Evidence map›Paper›PMID 41686611›Full record

ArticleMedicine2026

Diagnostic performance of colonoscopy after positive FIT in National Cancer Screening Program.

Hyoung Il Choi, Yunjin Joanne Yum, Hyewon Yang, Hwarang Jo, Joo Young Oh, Segyu Yun, Jae Myung Cha

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

What it found

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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.

2 · The registry

The trial behind it

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Hyoung Il ChoiDepartment of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Republic of Korea.
Yunjin Joanne Yum
Hyewon Yang
Hwarang Jo
Joo Young Oh
Segyu Yun

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The National Cancer Screening Program of Korea provides an annual fecal immunochemical test (FIT) for adults aged ≥50 years. We evaluated the diagnostic performance of colonoscopy and the prevalence ratio (PR) of advanced neoplasia (AN) in participants with positive FIT results under the National Cancer Screening Program between 2007 and 2024. The PR of AN was compared between binary groups created based on age, sex, waiting time to colonoscopy, FIT cutoff value, and anemia. Among the 2445 participants with positive FIT results, 1237 (50.6%) underwent colonoscopy. The positive predictive values for non-AN, AN, and sessile serrated lesions were 31.2%, 15.4%, and 14.6%, respectively. The PR of AN was 1.8 times higher in males than in females (P < .001) and 1.9 times higher in the standard FIT cutoff group than in the low FIT cutoff group (P < .001). In the multivariable analysis, male sex (PR = 1.84, 95% confidence interval: 1.36-2.50) and FIT positivity based on the standard cutoff (PR = 1.86, 95% confidence interval: 1.33-2.61) were significantly associated with AN (both P < .001). ANs were more frequently detected in male participants and when the standard FIT cutoff value was used in FIT-based colorectal cancer screening. Given the low colonoscopy completion rate of only 50.6%, colonoscopy completion should be recommended, particularly for male participants and those with positive FIT results based on the standard cutoff value.

Indexed as

ColonoscopyColorectal NeoplasmsEarly Detection of CancerAgedFemaleHumansMaleMass ScreeningMiddle AgedOccult BloodPredictive Value of TestsRepublic of Koreacolonoscopycolorectal cancerfecal occult blood testmass screeningneoplasms

Identifiers

PMID41686611
PMCPMC12908794

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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.