In addition, we could not explore the association of other potential risk factors for early death in SMPCC, such as nutritional status, carcinoembryonic antigen (CEA), and susceptibility factors (inflammatory bowel disease, familial adenomatous polyposis, and hereditary non-adenomatous colorectal cancer) as this information was not reported in the SEER database. Here, CEACAM5 is linked to Familial adenomatous polyposis.