Incidence and mortality rates for colorectal cancer in Puerto Rico and among Hispanics, non-Hispanic whites, and non-Hispanic blacks in the United States, 1998-2002

Authors

  • Marievelisse Soto-Salgado MS,

    1. Puerto Rico Cancer Center, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico
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  • Erick Suárez PhD,

    1. Graduate School of Public Health, Department of Biostatistics and Epidemiology, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico
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  • William Calo MPH,

    1. Puerto Rico Cancer Center, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico
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  • Marcia Cruz-Correa MD, PhD,

    1. Gastroenterology Oncology Program, University of Puerto Rico Cancer Center, San Juan, Puerto Rico
    2. Department of Medicine, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico
    3. Department of Biochemistry, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico
    4. Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
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  • Nayda R. Figueroa-Vallés MD, MPH,

    1. Puerto Rico Central Cancer Registry, San Juan, Puerto Rico
    2. Cancer Control and Population Sciences Program, University of Puerto Rico Cancer Center, San Juan, Puerto Rico
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  • Ana P. Ortiz PhD, MPH

    Corresponding author
    1. Graduate School of Public Health, Department of Biostatistics and Epidemiology, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico
    2. Cancer Control and Population Sciences Program, University of Puerto Rico Cancer Center, San Juan, Puerto Rico
    • University of Puerto Rico Cancer Center, PMB 711, 89 De Diego Ave. Suite 105, San Juan, PR, 00927-6346
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    • Fax: (787) 758-8304

Errata

This article is corrected by:

  1. Errata: Erratum Volume 115, Issue 21, 5126–5127, Article first published online: 16 September 2009

Abstract

BACKGROUND:

Colorectal cancer (CRC) is the second most commonly diagnosed cancer in Puerto Rico (PR). In the United States, the incidence and mortality rates of CRC have great variation by sex and race/ethnicity. Age-standardized incidence and mortality rates of CRC in PR were assessed and compared with the rates among US Hispanics (USH), non-Hispanic whites (NHW), and non-Hispanic blacks (NHB) in the United States for the period from 1998 through 2002. Incidence and mortality trends and relative differences among racial/ethnic groups by sex and age were determined.

METHODS:

Age-standardized rates using the world standard population (ASR[World]) were based on cancer incidence and mortality data from the PR Central Cancer Registry and from the National Cancer Institute's Surveillance, Epidemiology, and End Results Program using the direct method. The annual percentage changes (APC) and relative risks (RR) were calculated using Poisson regression models.

RESULTS:

During 1998 through 2002, the APC of CRC incidence and mortality increased for men in PR, whereas descending trends were observed for other racial/ethnic groups. Overall period rates indicated that, in both sexes, Puerto Ricans had CRC incidence and mortality rates similar to those for USH, but their rates were lower than those for NHW and NHB. However, Puerto Rican men and women ages 40 years to 59 years had the greatest risk of incidence and mortality compared with their USH counterparts.

CONCLUSIONS:

Areas of concern include the increasing trends of CRC in PR and the higher burden of the disease among young Puerto Ricans compared with the USH population. The authors concluded that further research should be performed to guide the design and implementation of CRC prevention and education programs in PR. Cancer 2009. © 2009 American Cancer Society.

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