Risk of post colonoscopy colorectal cancer following screening colonoscopy with low‐risk or no adenomas: A population‐based study
Aim In the Danish faecal occult blood test based bowel cancer screening programme, the first round was rolled out over 4 years. After roll‐out, the planned faecal test recall procedure for individuals with either no or low risk adenomas at colonoscopy is 8 and 2 years, respectively. Here, we aimed t...
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| Veröffentlicht in: | Colorectal disease 2021-11, Vol.23 (11), p.2932-2936 |
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| creator | Nielsen, Jesper Clausen Ploug, Magnus Baatrup, Gunnar Kroijer, Rasmus |
| description | Aim
In the Danish faecal occult blood test based bowel cancer screening programme, the first round was rolled out over 4 years. After roll‐out, the planned faecal test recall procedure for individuals with either no or low risk adenomas at colonoscopy is 8 and 2 years, respectively. Here, we aimed to investigate the post colonoscopy colorectal cancer incidence in these two groups.
Methods
All Danish screening individuals from 2014 to 2015 with a positive faecal test and either no or low risk adenomas at colonoscopy were included and followed for 3 years post screening for the event of colorectal cancer through national registries.
Results
Out of 533,023 submitted faecal tests and 36,673 positive tests, 17,627 had no or low risk adenomas. We identified 60 (0.34%) individuals diagnosed with colorectal cancer within 3 years, 18 (0.29%) in the low risk adenoma group, and 42 (0.37%) in the no adenomas group (p = 0.44). Advancing age (HR = 1.079, p |
| doi_str_mv | 10.1111/codi.15886 |
| format | Article |
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In the Danish faecal occult blood test based bowel cancer screening programme, the first round was rolled out over 4 years. After roll‐out, the planned faecal test recall procedure for individuals with either no or low risk adenomas at colonoscopy is 8 and 2 years, respectively. Here, we aimed to investigate the post colonoscopy colorectal cancer incidence in these two groups.
Methods
All Danish screening individuals from 2014 to 2015 with a positive faecal test and either no or low risk adenomas at colonoscopy were included and followed for 3 years post screening for the event of colorectal cancer through national registries.
Results
Out of 533,023 submitted faecal tests and 36,673 positive tests, 17,627 had no or low risk adenomas. We identified 60 (0.34%) individuals diagnosed with colorectal cancer within 3 years, 18 (0.29%) in the low risk adenoma group, and 42 (0.37%) in the no adenomas group (p = 0.44). Advancing age (HR = 1.079, p < 0.001) and higher faecal test value (HR = 1.001, p = 0.002) increased hazard of colorectal cancer occurrence, whereas male sex (HR = 1.3, p = 0.308) and having low risk adenomas (HR = 0.729, p = 0.264) did not.
Conclusion
We found no difference in post colonoscopy colorectal cancer occurrence between individuals with either no or low risk adenomas. Instead, advancing age and increased faecal test value was associated with a higher risk of post colonoscopy colorectal cancer.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/codi.15886</identifier><identifier>PMID: 34427981</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adenoma ; Adenoma - diagnosis ; Adenoma - epidemiology ; Adenoma - etiology ; Cancer screening ; Colonoscopy ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - diagnosis ; Colorectal Neoplasms - epidemiology ; Colorectal Neoplasms - etiology ; Early Detection of Cancer ; Humans ; interval cancer ; Male ; Mass Screening ; Medical screening ; Occult Blood ; Population studies ; Population-based studies ; Risk Factors ; screening ; Tumors</subject><ispartof>Colorectal disease, 2021-11, Vol.23 (11), p.2932-2936</ispartof><rights>2021 Association of Coloproctology of Great Britain and Ireland</rights><rights>2021 Association of Coloproctology of Great Britain and Ireland.</rights><rights>Copyright © 2021 The Association of Coloproctology of Great Britain and Ireland</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3936-92cfb7b2cee707106d82120c546136dd54068b64fcbb76edd6fc91d742c4fb863</citedby><cites>FETCH-LOGICAL-c3936-92cfb7b2cee707106d82120c546136dd54068b64fcbb76edd6fc91d742c4fb863</cites><orcidid>0000-0003-4358-7916 ; 0000-0002-4229-3994</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcodi.15886$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcodi.15886$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27925,27926,45575,45576</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34427981$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nielsen, Jesper Clausen</creatorcontrib><creatorcontrib>Ploug, Magnus</creatorcontrib><creatorcontrib>Baatrup, Gunnar</creatorcontrib><creatorcontrib>Kroijer, Rasmus</creatorcontrib><title>Risk of post colonoscopy colorectal cancer following screening colonoscopy with low‐risk or no adenomas: A population‐based study</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>Aim
In the Danish faecal occult blood test based bowel cancer screening programme, the first round was rolled out over 4 years. After roll‐out, the planned faecal test recall procedure for individuals with either no or low risk adenomas at colonoscopy is 8 and 2 years, respectively. Here, we aimed to investigate the post colonoscopy colorectal cancer incidence in these two groups.
Methods
All Danish screening individuals from 2014 to 2015 with a positive faecal test and either no or low risk adenomas at colonoscopy were included and followed for 3 years post screening for the event of colorectal cancer through national registries.
Results
Out of 533,023 submitted faecal tests and 36,673 positive tests, 17,627 had no or low risk adenomas. We identified 60 (0.34%) individuals diagnosed with colorectal cancer within 3 years, 18 (0.29%) in the low risk adenoma group, and 42 (0.37%) in the no adenomas group (p = 0.44). Advancing age (HR = 1.079, p < 0.001) and higher faecal test value (HR = 1.001, p = 0.002) increased hazard of colorectal cancer occurrence, whereas male sex (HR = 1.3, p = 0.308) and having low risk adenomas (HR = 0.729, p = 0.264) did not.
