THOUGH the current issue of the American Journal of Gastroenterology (March 2003;98:471-477) tells of seemingly spectacular advances in the screening and treatment of colon cancer, people continue to die from the disease at the same rate as in the late 1980s. Let us look specifically at colon cancer based on data from 1986 and 1997 studying 144,284 individuals with the disease in the United States.
During this time, the annual number of cases of colon cancer decreased. However, the drop was skewed toward white men. The rates were unchanged among African Americans. Sadly, five year survival rates did not improve for any race.