Review articleColorectal cancer

Colorectal cancer

The Lancet · 2019Not applicable (review article)
Dekker E, Tanis PJ, Vleugels JLA, Kasi PM, Wallace MB. The Lancet. 2019. 394:1467-1480
Study type
Review article
Design
Review article (Seminar)
Sample size
Not applicable (review article)
Source
The Lancet · 2019

In plain words

Colorectal cancer (cancer of the large bowel and rectum) is now the fourth deadliest cancer in the world. Obesity, lack of physical activity and smoking raise its risk. There are many treatments, such as surgery, radiotherapy, chemotherapy, targeted therapy and immunotherapy, and survival in advanced disease has reached 3 years on average, but treatment results are better in disease that has not spread. Because the disease usually causes symptoms only at advanced stages, regular screening for early detection is very important.

Key results

Nearly 900,000
Annual deaths from colorectal cancer
The fourth deadliest cancer in the world
Has doubled, reaching 3 years
Overall survival in advanced disease
With new treatment options

Study population

This is a review article and no specific patients were enrolled. The abstract covers colorectal cancer at localised and advanced stages.

Endpoints

Not applicable; this is a review article and defines no primary or secondary endpoints.

Safety and side effects

The abstract does not address adverse effects of treatments.

Clinical significance and place in guidelines

This review gives an overview of epidemiology, risk factors, treatment options and the importance of organised screening, and stresses the need for individualised treatment planning. The article is not itself a clinical guideline; authoritative up-to-date guidelines should be consulted for treatment decisions.

Limitations

This is a narrative review and, based on the abstract, no systematic search method or assessment of evidence quality is reported. The abstract does not give detailed quantitative data for each treatment.

This summary was prepared by the editorial team from the published paper; the original paper is the final reference. Read the original abstract on PubMed.