Determining the Survival Rate of Colorectal Cancer in Iran: A Systematic Review and Meta-Analysis

Document Type: Systematic Review and Meta-analysis

Authors

1 Health Sciences Research Center, Departman of Public Health, Mazandaran University of Medical Sciences, Sari, Iran.

2 Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran.

3 School of Public Health, Dezful University of Medical Sciences, Dezful, Iran.

4 Department of epidemiology, School of Public Health, Iran University of medical Sciences, Tehran, Iran.

5 Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

6 Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

7 Department of Midwifery, Faculty of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran

8 Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar, Iran.

Abstract

Objective: Colorectal cancer is one of the most common causes of death in the world. Despite of remarkable
advances in medical sciences, cancer is an important disease and the second cause of death after cardiovascular diseases.
The present study was aimed at determining the survival rate of colorectal cancer in Iran. Methods: The present study
is a systematic review of national and international electronic databases. Studies that had the inclusion criteria were
included in the study, electronically published articles over December 2007 and March 2015 were retrieved. The collected
data were analyzed by meta-analytic method through stata 11.0 Software, and the survival rate was measured. Results:
The 1-, 2-, 3-, 4-, and 5-year survival rates of colorectal cancer in Iran were respectively calculated as 85, 75.10, 65,
55.40, and 52.The results indicated that there is a significant relationship between anatomic location of tumor and
survival rate. According to the results of this examination, survival rate of the patients with rectal cancer was 41.9
times higher than those with colorectal cancer. Conclusion: Due to the relative high prevalence of this cancer among
young people in Iran and the low survival rate, early diagnosis of colorectal neoplasms is necessary before they become
symptomatic through more effective diagnosis programs of enhancing the patients’ health and survival rate. Moreover,
it is necessary to conduct more specialized and relevant studies in order to determine genetic or environmental causes of
cancer such as diet and cultural and behavioral habits at the national level and with different ethnicities.

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