According to GLOBOCAN 2018 data, CRCs are the third most commonly diagnosed form of cancer globally, comprising 11% of all cancer diagnoses. Together, 1.8million of new cases of CRC are estimated to be diagnosed by year. Moreover, the CRC is the second most deadly cancer worldwideIn, comprising 5.8% of all cancer deaths.
The relation between trends in CRC incidence and mortality can be characterized into three distinct global categories. The medium HDI nations, such as Brazil, Russia, China, Latin America, the Philippines, have witnessed an increase in both incidence and mortality in the past decade. These nations are undergoing an economic transition, which is probably the cause of the increase in CRC incidence. The second category, comprised of mostly high-HDI nations such as Canada, the United Kingdom (UK), Denmark, and Singapore, has seen an increase in incidence but drop-in mortality due to improved treatment options. Lastly, the third category of highest HDI nations such as the US, Iceland, Japan, and France has witnessed a drop in both mortality and incidence due to successes in prevention and treatment.
Although patients over 50 years of age have seen decreases in CRC incidence over the past decades, those aged 20–49 years have actually seen a growing incidence: the incidence rates of CRC for ages 20–49 years was 9.3 per 100,000 in 1975 and now is up to 13.7 per 100,000 in 2015, a percentage change of 47.31%. Researchers believe this may be a reflection of a more sedentary lifestyle and have recommended lowering the screening age to 45 years in order to detect cases in younger adults earlier.
In sum, the global burden of CRC is expected to increase by 60%, to over 2.2 million new cases and 1.1 million annual deaths, by the year 2030, resulted from environmental changes, like more sedentary lifestyle, greater obesity, processed food, alcohol, and meat consumption, etc.