June 10, 2026 · Gut · DOI: 10.1136/gutjnl-2026-338896

Colonoscopy versus biennial FIT screening: a post hoc sustained-strategy analysis of the COLONPREV Trial

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The authors aimed to compare the 10-year risks of colorectal cancer (CRC) mortality, incidence, and all-cause mortality between one-time colonoscopy and sustained biennial fecal immunochemical testing (FIT) in the COLONPREV Trial. Their analysis revealed similar risks for CRC incidence and all-cause mortality between the two screening strategies, while colonoscopy showed a lower but imprecise estimate for CRC mortality. The findings underscore the significance of adherence in interpreting outcomes from pragmatic screening trials.

Antoni Castells, Enrique Quintero, Hongruyu Chen, Luis Bujanda, Susana Castán-Cameo, Joaquín Cubiella, José Díaz-Tasende, Ángel Lanas, Akiko Ono, Miquel Serra-Burriel, COLONPREV Study Investigators

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