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An Update on the Epidemiology, Molecular Characterization, Diagnosis, and Screening Strategies for Early-Onset Colorectal Cancer
Open accessAbstract
Rising trends in the incidence and mortality of early-onset CRC in those who are ages less than 50 years have been well-established. These trends have spurred intense investigation focused on elucidating the epidemiology and characteristics of early-onset CRC, as well on identifying strategies for early detection and prevention. In this review, we provide a contemporary update on early-onset CRC with a particular focus on epidemiology, molecular characterization, red flag signs and symptoms, and screening for early-onset CRC.
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“Currently, two strategies are used for CRC screening: (1) Screening based on preliminary determination of risk factors, which allows selecting patients for further examination; and (2) Population screening based on a large-scale examination of individuals in a certain population using epidemiological methods[21].”
From Risk factors, prevention and screening of colorectal cancer: A rising problem (2025) · cites this paper as [21]
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Metadata
- Authors
- Burnett-Hartman, A. N., Lee, J. K., Demb, J., & Gupta, S.
- Affiliations
- Kaiser Permanente (US)
- University of California San Diego (US)
- Corresponding author
- Lee, Jeffrey K.
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 2021-03
- Volume
- 160
- Issue
- 4
- Pages
- 1041-1049
- ISSN
- 0016-5085 (ISSN-L)
- PMC
- PMC8273929
- OpenAlex
- W3119321686
- Semantic Scholar
- 8244c2b40e175dc72040bb05f875308e37bfb4c4
- Cited by
- 298
- References
- 79
- Citations by year
- 2026: 27 · 2025: 60 · 2024: 88 · 2023: 71 · 2022: 43 · 2021: 9
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Cancer Institute (U24 CA 221936, R01 CA196337)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Health Sciences › Medicine › Oncology › Colorectal Cancer Surgical Treatments
- Keywords
- early-onset colorectal cancer, colorectal cancer incidence, molecular characterization, colorectal cancer screening, early detection, cancer prevention, young adults
- MeSH terms
- Humans, Mass Screening, Risk Factors, Triage, Biomarkers, Tumor, Colorectal Neoplasms, Practice Guidelines as Topic, Age of Onset, Microsatellite Instability, Early Detection of Cancer, Precision Medicine
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