Trends in the incidence of colorectal cancer in sub‐Saharan Africa: A population‐based registry study
Laura Moen, Biying Liu, Phiona Bukirwa, Tatenda Chingonzoh, Eric Chokunonga, Anne Finesse, Ann Korir, B. Sonko Lamin, Cesaltina Lorenzoni, Shyam Manraj, Guy N’Da, Anani Wencesl Sévérin Odzèbe, Olufemi J. Ogunbiyi, Nontuthuzelo Somdyala, Magdalena Packzowski, Donald Maxwell Parkin
Abstract
In sub-Saharan Africa, colorectal cancer (CRC) has historically been considered a rare disease, although some previous studies have suggested that the incidence is increasing. We examine time trends in the incidence of CRC using data from 12 population-based cancer registries in 11 countries of sub-Saharan Africa that were able to provide time series data for periods of 12 or more years, or with earlier data with which recent rates may be compared. Age-standardized incidence rates were highest in the higher-income countries, and were increasing in all of the populations studied, and these increases were statistically significant in all but three. Current evidence has suggested a link between the increased adoption of western lifestyle habits with colorectal cancer, and along with increasing urbanization of African populations, there is an increase in body weight, as well as evidence of increasing consumption of meat, sugars, and alcohol.