Temporal trends in the leading causes of death among a large national cohort of patients with colorectal cancer from 1975 to 2009 in the United States

Abstract Purpose To assess the distribution of proportion of deaths from causes other than colorectal cancer (CRC) over time and temporal trends of cause-specific cumulative incidence of death due to six leading causes in patients with CRC. Methods Overall, 375,462 patients with CRC in nine Surveill...

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Published in:Annals of epidemiology 2014-06, Vol.24 (6), p.411-417
Main Authors: Tong, Liyue, MS, Ahn, Chul, PhD, Symanski, Elaine, PhD, Lai, Dejian, PhD, Du, Xianglin L., MD, PhD
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cardiovascular Diseases - mortality
Cause of Death - trends
Causes of death
Cohort Studies
Colorectal cancer
Colorectal Neoplasms - mortality
Diabetes Mellitus, Type 2 - mortality
Female
Health Status
Humans
Incidence
Internal Medicine
Male
Middle Aged
Prevalence
Prevention
Regression Analysis
Respiratory Tract Diseases - mortality
Risk Assessment
Risk factors
SEER Program
Temporal trend
United States - epidemiology
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container_issue 6
container_start_page 411
container_title Annals of epidemiology
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creator Tong, Liyue, MS
Ahn, Chul, PhD
Symanski, Elaine, PhD
Lai, Dejian, PhD
Du, Xianglin L., MD, PhD
description Abstract Purpose To assess the distribution of proportion of deaths from causes other than colorectal cancer (CRC) over time and temporal trends of cause-specific cumulative incidence of death due to six leading causes in patients with CRC. Methods Overall, 375,462 patients with CRC in nine Surveillance, Epidemiology, and End Results registries from 1975 to 2009 were included. Competing risks proportional hazards regression was used to examine the effect of diagnostic periods on the risk of cause-specific death. Results From 1975 to 2009 by 5-year interval, the proportion of deaths from causes other than CRC increased significantly with diagnostic periods according to the lengths of follow-up ( P  
doi_str_mv 10.1016/j.annepidem.2014.01.005
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Methods Overall, 375,462 patients with CRC in nine Surveillance, Epidemiology, and End Results registries from 1975 to 2009 were included. Competing risks proportional hazards regression was used to examine the effect of diagnostic periods on the risk of cause-specific death. Results From 1975 to 2009 by 5-year interval, the proportion of deaths from causes other than CRC increased significantly with diagnostic periods according to the lengths of follow-up ( P  &lt; .0001). The 5-year risk of death significantly decreased with diagnostic periods for all-cause, CRC, and circulation diseases among all age groups (&lt;65, 65–74, and ≥75 years) but increased for chronic obstructive pulmonary disease, diabetes, and Alzheimer disease among patients aged 65 years or older. Conclusions Deaths due to causes other than CRC increased significantly over time regardless of tumor stage and site but more sharply in those with early-stage and distal colon cancer. The increasing leading causes of death are chronic obstructive pulmonary disease, diabetes, and Alzheimer disease, which may be prevented or delayed substantially by modification or intervention in lifestyle or other factors.</description><identifier>ISSN: 1047-2797</identifier><identifier>EISSN: 1873-2585</identifier><identifier>DOI: 10.1016/j.annepidem.2014.01.005</identifier><identifier>PMID: 24529646</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Cardiovascular Diseases - mortality ; Cause of Death - trends ; Causes of death ; Cohort Studies ; Colorectal cancer ; Colorectal Neoplasms - mortality ; Diabetes Mellitus, Type 2 - mortality ; Female ; Health Status ; Humans ; Incidence ; Internal Medicine ; Male ; Middle Aged ; Prevalence ; Prevention ; Regression Analysis ; Respiratory Tract Diseases - mortality ; Risk Assessment ; Risk factors ; SEER Program ; Temporal trend ; United States - epidemiology</subject><ispartof>Annals of epidemiology, 2014-06, Vol.24 (6), p.411-417</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-24c86d7a435b91565efdad94692aa72e341457f5e0c38cc9c3ecf030f547f9fa3</citedby><cites>FETCH-LOGICAL-c459t-24c86d7a435b91565efdad94692aa72e341457f5e0c38cc9c3ecf030f547f9fa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24529646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tong, Liyue, MS</creatorcontrib><creatorcontrib>Ahn, Chul, PhD</creatorcontrib><creatorcontrib>Symanski, Elaine, PhD</creatorcontrib><creatorcontrib>Lai, Dejian, PhD</creatorcontrib><creatorcontrib>Du, Xianglin L., MD, PhD</creatorcontrib><title>Temporal trends in the leading causes of death among a large national cohort of patients with colorectal cancer from 1975 to 2009 in the United States</title><title>Annals of epidemiology</title><addtitle>Ann Epidemiol</addtitle><description>Abstract Purpose To assess the distribution of proportion of deaths from causes other than colorectal cancer (CRC) over time and temporal trends of cause-specific cumulative incidence of death due to six leading causes in patients with CRC. Methods Overall, 375,462 patients with CRC in nine Surveillance, Epidemiology, and End Results registries from 1975 to 2009 were included. Competing risks proportional hazards regression was used to examine the effect of diagnostic periods on the risk of cause-specific death. Results From 1975 to 2009 by 5-year interval, the proportion of deaths from causes other than CRC increased significantly with diagnostic periods according to the lengths of follow-up ( P  &lt; .0001). The 5-year risk of death significantly decreased with diagnostic periods for all-cause, CRC, and circulation diseases among all age groups (&lt;65, 65–74, and ≥75 years) but increased for chronic obstructive pulmonary disease, diabetes, and Alzheimer disease among patients aged 65 years or older. Conclusions Deaths due to causes other than CRC increased significantly over time regardless of tumor stage and site but more sharply in those with early-stage and distal colon cancer. 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Methods Overall, 375,462 patients with CRC in nine Surveillance, Epidemiology, and End Results registries from 1975 to 2009 were included. Competing risks proportional hazards regression was used to examine the effect of diagnostic periods on the risk of cause-specific death. Results From 1975 to 2009 by 5-year interval, the proportion of deaths from causes other than CRC increased significantly with diagnostic periods according to the lengths of follow-up ( P  &lt; .0001). The 5-year risk of death significantly decreased with diagnostic periods for all-cause, CRC, and circulation diseases among all age groups (&lt;65, 65–74, and ≥75 years) but increased for chronic obstructive pulmonary disease, diabetes, and Alzheimer disease among patients aged 65 years or older. Conclusions Deaths due to causes other than CRC increased significantly over time regardless of tumor stage and site but more sharply in those with early-stage and distal colon cancer. 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ispartof Annals of epidemiology, 2014-06, Vol.24 (6), p.411-417
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1873-2585
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source ScienceDirect Journals
subjects Aged
Aged, 80 and over
Cardiovascular Diseases - mortality
Cause of Death - trends
Causes of death
Cohort Studies
Colorectal cancer
Colorectal Neoplasms - mortality
Diabetes Mellitus, Type 2 - mortality
Female
Health Status
Humans
Incidence
Internal Medicine
Male
Middle Aged
Prevalence
Prevention
Regression Analysis
Respiratory Tract Diseases - mortality
Risk Assessment
Risk factors
SEER Program
Temporal trend
United States - epidemiology
title Temporal trends in the leading causes of death among a large national cohort of patients with colorectal cancer from 1975 to 2009 in the United States
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