Conclusion
We found no difference in post colonoscopy colorectal cancer occurrence between individuals with either no or low risk adenomas. Instead, advancing age and increased faecal test value was associated with a higher risk of post colonoscopy colorectal cancer.</description><subject>Adenoma</subject><subject>Adenoma - diagnosis</subject><subject>Adenoma - epidemiology</subject><subject>Adenoma - etiology</subject><subject>Cancer screening</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - etiology</subject><subject>Early Detection of Cancer</subject><subject>Humans</subject><subject>interval cancer</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical screening</subject><subject>Occult Blood</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Risk Factors</subject><subject>screening</subject><subject>Tumors</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9vFCEYh4mxsX_04gcwJF5Mk2l5gWEYb83a2iZNmhg9EwYYncrCCDPZ7K0X7_2M_SSyu60xHsrl_R2e94HwQ-gtkBMo59REO5xALaV4gQ6AC1YBA_lym2klWyD76DDnW0JANCBfoX3GOW1aCQfo95ch_8Sxx2PMEzbRxxCzieN6m5Mzk_bY6GBcwn30Pq6G8B1nk5wLm_TvxmqYfuBCPNzdp6014RCxti7Epc4f8Vm5ZJy9noYYCtPp7CzO02zXr9Fer312bx7nEfp2cf51cVld33y-WpxdV4a1TFQtNX3XdNQ415AGiLCSAiWm5gKYsLbmRMhO8N50XSOctaI3LdiGU8P7Tgp2hD7svGOKv2aXJ7UcsnHe6-DinBWtBQfWyHaDvv8PvY1zCuV1iorykYzXAIU63lEmxZyT69WYhqVOawVEbcpRm3LUtpwCv3tUzt3S2b_oUxsFgB2wGrxbP6NSi5tPVzvpH407ngQ</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Nielsen, Jesper Clausen</creator><creator>Ploug, Magnus</creator><creator>Baatrup, Gunnar</creator><creator>Kroijer, Rasmus</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4358-7916</orcidid><orcidid>https://orcid.org/0000-0002-4229-3994</orcidid></search><sort><creationdate>202111</creationdate><title>Risk of post colonoscopy colorectal cancer following screening colonoscopy with low‐risk or no adenomas: A population‐based study</title><author>Nielsen, Jesper Clausen ; Ploug, Magnus ; Baatrup, Gunnar ; Kroijer, Rasmus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3936-92cfb7b2cee707106d82120c546136dd54068b64fcbb76edd6fc91d742c4fb863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adenoma</topic><topic>Adenoma - diagnosis</topic><topic>Adenoma - epidemiology</topic><topic>Adenoma - etiology</topic><topic>Cancer screening</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - etiology</topic><topic>Early Detection of Cancer</topic><topic>Humans</topic><topic>interval cancer</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical screening</topic><topic>Occult Blood</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Risk Factors</topic><topic>screening</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nielsen, Jesper Clausen</creatorcontrib><creatorcontrib>Ploug, Magnus</creatorcontrib><creatorcontrib>Baatrup, Gunnar</creatorcontrib><creatorcontrib>Kroijer, Rasmus</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nielsen, Jesper Clausen</au><au>Ploug, Magnus</au><au>Baatrup, Gunnar</au><au>Kroijer, Rasmus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of post colonoscopy colorectal cancer following screening colonoscopy with low‐risk or no adenomas: A population‐based study</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2021-11</date><risdate>2021</risdate><volume>23</volume><issue>11</issue><spage>2932</spage><epage>2936</epage><pages>2932-2936</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>Aim
In the Danish faecal occult blood test based bowel cancer screening programme, the first round was rolled out over 4 years. After roll‐out, the planned faecal test recall procedure for individuals with either no or low risk adenomas at colonoscopy is 8 and 2 years, respectively. Here, we aimed to investigate the post colonoscopy colorectal cancer incidence in these two groups.
Methods
All Danish screening individuals from 2014 to 2015 with a positive faecal test and either no or low risk adenomas at colonoscopy were included and followed for 3 years post screening for the event of colorectal cancer through national registries.
Results
Out of 533,023 submitted faecal tests and 36,673 positive tests, 17,627 had no or low risk adenomas. We identified 60 (0.34%) individuals diagnosed with colorectal cancer within 3 years, 18 (0.29%) in the low risk adenoma group, and 42 (0.37%) in the no adenomas group (p = 0.44). Advancing age (HR = 1.079, p < 0.001) and higher faecal test value (HR = 1.001, p = 0.002) increased hazard of colorectal cancer occurrence, whereas male sex (HR = 1.3, p = 0.308) and having low risk adenomas (HR = 0.729, p = 0.264) did not.
Conclusion
We found no difference in post colonoscopy colorectal cancer occurrence between individuals with either no or low risk adenomas. Instead, advancing age and increased faecal test value was associated with a higher risk of post colonoscopy colorectal cancer.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34427981</pmid><doi>10.1111/codi.15886</doi><tpages>0</tpages><orcidid>https://orcid.org/0000-0003-4358-7916</orcidid><orcidid>https://orcid.org/0000-0002-4229-3994</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Adenoma Adenoma - diagnosis Adenoma - epidemiology Adenoma - etiology Cancer screening Colonoscopy Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - diagnosis Colorectal Neoplasms - epidemiology Colorectal Neoplasms - etiology Early Detection of Cancer Humans interval cancer Male Mass Screening Medical screening Occult Blood Population studies Population-based studies Risk Factors screening Tumors |
| title | Risk of post colonoscopy colorectal cancer following screening colonoscopy with low‐risk or no adenomas: A population‐based study |
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