In this month's Editorial, Caitlin C. Murphy and Amit Singal recap population-level data on colorectal cancer incidence and mortality in the past 3 decades, documenting overall positive trends in screening, early detection of small cancers and premalignant lesions and better treatment options.
The authors then turn the focus on a different trend, seen since the 1990s, in younger patients (under the age of 50) in whom increased incidence rates have been observed continuously and discuss possible explanations, ranging from an increased number of cancers detected through screening to early-life exposure risks factors.
Image Credit: Stacey Geiger, US Air Force
Editorial
Establishing a research agenda for early-onset colorectal cancer
PLOS Medicine: published June 1, 2018 | https://doi.org/10.1371/journal.pmed.1002577
Perspectives
Developing cardiovascular disease risk programs in India—Why location and wealth matter
PLOS Medicine: published June 19, 2018 | https://doi.org/10.1371/journal.pmed.1002582
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Antibiotic prophylaxis—Preventing severe infections and saving lives in poor countries with very high mortality risk
PLOS Medicine: published June 26, 2018 | https://doi.org/10.1371/journal.pmed.1002594
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Policy Forum
The state of the antivaccine movement in the United States: A focused examination of nonmedical exemptions in states and counties
PLOS Medicine: published June 12, 2018 | https://doi.org/10.1371/journal.pmed.1002578
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Research Articles
Estimating the real-world effects of expanding antiretroviral treatment eligibility: Evidence from a regression discontinuity analysis in Zambia
PLOS Medicine: published June 5, 2018 | https://doi.org/10.1371/journal.pmed.1002574
A peer-support lifestyle intervention for preventing type 2 diabetes in India: A cluster-randomized controlled trial of the Kerala Diabetes Prevention Program
PLOS Medicine: published June 6, 2018 | https://doi.org/10.1371/journal.pmed.1002575
Academic response to improving value and reducing waste: A comprehensive framework for INcreasing QUality In patient-oriented academic clinical REsearch (INQUIRE)
PLOS Medicine: published June 7, 2018 | https://doi.org/10.1371/journal.pmed.1002580
Fixed-dose combination antihypertensive medications, adherence, and clinical outcomes: A population-based retrospective cohort study
PLOS Medicine: published June 11, 2018 | https://doi.org/10.1371/journal.pmed.1002584
Estimating retention in HIV care accounting for patient transfers: A national laboratory cohort study in South Africa
PLOS Medicine: published June 11, 2018 | https://doi.org/10.1371/journal.pmed.1002589
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Artemether-lumefantrine dosing for malaria treatment in young children and pregnant women: A pharmacokinetic-pharmacodynamic meta-analysis
PLOS Medicine: published June 12, 2018 | https://doi.org/10.1371/journal.pmed.1002579
Efficacy of melatonin with behavioural sleep-wake scheduling for delayed sleep-wake phase disorder: A double-blind, randomised clinical trial
PLOS Medicine: published June 18, 2018 | https://doi.org/10.1371/journal.pmed.1002587
Geographic and sociodemographic variation of cardiovascular disease risk in India: A cross-sectional study of 797,540 adults
PLOS Medicine: published June 19, 2018 | https://doi.org/10.1371/journal.pmed.1002581
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The association of lifetime alcohol use with mortality and cancer risk in older adults: A cohort study
PLOS Medicine: published June 19, 2018 | https://doi.org/10.1371/journal.pmed.1002585
Trade challenges at the World Trade Organization to national noncommunicable disease prevention policies: A thematic document analysis of trade and health policy space
PLOS Medicine: published June 26, 2018 | https://doi.org/10.1371/journal.pmed.1002590
Comparing post-acute rehabilitation use, length of stay, and outcomes experienced by Medicare fee-for-service and Medicare Advantage beneficiaries with hip fracture in the United States: A secondary analysis of administrative data
PLOS Medicine: published June 26, 2018 | https://doi.org/10.1371/journal.pmed.1002592
Single-dose oral ciprofloxacin prophylaxis as a response to a meningococcal meningitis epidemic in the African meningitis belt: A 3-arm, open-label, cluster-randomized trial
PLOS Medicine: published June 26, 2018 | https://doi.org/10.1371/journal.pmed.1002593