| Home > Publications database > Research Communication: Effects of Screening Colonoscopyon Colorectal Cancer Mortality: Lessons From ComparativeAnalyses of Randomised Trials |
| Journal Article | DKFZ-2025-01184 |
; ; ;
2025
Blackwell Science
Oxford
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Please use a persistent id in citations: doi:10.1111/apt.70231 doi:DOI:10.1111/apt.70231
Abstract: NordICC, the first randomised trial on long-term effects of screening colonoscopy, failed to demonstrate a significant reduction in colorectal cancer (CRC) mortality. We compared reported 10-year CRC mortality results from NordICC with those of NORCCAP, a similarly designed pragmatic sigmoidoscopy trial. In NORCCAP, differences in CRC mortality only began to emerge after 9.5 years of follow-up, rapidly increased thereafter and were approximately 4-fold as high after 12 years than after 10 years. Other sigmoidoscopy trials yielded similar 11- to 12-year results. Our analysis suggests that the apparent negative CRC mortality results of NordICC primarily reflect insufficient follow-up time.
Keyword(s): colonoscopy ; colorectal cancer ; mortality ; screening
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