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@ARTICLE{Brenner:284424,
author = {H. Brenner$^*$ and T. Heisser$^*$ and R. Cardoso$^*$ and M.
Hoffmeister$^*$},
title = {{R}eduction in colorectal cancer incidence by screening
endoscopy.},
journal = {Nature reviews / Gastroenterology $\&$ hepatology},
volume = {21},
number = {2},
issn = {1759-5045},
address = {Basingstoke},
publisher = {Nature Publishing Group},
reportid = {DKFZ-2023-02013},
pages = {125-133},
year = {2024},
note = {#EA:C070#EA:C120#LA:C070# / 2024 Feb;21(2):125-133 /
Perspective},
abstract = {Colorectal cancer (CRC) incidence rates decreased by up to
$50\%$ in older age groups in the USA in the era of the
widespread uptake of screening colonoscopy, despite adverse
trends in CRC risk factors and increasing CRC incidence at
younger ages. However, reported first results from a
randomized trial, the NordICC study, suggested rather modest
effects of screening colonoscopy. As outlined in this
Perspective, the apparent discrepancy between real-world and
trial evidence could be explained by strong attenuation of
effect estimates from screening endoscopy trials by several
factors, including limited screening adherence, widespread
uptake of colonoscopy outside the screening offers and the
inclusion of prevalent, non-preventable CRC cases in
reported numbers of incident cases. Alternative
interpretations of screening endoscopy trial results
accounting for prevalence bias are in line with trends in
CRC incidence reduction in countries offering CRC screening,
and should encourage more widespread implementation and
uptake of effective CRC screening.},
subtyp = {Review Article},
cin = {C070 / C120 / HD01},
ddc = {610},
cid = {I:(DE-He78)C070-20160331 / I:(DE-He78)C120-20160331 /
I:(DE-He78)HD01-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37794234},
doi = {10.1038/s41575-023-00847-3},
url = {https://inrepo02.dkfz.de/record/284424},
}