Evidence map›Paper›PMID 37793423›Full record

ArticleEndoscopy2023

Interval post-colonoscopy colorectal cancer following a negative colonoscopy in a fecal immunochemical test-based screening program.

Hilliene J van de Schootbrugge-Vandermeer, Arthur I Kooyker, Pieter H A Wisse, Iris D Nagtegaal, Hiltje A Geuzinge, Esther Toes-Zoutendijk, Lucie de Jonge, Emilie C H Breekveldt, Anneke J van Vuuren, Folkert J van Kemenade and 5 more

Abstract read
In one paragraph

Article in Endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Sex-Specific Outcomes after a Negative Colonoscopy in the Finnish Randomized Health Service Study during 2004 to 2016.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Trial
  2. Article
  3. Article
  4. Texture and Color Enhanced Imaging in the Diagnosis of Colonic Neoplasia: A Systematic Review and Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Hilliene J van de Schootbrugge-Vandermeer *Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-0543-4225
Arthur I Kooyker *Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0001-6324-0931
Pieter H A WisseDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Iris D NagtegaalDepartment of Pathology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Hiltje A GeuzingeDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Esther Toes-ZoutendijkDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0003-4001-2949
Lucie de JongeDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Emilie C H BreekveldtDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Anneke J van VuurenDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Folkert J van KemenadeDepartment of Pathology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Christian R B RamakersDepartment of Clinical Chemistry, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Evelien DekkerDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands.ORCID 0000-0002-4363-0745
Iris Lansdorp-VogelaarDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Manon C W Spaander *Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-9103-9757
Monique E van Leerdam *Department of Gastrointestinal Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the Dutch colorectal (CRC) screening program, fecal immunochemical test (FIT)-positive individuals are referred for colonoscopy. If no relevant findings are detected at colonoscopy, individuals are reinvited for FIT screening after 10 years. We aimed to assess CRC risk after a negative colonoscopy in FIT-positive individuals.

methodsIn this cross-sectional cohort study, data were extracted from the Dutch national screening information system. Participants with a positive FIT followed by a negative colonoscopy between 2014 and 2018 were included. A negative colonoscopy was defined as a colonoscopy during which no more than one nonvillous, nonproximal adenoma < 10 mm or serrated polyp < 10 mm was found. The main outcome was interval post-colonoscopy CRC (iPCCRC) risk. iPCCRC risk was reviewed against the risk of interval CRC after a negative FIT (FIT IC) with a 2-year screening interval.

results35 052 FIT-positive participants had a negative colonoscopy and 24 iPCCRCs were diagnosed, resulting in an iPCCRC risk of 6.85 (95 %CI 4.60-10.19) per 10 000 individuals after a median follow-up of 1.4 years. After 2.5 years of follow-up, age-adjusted iPCCRC risk was approximately equal to FIT IC risk at 2 years.

conclusionRisk of iPCCRC within a FIT-based CRC screening program was low during the first years after colonos-copy but, after 2.5 years, was the same as the risk in FIT-negative individuals at 2 years, when they are reinvited for screening. Colonoscopy quality may therefore require further improvement and FIT screening interval may need to be reduced after negative colonoscopy.

Indexed as

AdenomaColorectal NeoplasmsChild, PreschoolColonoscopyCross-Sectional StudiesEarly Detection of CancerFecesHumansMass ScreeningOccult Blood

Identifiers

PMID37793423
PMCPMC10684335

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.