Risk-adapted starting ages of colorectal cancer screening for people with diabetes or metabolic syndrome
Background Individuals with diabetes and metabolic syndrome have an increased risk of colorectal cancer (CRC), suggesting earlier screening than the average-risk population may be warranted. Aims To derive risk-adapted starting ages of CRC screening for people with diabetes or metabolic syndrome. Me...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
February 2025
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| In: |
Alimentary pharmacology & therapeutics
Year: 2025, Volume: 61, Issue: 4, Pages: 675-681 |
| ISSN: | 1365-2036 |
| DOI: | 10.1111/apt.18435 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1111/apt.18435 Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/apt.18435 
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| Author Notes: | Teresa Seum, Michael Hoffmeister, Hermann Brenner |
| Summary: | Background Individuals with diabetes and metabolic syndrome have an increased risk of colorectal cancer (CRC), suggesting earlier screening than the average-risk population may be warranted. Aims To derive risk-adapted starting ages of CRC screening for people with diabetes or metabolic syndrome. Methods We determined 5-year cumulative risks of CRC at individual ages between 30 and 50 across Europe (overall and individually for Germany, France, the UK and Italy) and North America (the United States and Canada) based on the GLOBOCAN 2022 database. Using risk estimates from meta-analyses (2020-2023), we derived the ages at which individuals with diabetes or metabolic syndrome reach the same CRC risk as the average-risk population at age 50 (aCR50) or 45 (aCR45). Results Individuals with diabetes were estimated to reach aCR50 at age 47 (95% confidence interval, 45-49) in Europe and 46 (42-49) in North America. For metabolic syndrome, the corresponding ages were 47 (47-48) in Europe and 46 (46-47) in North America. Disparities across countries were minimal, with deviations of up to no more than one year. For screening programmes starting at age 45, corresponding risk-adapted starting ages for people with diabetes or metabolic syndrome were estimated to be 42 (41-44) and 43 (42-43) for Europe and 41 (38-44) and 41 (41-42) for North America, respectively. Conclusions People with diabetes or metabolic syndrome reach risk levels comparable to the average risk population three to four years earlier. Our results offer empirical guidance for defining risk-adapted starting ages of CRC screening for these high-risk groups. |
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| Item Description: | Zuerst veröffentlicht: 16. Dezember 2024 Gesehen am 11.03.2025 |
| Physical Description: | Online Resource |
| ISSN: | 1365-2036 |
| DOI: | 10.1111/apt.18435 |