May 8, 2026 · Lancet (London, England) · DOI: 10.1016/S0140-6736(26)00508-8

Long-term effects of colonoscopy screening on colorectal cancer incidence and mortality: a multicountry, population-based randomised controlled trial

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This study aimed to evaluate the long-term effects of colonoscopy screening on colorectal cancer incidence and mortality over a 13-year follow-up period. The results indicated that screening significantly reduced the incidence of colorectal cancer but did not show a corresponding reduction in mortality, with both groups experiencing lower-than-expected mortality rates. The findings suggest that while colonoscopy screening is effective in lowering cancer incidence, its impact on mortality may be less pronounced than anticipated.

Michal F Kaminski, Mette Kalager, Magnus Løberg, Louise Emilsson, Anna Macios, Faye Samy, Joy Shi, Shona Fielding, Miguel A Hernán, Kjetil Garborg, Maciej Rupinski, Evelien Dekker, Manon Spaander, Øyvind Holme, Ann G Zauber, Nastazja D Pilonis, Joanna Didkowska, Piotr Spychalski, Geir Hoff, Jaroslaw Regula, Hans-Olov Adami, Michael Bretthauer, NordICC Study Group*

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