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@ARTICLE{Tian:170589,
author = {Y. Tian$^*$ and E. Kharazmi$^*$ and H. Brenner$^*$ and X.
Xu$^*$ and K. Sundquist and J. Sundquist and M. Fallah$^*$},
title = {{I}mportance of {F}amily {H}istory of {C}olorectal {C}ancer
{I}n {S}itu {V}ersus {I}nvasive {C}olorectal {C}ancer: {A}
{N}ationwide {C}ohort {S}tudy.},
journal = {Journal of the National Comprehensive Cancer Network},
volume = {19},
number = {11},
issn = {1540-1405},
address = {Cold Spring Harbor, NY},
publisher = {Harborside Press},
reportid = {DKFZ-2021-02038},
pages = {1252-1257},
year = {2021},
note = {#EA:C120#LA:C120# / Volume 19: Issue 11 1252-1257},
abstract = {The aim of this study was to explore the risk of invasive
colorectal cancer (CRC) in relatives of patients with
colorectal carcinoma in situ (CCIS), which is lacking in the
literature.We collected data from Swedish family-cancer
datasets and calculated standardized incidence ratio (SIR)
and cumulative risk of CRC in family histories of CCIS in
first- and second-degree relatives. Family history was
defined as a dynamic (time-dependent) variable allowing for
changes during the follow-up period from 1958 to 2015. Of
12,829,251 individuals with available genealogical data,
173,796 were diagnosed with CRC and 40,558 with CCIS.The
lifetime (0-79 years) cumulative risk of CRC in first-degree
relatives of patients with CCIS was $6.5\%,$ which
represents a 1.6-fold $(95\%$ CI, 1.5-1.7; n=752) increased
risk. A similarly increased lifetime cumulative risk
$(6.7\%)$ was found among first-degree relatives of patients
with CRC (SIR, 1.6; $95\%$ CI, 1.6-1.7; n=6,965). An
increased risk of CRC was also found in half-siblings of
patients with CCIS (SIR, 1.9; $95\%$ CI, 1.1-3.0; n=18) and
also in half-siblings of patients with CRC (SIR, 1.7; $95\%$
CI, 1.3-2.1; n=78). Moreover, the increased risk of CRC was
higher for younger age at diagnosis of CCIS in the affected
first-degree relative and for younger age at diagnosis of
CRC in the index person.Results of this study show that
first-degree relatives and half-siblings of patients with
CCIS have an increased risk of CRC, which is comparable in
magnitude to the risk of those with a family history of
invasive CRC. These findings extend available evidence on
familial risk of CRC and may help to refine guidelines and
recommendations for CRC screening.},
cin = {C120 / C070 / HD01},
ddc = {610},
cid = {I:(DE-He78)C120-20160331 / I:(DE-He78)C070-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:34517339},
doi = {10.6004/jnccn.2021.7004},
url = {https://inrepo02.dkfz.de/record/170589},
}