Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors?
The aim of this study was to characterize the familial risk of colon and rectal cancer using 2 population-based registries in Iceland, the Icelandic Cancer Registry and a genealogy database. The standardized incidence ratio (SIR) was used to estimate the risk among relatives of colorectal cancer ind...
Published in: | International Journal of Cancer |
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Language: | English |
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2016
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Online Access: | https://doi.org/10.1002/ijc.21835 https://ora.ox.ac.uk/objects/uuid:1a8ce5fb-90f2-458a-ba43-8c19a6676386 |
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ftuloxford:oai:ora.ox.ac.uk:uuid:1a8ce5fb-90f2-458a-ba43-8c19a6676386 2024-10-06T13:49:54+00:00 Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? Stefansson, T Moller, P Sigurdsson, F Steingrimsson, E Eldon, B 2016-07-28 https://doi.org/10.1002/ijc.21835 https://ora.ox.ac.uk/objects/uuid:1a8ce5fb-90f2-458a-ba43-8c19a6676386 eng eng doi:10.1002/ijc.21835 https://ora.ox.ac.uk/objects/uuid:1a8ce5fb-90f2-458a-ba43-8c19a6676386 https://doi.org/10.1002/ijc.21835 info:eu-repo/semantics/embargoedAccess Journal article 2016 ftuloxford https://doi.org/10.1002/ijc.21835 2024-09-06T07:47:28Z The aim of this study was to characterize the familial risk of colon and rectal cancer using 2 population-based registries in Iceland, the Icelandic Cancer Registry and a genealogy database. The standardized incidence ratio (SIR) was used to estimate the risk among relatives of colorectal cancer index cases diagnosed in Iceland over a 46-year period (1955-2000). The 2,770 colorectal cancer patients had 23,272 first-degree relatives. Among first-degree relatives, there was an increased risk of both colon (SIR 1.47, 95% confidence interval (CI) 1.34-1.62) and rectal cancer (SIR 1.24, 95% CI 1.04-1.47). An increased risk of colon cancer was observed among siblings of colon cancer patients (SIR 2.03, 95% CI 1.76-2.33), whereas no such increase was observed for parents or offspring. Furthermore, the risk of rectal cancer was only increased among brothers (SIR 2.46 95% CI 1.46-3.89) of rectal cancer patients and not among their sisters (SIR 1.0 95% CI 0.40-2.06). The added risk of colon cancer among first-degree relatives was independent of site of colon cancer in the proband. Our results confirm that family history of colorectal cancer is a risk factor for the disease. However, family history has a different association with colon cancer than with rectal cancer, suggesting that the 2 cancer types may have different etiologic factors. Our results have implications for colon and rectal cancer screening programs. Article in Journal/Newspaper Iceland ORA - Oxford University Research Archive International Journal of Cancer 119 2 304 308 |
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ORA - Oxford University Research Archive |
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ftuloxford |
language |
English |
description |
The aim of this study was to characterize the familial risk of colon and rectal cancer using 2 population-based registries in Iceland, the Icelandic Cancer Registry and a genealogy database. The standardized incidence ratio (SIR) was used to estimate the risk among relatives of colorectal cancer index cases diagnosed in Iceland over a 46-year period (1955-2000). The 2,770 colorectal cancer patients had 23,272 first-degree relatives. Among first-degree relatives, there was an increased risk of both colon (SIR 1.47, 95% confidence interval (CI) 1.34-1.62) and rectal cancer (SIR 1.24, 95% CI 1.04-1.47). An increased risk of colon cancer was observed among siblings of colon cancer patients (SIR 2.03, 95% CI 1.76-2.33), whereas no such increase was observed for parents or offspring. Furthermore, the risk of rectal cancer was only increased among brothers (SIR 2.46 95% CI 1.46-3.89) of rectal cancer patients and not among their sisters (SIR 1.0 95% CI 0.40-2.06). The added risk of colon cancer among first-degree relatives was independent of site of colon cancer in the proband. Our results confirm that family history of colorectal cancer is a risk factor for the disease. However, family history has a different association with colon cancer than with rectal cancer, suggesting that the 2 cancer types may have different etiologic factors. Our results have implications for colon and rectal cancer screening programs. |
format |
Article in Journal/Newspaper |
author |
Stefansson, T Moller, P Sigurdsson, F Steingrimsson, E Eldon, B |
spellingShingle |
Stefansson, T Moller, P Sigurdsson, F Steingrimsson, E Eldon, B Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? |
author_facet |
Stefansson, T Moller, P Sigurdsson, F Steingrimsson, E Eldon, B |
author_sort |
Stefansson, T |
title |
Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? |
title_short |
Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? |
title_full |
Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? |
title_fullStr |
Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? |
title_full_unstemmed |
Familial risk of colon and rectal cancer in Iceland: evidence for different etiologic factors? |
title_sort |
familial risk of colon and rectal cancer in iceland: evidence for different etiologic factors? |
publishDate |
2016 |
url |
https://doi.org/10.1002/ijc.21835 https://ora.ox.ac.uk/objects/uuid:1a8ce5fb-90f2-458a-ba43-8c19a6676386 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
doi:10.1002/ijc.21835 https://ora.ox.ac.uk/objects/uuid:1a8ce5fb-90f2-458a-ba43-8c19a6676386 https://doi.org/10.1002/ijc.21835 |
op_rights |
info:eu-repo/semantics/embargoedAccess |
op_doi |
https://doi.org/10.1002/ijc.21835 |
container_title |
International Journal of Cancer |
container_volume |
119 |
container_issue |
2 |
container_start_page |
304 |
op_container_end_page |
308 |
_version_ |
1812177991079297024 |