Abstract

3733 Background: Colorectal Cancer (CRC) is a disease of older adults. National awareness of the disease has increased since the adoption of screening colonoscopy for all individuals over the age of 50. How ever some patients are diagnosed at younger age. Our objective was to assess the racial disparity, if any in this age group. Methods: We retrospectively reviewed CRC data from two inner city hospitals in north New Jersey over period of 12 yr at one institution (1992–2004) and 10 years at other (1994–2004). Results: Over all number of patient diagnosed with CRC 1299: 930 (71%) white, 342 (26%) black, and 27 (2%) were other racial background. We identified 124 patients (9.5%) who were less than 50year age: 72 (58%) white and 48(38%) were black. The increase number of cases in the black with CRC in the below 50 age group was statistically significant (p=0.0007 by chi-square). Conclusions: Based on this retrospective analysis large population studies will be needed to determine whether current CRC screening guideline should be modified in Black population. No significant financial relationships to disclose.

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