ArticleDeutsches Arzteblatt international2017
Complication Rates in Colonoscopy Screening for Cancer.
Article in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Pooled it
- Invitation to Screening Colonoscopy in the Population at Familial Risk for Colorectal Cancer.Deutsches Arzteblatt international · 2018Trial
- From "When" to "Ready": Preparing for Primary Colonoscopy in the Korean National Colorectal Cancer Screening Program.Journal of Korean medical science · 2026Article
- Colorectal Cancer Screening Among Immigrants.Deutsches Arzteblatt international · 2024Article
- A Focused Clinical Review of Lynch Syndrome.Cancer management and research · 2023Review
- Effects of Alternative Offers of Screening Sigmoidoscopy and Colonoscopy on Utilization and Yield of Endoscopic Screening for Colorectal Neoplasms: Protocol of the DARIO Randomized Trial.JMIR research protocols · 2020Article
- Splenic rupture as a rare and unpredicted complication in a patient with systemic lupus erythematosus after colonoscopy.BMJ case reports · 2019Article
- Grade III Spleen Laceration After a Colonoscopy Treated with Splenic Artery Embolization: A Case Report.Cureus · 2019Article
- Disparities in Utilization of Medical Specialists for Colonoscopy.Health equity · 2019Article
- Complications of Colonoscopy and its Management: A Single Gastroenterologist Experience.Middle East journal of digestive diseases · 2018Article
- Endoscopic Vacuum Therapy for Iatrogenic Rectal Perforation.Case reports in gastroenterologyArticle
- A Rapid Development of Post-Colonoscopy Appendicitis within Twelve Hours: A Case Report.Case reports in gastroenterologyArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScreening colonoscopy has been offered in Germany since 2002. Complications during colonoscopy were reported to be rare, but data on potential complications after colonoscopy are sparse. We aimed to comprehensively assess the frequency of complications arising during or within four weeks of screening colonoscopy.
methodsResidents of the German federal state of Saarland without a history of colorectal cancer and without previous polypectomy who underwent a screening colonoscopy between 2010 and 2013 were included. A follow-up was conducted three months after the screening colonoscopy, including participant questionnaires and subsequent validation of self-reported complications arising during or within four weeks of screening colonoscopy, by reviewing colonoscopy records and contacting the treating physicians. A comprehensive mortality follow-up was conducted for non-responders.
resultsWe recruited a total of 5527 participants from 26 practices (median age 61 years, 52% women). 5252 (95%) fully completed the questionnaire on complications and met the inclusion criteria for analysis. Among these participants, 16 cases of physician-confirmed bleeding (0.30%) and four cases of physician-confirmed perforation (0.08%) occurred during or within four weeks of colonoscopy. According to consistent reports from patients and physicians, bleeding and perforation led to hospitalization in 5 (0.095%) and 2 (0.04%) cases, respectively. Three participants died within three months of colo - noscopy. In none of these cases was the cause of death related to colonoscopy.
conclusionWe found the risk of complications of screening colonoscopy to be low, even when taking into account a potential delay of up to four weeks.
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