Control of Colorectal Cancer Future Directions

  • Gabriel A. Kune
Part of the Developments in Oncology book series (DION, volume 78)


To discuss the future directions of colorectal cancer control, the current status of survival which can be achieved by established forms of treatment is first described. It is also important to examine the time-trends in incidence, mortality and survival for colorectal cancer, as well as trends in changing life habits and diagnostic and screening procedures during the past 30 years, and how these trends may be predictive of colorectal cancer control in the future.


Colorectal Cancer Rectal Cancer Familial Adenomatous Polyposis Fecal Occult Blood Testing Colorectal Cancer Survival 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. American Cancer Society: Cancer Facts and Figures 1995. Atlanta: ACS, 1995.Google Scholar
  2. Aoki K, Kurihara M, Hayakawa N, Suzuki S. Death Rates for Malignant Neoplasms for Selected Sites by Sex and Five-year Age Group in 33 Countries 1953–1957 to 1983–1987. University of Nagoya Coop Press, Nagoya, 1992.Google Scholar
  3. Bear D, Maclntyre J, Burns HJ, et al. Colon and rectal carcinoma in the west of Scotland. Am J Surg 147:441–446, 1984.PubMedCrossRefGoogle Scholar
  4. Beard CM, Spencer RJ, Weiland LH, et al. Trends in colorectal cancer over a half century in Rochester, Minnesota 1940 to 1989. Ann Epidemiol 5:210–214, 1995.PubMedCrossRefGoogle Scholar
  5. Bonett A, Dickman P, Roder D, et al. Survival of Cancer Patients in South Australia 1977–1990. Lutheran Publishing House, Adelaide, 1992a.Google Scholar
  6. Bonett A, Roder D, McCaul K, et al. Epidemiology of Cancer in South Australia: Incidence, Mortality and Survival 1977–1991. Adelaide: Lutheran Publishing House, 1992b.Google Scholar
  7. Boyle P, Zaridze DG, Smans M. Descriptive epidemiology of colorectal cancer. Int J Cancer 36:9–18, 1985.PubMedCrossRefGoogle Scholar
  8. Brown M, Potosky A. The Presidential effect: the public health response to media covering about Ronald Reagan’s colon cancer episode. Pub Opinion Quart 54:317–329, 1990.CrossRefGoogle Scholar
  9. Carstersen B, Storm HH, Schou G. Survival in Danish cancer patients 1943–1987. APMIS 101: Suppl 33, 1993.Google Scholar
  10. Chow WH, Devesa SS, Blot WJ. Colon cancer incidence: recent trends in the United States. Cancer Causes Control 2:419–425, 1991.PubMedCrossRefGoogle Scholar
  11. Chu KC, Tarone RE, Chow WH et al. Temporal patterns in colorectal cancer incidence, survival and mortality from 1950 through 1990. J Natl Cancer Inst 86:997–1006, 1994.PubMedCrossRefGoogle Scholar
  12. Clarke DN, Jones PF, Needham CD. Outcome in colorectal carcinoma: seven year study of a population. Br Med J 1:431–435, 1980.CrossRefGoogle Scholar
  13. Cohen AM, Winawer SJ, Friedman MA, Gunderson LL (eds). Cancer of the Colon, Rectum and Anus. New York: McGraw-Hill, 1995.Google Scholar
  14. Conlon KC, Enker WE. DNA content and proliferative index: prognostic variables in colorectal disease. Chapter in: Cancer of the Colon, Rectum and Anus. Cohen AM, Winawer SJ, Friedman MA, Gunderson LL (eds). New York: McGraw-Hill, 1995.Google Scholar
  15. Correa LP, Haenszel W. The epidemiology of large bowel cancer. Adv Cancer Res 26:1–141, 1978.PubMedCrossRefGoogle Scholar
  16. Dukes CE. The classification of cancer of the rectum. J Pathol Bact 35:323–332, 1932.CrossRefGoogle Scholar
  17. Dukes CE, Bussey HJR. The spread of rectal cancer and its effects on prognosis. Br J Cancer 12:309–320, 1958.PubMedCrossRefGoogle Scholar
  18. Greenwald P. Colon cancer overview. Cancer 70:1206–1215, 1992.PubMedCrossRefGoogle Scholar
  19. Hoel DG, Davis DL, Miller AB, et al. Trends in cancer mortality in 15 industrialized countries, 1968–1986. J Natl Cancer Inst 84:313–320, 1992.PubMedCrossRefGoogle Scholar
  20. IARC. Cancer Incidence in Five Continents. Lyon: International Agency for Research on Cancer, 1992.Google Scholar
  21. Isbister WH, Fraser J. Survival following resection for colorectal cancer: a New Zealand National Study. Dis Colon Rectum 28:725–727, 1985.PubMedCrossRefGoogle Scholar
