3 minute read
the change, published in an editorial in the current issue of jama , comes amid rising rates of early onset of the disease and brings the u.s. preventive services task force (uspstf) in line with similar guidance from the american cancer society. the move by the task force, an independent panel of specialists funded by the u.s. department of health and human services, means u.s. health insurers will be required to pay for preventative procedures related to colorectal cancer, such as colonoscopies and stool sample testing, at no cost to patients.
“a concerning increase in colorectal cancer incidence among younger individuals (i.e., younger than 50 years; defined as young-onset colorectal cancer) has been documented since the mid-1990s, with 11 per cent of colon cancers and 15 per cent of rectal cancers in 2020 occurring among patients younger than 50 years, compared with five per cent and nine per cent, respectively, in 2010,” said kimmie ng , the first author of the editorial.
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colorectal cancer is the third-most diagnosed cancer in canada, with just under 27,000 new cases arising in 2020, according to the canadian cancer society . it is the second leading cause of death from cancer in men and third in women. roughly 73 canadians receive the grim diagnosis — and another 27 succumb to the disease — every day.
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detection and prevention of the early onset of the elusive disease will require more research into its underlying causes, with some recent avenues of study focusing on dietary habits in general and sugary soda in particular . it will take “bold steps” to ensure the five-year window produces significant decreases to the occurrence and mortality rates of the disease, the editorial said, calling for public awareness campaigns to ensure people are aware of the benefits of the procedure. the authors also noted that only 68.8 per cent of eligible adults in the u.s. get screened.
“given the sizeable gaps in colorectal cancer incidence and mortality between black adults and white adults in the u.s., quality metrics must specifically examine performance in the black population and undertake interventions necessary to eliminate disparities,” the editorial said. “communicating the morbidity and mortality attributed to colorectal cancer in the black community, including the recent death of actor chadwick boseman at age 43, has potential for increasing awareness.”
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if you or someone you care about is living with cancer, connecting with a support network can help to not only learn ways to better manage their health, but also share experiences with others. some canadian resources include the wellspring, cancer connect at the canadian cancer society, and colorectal cancer canada.
