98 ± 15.26. Fifty-four subjects (16.05%) had a history of colorectal cancer among their relatives and 253 (62.5) had no history of physical activity. In addition, 81 subjects (24.1%) had a history of digestive diseases. In terms of diet, 205 subjects (61%) used less than 6 unit/day of grains and bread, and meat consumption in 150 subjects (44.6%) was less than 2 unit/day.
Conclusion
The results showed that the prevalence of colorectal cancers was growing in Kermanshah. To change the rate, changes in lifestyle and screening tests for more susceptible age groups are recommended.
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Abbreviations
- CRC:
-
Colorectal cancer
- USA:
-
United States of America
- SPSS:
-
Statistical Package for the Social Sciences
References
Kabat GC, Matthews CE, Kamensky V, Hollenbeck AR, Rohan TE. Adherence to cancer prevention guidelines and cancer incidence, cancer mortality, and total mortality: a prospective cohort study. Am J Clin Nutr. 2015;101:558–69.
Nikbakht HA, Aminisani N, Asghari-Jafarabadi M, Hosseini SR. Trends in the incidence of colorectal cancer and epidemiologic and clinical characteristics of survivors in Babol City in 2007-2012. J Babol Univ Med Sci. 2015;17(1):7–14. [In Persian]
Karimi Zarchi AA, Saadat AR, Jalalian HR, Esmaeili M. Epidemiology and survival analysis of colorectal cancer and its related factors. Kowsar Med J. 2011;15(4):239–43. [In Persian]
Derakhshanfar A, Khorshidi HR, Niayesh A, Ezati A. Epidemiological study of colorectal cancer at Ekbatanb and Besat hospitals of Hamadan during ten years (1998-2008). Iran J Surg. 2010;18(2):68–77. [In Persian]
Wolin KY, Yan Y, Colditz GA, Lee IM. Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer. 2009;100(4):611–6.
Bener A, Moore MA, Ali R, El Ayoubi HR. Impacts of family history and lifestyle habits on colorectal cancer risk: a case-control study in Qatar. Asian Pac J Cancer Prev. 2010;11(4):963–8.
Brand t LJ, Feuerstadt GF, Scott J. ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI). Am J Gastroenterol. 2015;110:18–44.
Denis E. Red meat and colon cancer: should we become vegetarians, or can we make meat safer? 2011; 89(3):310–316.
Keyghobadi N, Lotfi M, Fallahzadeh H, Akhondi M. Nutritional factors related to colorectal cancer in the Residents of Yazd City, Iran. J Health Dev. 2013;2(3):171–81.
Bashiri H, Khosha A. The study of anatomical distribution of colorectal cancer in a six years period in Taleghani Hospital of Kermanshah. J Kermanshah Univ Med Sci. 2013;17(4):269–72.
Almasi A, Shamsi M, Ashrati B, Farzam R, Alimoradi K, Lila R. Epidemiological study of gastrointestinal cancer (stomach, esophageal, colorectal) other Lehigh in Markazi province in 2006-2011. J Neyshabur Univ Med Sci. 2014;2(2):22–7.
Siegel RL, Miller KD, Fedewa SA. Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017;1:1–17.
Aune D, Chan D, Lau R, et al. Dietary fibre, whole grains, and risk of colorectal cancer: systematic review and dose-response meta-analysis of prospective studies. BMJ. 2011;343:3–20.
Pericleous M, Mandair D, Caplin ME. Diet and supplements and their impact on colorectal cancer. J Gastrointest Oncol. 2013;4(4):409–23.
Kaczmarczyk MM, Miller MJ, Freund G. The health benefits of dietary fiber: beyond the usual suspects of type 2 diabetes mellitus, cardiovascular disease and colon cancer. J Metabolism. 2012;61(8):1058–66.
Karimi S, Vanaki Z, Bashiri H, Hassani SA. The effects of Orem’s self-care model on the nutrition status and fatigue of colorectal cancer patients. J Nurs Midwifery Sci. 2016;3(3):1–10.
Murphy N, Norat T, Ferrari P, Jenab M, Bueno B, et al. Dietary fibre intake and risks of cancers of the colon and rectum in the European Prospective Investigation into Cancer and Nutrition (EPIC). Plos One. 2012;7(6):1–10.
Ma Y, Yang Y, Wang F, Zhang P. Obesity and risk of colorectal cancer: a systematic review of prospective studies. Plos One. 2013;8(1):1–16.
Fatima A, Robin P. Colorectal cancer epidemiology: incidence, mortality, survival, and risk factors. J Clin Colon Rectal Surg. 2009;22(4):191–7.
Vargas AJ, Diet TPA. Nutrient factors in colorectal cancer risk. J Nutr Clin Pract. 2012;27(5):14–21.
Cleary S, Cotterchio M, Ellen Shi E, Gallinger S, Harper P. Cigarette smoking, genetic variants in carcinogen-metabolizing enzymes, and colorectal cancer risk. Am J Epidemiol. 2010;172(9):1000–14.
Limsui D, Vierkant R, Tillmans L, Wang A, Weisenberger D. Cigarette smoking and colorectal cancer risk by molecularly defined subtypes. J Natl Cancer Inst. 2010;102(14):1012–22.
Shin A, Won Hong C, Kyung Sohn D, Chang Kim B. Associations of cigarette smoking and alcohol consumption with advanced or multiple colorectal adenoma risks: a colonoscopy-based case-control study in Korea. Am J Epidemiol. 2011;174(5):552–62.
Murphy G, Devesa SS, Cross AJ, Inskip PD, McGlynn KA, Cook MB. Sex disparities in colorectal cancer incidence by anatomic subsite, race and age. Int J Cancer. 2011;128(7):1668–75.
Wong RJ. Marked variations in proximal colon cancer survival by race/ethnicity within the United States. J Clin Gastroenterol. 2010;44(9):625–30.
Zhang B, Jia WH, Matsuda K, Kweon SS. Large-scale genetic study in East Asians identifies six new loci associated with colorectal cancer risk. Nat Genet. 2014;46:533–42.
Ghanadi K, Anbari K, Obeidavi Z. The relationship of colorectal cancer with familial history of gastrointestinal cancers and personal history of colon polyps in Khorramabad (2012) yafte 2014; 15 (4):30–3.
Keum NN, Giovannucci EL. Epidemiology of colorectal cancer. Pathol Epidemiol Cancer. 2016:391–407.
Acknowledgements
The paper is part of the research plan No. 95187. The authors wish to thank the Department of Technology and Research of the University and officials of Imam Reza and Taleghani Hospitals for the opportunity of carrying out the study. We highly appreciate the Clinical Research Development Center of Imam Reza Hospital for their wise advices.
Funding
This study was funded by Kermanshah University of Medical Sciences (grant number 95187).
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SK and AA, and AK contributed in designing the study, MA, AF and SK collected the data, and analyzed by AA, the final report and article were written by SK, AK, and AA and they were read and approved by all the authors.
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The authors declare that they have no conflict of interest.
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The study was approved by research ethics committee of Kermanshah University of medical sciences.
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All the authors and the Kermanshah University of Medical Sciences consented to publish the study in your Journal.
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Karimi, S., Abdi, A., Khatony, A. et al. Epidemiology of Colorectal Cancer and the Risk Factors in Kermanshah Province-Iran 2009–2014. J Gastrointest Canc 50, 740–743 (2019). https://doi.org/10.1007/s12029-018-0142-z
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DOI: https://doi.org/10.1007/s12029-018-0142-z