  22. Jacobsen BK, Vollset SE, Kvale G. Do reproductive factors influence colorectal cancer survival? J Clin Epidemiol 48:1119–1122, 1995.PubMedCrossRefGoogle Scholar
  23. Kock M, McPherson TA, Egdahl RD. Effect of sex and reproductive history on the survival of patients with colorectal cancer. J Chron Dis 35:69–72, 1982.CrossRefGoogle Scholar
  24. Kuczmarski RJ, Johnson CL, Flegal KM, et al. Prevalence of overweight in the United States: data for phase I of the Third National Health and Nutrition Examination Survey. FASEB7:A410, 1993.Google Scholar
  25. Kune GA, Kune S, Field B et al. Survival in patients with large-bowel cancer. Dis Colon Rectum 33:938–946, 1990.PubMedCrossRefGoogle Scholar
  26. Kune GA, Kune S, Watson LF. The effect of family history of cancer, religion, parity and migrant status on survival in colorectal cancer. Eur J Cancer 28A:1484–1487, 1992.PubMedCrossRefGoogle Scholar
  27. Kune S, Kune GA, Watson LF. The Melbourne colorectal cancer study: incidence findings by age, sex, site, migrants and religion. Int J Epidemiol 15:483–493, 1986.PubMedCrossRefGoogle Scholar
  28. La Vecchia C, Lucchini F, Negri E, et al. Trends in cancer mortality in Europe, 1955–1989. 1. Digestive sites. Eur J Cancer 28:132–135, 1992.PubMedCrossRefGoogle Scholar
  29. McCredie M, Hoyer A, Coates MS, et al. Trends in Cancer Incidence and Mortality in New South Wales 1972–1989. New South Wales Cancer Council, Sydney 1992.Google Scholar
  30. McDermott FT, Hughes ESR, Pihl E, et al. Comparative results of surgical management of single carcinomas of the colon and rectum: a series of 1939 patients managed by one surgeon. Br J Surg 68:850–855, 1981.PubMedCrossRefGoogle Scholar
  31. McMichael AJ, Giles GG. Colorectal cancer. In: Trends in Cancer Incidence and Mortality. Cancer Surveys 19:77–98, 1994.Google Scholar
  32. Mettlin E, Natarajan N, Mittelman A, et al. Management and survival of adenocarcinoma of the rectum in the United States: results of a national survey by the American College of Surgeons. Oncology 39:265–273, 1982.PubMedCrossRefGoogle Scholar
  33. Miller AB. Epidemiological approaches to primary and secondary prevention of cancer. J Cancer Res Clin Oncol 117:177–185, 1991.PubMedCrossRefGoogle Scholar
  34. Miller BA, Gloeckler LA, Hankey BF, et al. (eds). Cancer Statistics Review 1973–1989. Bethesda, Maryland: US Department of Health and Human Services, 1992.Google Scholar
  35. Percy C, Staneck E, Gloeckler L. Accuracy of death certificates and its effects on mortality statistics. Am J Pub Health 71:242–250, 1981.CrossRefGoogle Scholar
  36. Piantadosi S, Byar DP, Green SB. The ecological fallacy. Am J Epidemiol 127:893–904, 1988.PubMedGoogle Scholar
  37. Potter JD. Hormones and colon cancer. J Natl Cancer Inst 87:1039–1040, 1995 (editorial).PubMedCrossRefGoogle Scholar
  38. Raper NR, Zizza C, Rourke J. Nutrition Content of US Food Supply 1909–1988. Home Economics Research Report No. 50. Washington: US Department of Agriculture, 1992.Google Scholar
  39. Sant M, Capocaccia R, Verdecchia A, et al. Comparisons of colon-cancer survival among European countries: the EUROCARE study. In J Cancer 63:43–48, 1995.Google Scholar
  40. Slattery ML, Kerber RA. The impact of family history of colon cancer on survival after diagnosis with colon cancer. Int J Epidemiol 24:888–896, 1995.PubMedCrossRefGoogle Scholar
  41. Stephens T. Secular trends in adult physical activity: Exercise boom or bust? Quart Exercise and Sport 58:94–103, 1987.Google Scholar
  42. Stewart RJ, Robson RA, Stewart AW, et al. Cancer of the large bowel in a defined population: Canterbury New Zealand. Br J Surg 66:309–314, 1979.PubMedCrossRefGoogle Scholar
  43. Stower MJ, Hardcastle JD. The results of 1115 patients with colorectal cancer treated over an 8 year period in a single hospital. Eur J Surg Oncol 11:119–123, 1985.PubMedGoogle Scholar
  44. US Department of Agriculture. Reports TVS-257 and TFS-263, 1992.Google Scholar

Copyright information

© Kluwer Academic Publishers 1996

Authors and Affiliations

  • Gabriel A. Kune
    • 1
    • 2
  1. 1.University of MelbourneAustralia
  2. 2.Melbourne Colorectal Cancer StudyAustralia

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