Assuntos
Cirurgia Colorretal/estatística & dados numéricos , Distúrbios do Assoalho Pélvico/cirurgia , Diafragma da Pelve/inervação , Cirurgiões/estatística & dados numéricos , Cirurgia Colorretal/tendências , Estudos Transversais , Feminino , Humanos , Masculino , Diafragma da Pelve/fisiopatologia , Padrões de Prática Médica/tendências , Distribuição por Sexo , Cirurgiões/tendênciasRESUMO
Purpose: To assess the trends and sociodemographic disparities of anal cancer. Methods: For this time series, billing claims were reviewed for all encounters between 2007 and 2011 in the Yale New Haven Health System. Results: There were 80 new cases identified. Decreasing trends were seen in women and increasing trend in men (-30.1% and 27.3%). Diagnoses were more common in areas with the highest proportion of racial minorities (incidence rate ratio [IRR]=1.75; p≤0.01) and poverty (IRR=1.72; p=0.04). Conclusions: Anal cancer continues to rise in men during the postvaccine era. Communities with the highest proportion of poverty and racial/ethnic minority groups bear the highest burden of disease.
Assuntos
Doenças do Ânus/cirurgia , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Infecções por Papillomavirus/transmissão , Dispositivos de Proteção Respiratória , Fumaça , Neoplasias do Ânus/cirurgia , Neoplasias do Ânus/virologia , Condiloma Acuminado/cirurgia , Condiloma Acuminado/virologia , Eletrocoagulação , Humanos , Exposição por Inalação , Papillomaviridae , Infecções por Papillomavirus/epidemiologia , Infecções por Papillomavirus/prevenção & controleRESUMO
Colorectal cancer is the third most common cancer in the Western hemisphere and the incidence increases with increasing age. Most colorectal cancers are localized with or without lymph node metastases. Up to 20% of patients present with metastatic disease, most commonly to the liver. Surgery is the only curative therapy for localized colorectal cancer and adjuvant chemotherapy is usually recommended for patients with lymph node metastases. Surgery, radiation therapy and chemotherapy are the key components of rectal cancer therapy. Selected patients with recurrent and metastatic disease can be salvaged with surgery but chemotherapy remains the mainstay of therapy for advanced colorectal cancer. Substantial progress has been observed in the treatment of metastatic colorectal cancer in recent years.