Evidence map›Paper›PMID 42256517›Full record

ArticleESMO gastrointestinal oncology2026

Evaluating incidence and mortality trends of early-onset colorectal cancer and adenoma in Belgium.

S Janssens, K Van Herck, J Francart, B Van Gool, A Audibert, C Clinckaert, N Van Damme, K Haustermans, L Van Eycken

Abstract read
In one paragraph

Article in ESMO gastrointestinal oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

S JanssensBelgian Cancer Registry, Brussels, Belgium.
K Van HerckBelgian Cancer Registry, Brussels, Belgium.
J FrancartBelgian Cancer Registry, Brussels, Belgium.
B Van GoolBelgian Cancer Registry, Brussels, Belgium.
A AudibertBelgian Cancer Registry, Brussels, Belgium.
C ClinckaertBelgian Cancer Registry, Brussels, Belgium.
N Van DammeBelgian Cancer Registry, Brussels, Belgium.
K HaustermansDepartment of Radiation Oncology, UZ Leuven, Leuven, Belgium.
L Van EyckenBelgian Cancer Registry, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colorectal cancer (CRC) incidence is rising among young adults globally, yet European data remain inconclusive. This study evaluated age- and sex-specific trends in CRC incidence, adenoma detection, and mortality in Belgium, with a focus on individuals aged 20-49 years. Diagnostic procedure trends in the 40-49 years age group were also analyzed to contextualize epidemiological patterns. Materials and methods: Data from the Belgian Cancer Registry and diagnostic records from health insurance organizations were used to analyze trends in invasive CRC, Results: Invasive CRC incidence remained stable in individuals aged 40-49 years between 2004 and 2023, whereas adenoma and Conclusions: Enhanced diagnostic activity in individuals aged 40-49 years appears to have led to earlier detection rather than increased advanced disease. These observations do not provide evidence that would support lowering the current starting age of organized screening. Rising CRC incidence in individuals aged 30-39 years warrants increasing clinical vigilance in younger adults with symptoms or elevated risk and requires further investigation into underlying drivers. Epidemiologic surveillance should preferably include precursor lesions and diagnostic activity.

Indexed as

colon cancercolorectal cancerearly-onset colorectal cancerepidemiologypopulation-based cancer registryrectal cancer

Identifiers

PMID42256517
PMCPMC13234709

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.