D. Sessinou1, D. Chen1, V. Pandit1, C. Charlton1, A. Cruz1, P. Vij1, V. N. Nfonsam1, V. N. Nfonsam1 1University Of Arizona,Medicine,Tucson, AZ, USA
Introduction: Rectal cancer (RC) continues to be prevalent among patients with inflammatory bowel disease (IBD). Disparities in patients with RC are well known however there is paucity of data on patient with IBD developing RC. The aim of this study was to assess racial disparities in patients with IBD developing RC.
Methods: Using the National Inpatient Sample (NIS) from the year 2011, we included patients with age ≥ 18 with IBD. Patients with RC were assessed. Patients were stratified by race. Statistical analysis was performed to assess difference in groups.
Results:: A total number of 57,358 patients with IBD were assessed of which 172 had RC.
79.9% were white and 11.3% were black. Patients with IBD were more likely to develop RC (p=0.001). Among patient developing RC, they were more likely to be Whites and Asians/Pacific Islanders. Out of the patients with both IBD and RC, there were more males (65.1%) than females (34.9%) (p=0.0001).
Conclusion:The results of this study suggest that people with a history of IBD are at an increased risk of developing RC, which is supported by the literature. We also see that Whites have the highest incidence of IBD and RC, followed by Asians/Pacific Islanders. These differences may be due to healthcare disparities and lower utilization of screening tests observed among racial groups. Future studies in other years could establish whether there is a trend in incidence.