Evidence map›Paper›PMID 41715250›Full record

Trial reportUnited European gastroenterology journal2026

Sex- and Age-Stratified Outcomes of Colonoscopy Versus Faecal Immunochemical Testing: Post-Analysis of the COLONPREV Study.

Antoni Castells, Enrique Quintero, Miquel Serra-Burriel, Luis Bujanda, Susana Castán-Cameo, Joaquín Cubiella, José Díaz-Tasende, Ángel Lanas, Akiko Ono, Blanca Coll-Vinent and 8 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in United European gastroenterology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00906997 (Colorectal Cancer Screening in Average-risk Population), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT00906997 nacompletednot on this map

Colorectal Cancer Screening in Average-risk Population: a Multicenter, Randomized Control Trial Comparing Immunochemical Fecal Occult Blood Testing Versus Colonoscopy.

TypeinterventionalSponsorHospital Clinic of BarcelonaRan2008 to 2021Enrolled55,498ConditionsColorectal Cancer, Colorectal NeoplasmArmsImmunochemical fecal occult blood test, Colonoscopy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Effective Colorectal Cancer Screening-Adherence is Key.United European gastroenterology journal · 2026
    Article
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

18 authors.

Antoni CastellsDepartment of Gastroenterology, Hospital Clínic of Barcelona, IDIBAPS, Centro de Investigación Biomédica en Red en Enfermedades Hepáticas y Digestivas (CIBERehd), University of Barcelona, Barcelona, Spain.
Enrique QuinteroDepartment of Gastroenterology, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas, Universidad de La Laguna, Tenerife, Spain.
Miquel Serra-BurrielEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0001-8595-1224
Luis BujandaDepartment of Hepatology and Gastroenterology, Biogipuzkoa Health Research Institute - Donostia University Hospital, Universidad del País Vasco (UPV/EHU), CIBERehd, San Sebastián, Spain.
Susana Castán-CameoGeneral Directorate of Public Health, Regional Ministry of Health, Valencia, Spain.
Joaquín CubiellaDepartment of Gastroenterology, Hospital Universitario de Ourense, Grupo de Investigación en Oncología Digestiva-Ourense, CIBERehd, Ourense, Spain.
José Díaz-TasendeDepartment of Gastroenterology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Ángel LanasDepartment of Gastroenterology, University of Zaragoza, IIS Aragón, CIBERehd, Zaragoza, Spain.
Akiko OnoDepartment of Gastroenterology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Blanca Coll-VinentEmergency Department, Hospital Clínic of Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain.
Eladio Frías-ArrochaDepartment of Gastroenterology, Hospital Universitario de Canarias, Instituto Universitario de Tecnologías Biomédicas, Universidad de La Laguna, Tenerife, Spain.
Cristina HernándezDepartment of Epidemiology and Evaluation, Hospital del Mar Research Institute, Barcelona, Spain.
Rodrigo JoverGastroenterology Unit, Hospital General Universitario de Alicante, Alicante, Spain.
Montserrat AndreuDepartment of Gastroenterology, Hospital del Mar Research Institute, Barcelona, Spain.ORCID https://orcid.org/0000-0003-4286-1098
Fernando CarballoDepartment of Gastroenterology, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain.
Juan Diego MorillasDepartment of Gastroenterology, Hospital Clínico San Carlos, Madrid, Spain.
Dolores SalasGeneral Directorate of Public Health, Regional Ministry of Health, Valencia, Spain.
COLONPREV study investigators

Funding

Fundación Científica Asociación Española Contra el Cáncer AECC07185Fundación Científica Asociación Española Contra el Cáncer GCB13131592CASTInstituto de Salud Carlos III PI08/90717
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) screening is effective and cost-effective in average-risk individuals. The COLONPREV study recently showed that individuals invited to a faecal immunochemical test (FIT) were more likely to participate in screening than those invited to colonoscopy, and that FIT-based screening was non-inferior to colonoscopy with respect to CRC-related mortality and CRC incidence.

objectiveTo assess whether the outcomes of colonoscopy- and FIT-based screening differ according to sex and age in the invited population.

methodsPresumptively healthy men and women aged 50-69 years were randomised to either a one-time screening colonoscopy or biennial FIT. In this analysis, we report participation and crossover rates, CRC-related mortality, CRC incidence, all-cause mortality, and diagnostic yield for both screening strategies, stratified by sex and by age group (50-59 and 60-69 years).

resultsThe eligible population consisted of 26,332 individuals assigned to colonoscopy and 26,719 assigned to FIT. As expected, participation and crossover rates were higher in women than in men and in older individuals compared with younger individuals. Participation was also consistently higher in those invited to FIT screening than in those assigned to colonoscopy across both sexes and age groups. The observed reductions in CRC-related mortality and CRC incidence, which were consistent across both screening strategies, were independent of sex or age. However, CRC-related mortality, all-cause mortality, and CRC incidence remained higher in men and older participants than in women and younger participants. Colonoscopy screening showed a higher diagnostic yield of premalignant precursor lesions across all demographic subgroups.

conclusionParticipation and reductions in CRC-related mortality and incidence were consistent across sex and age groups for both FIT- and colonoscopy-based screening strategies. The higher baseline risk observed in men could not be fully mitigated by screening.

trial registrationClinicalTrials.gov: NCT00906997.

Indexed as

ColonoscopyColorectal NeoplasmsEarly Detection of CancerMass ScreeningOccult BloodAgedAge FactorsFecesFemaleHumansIncidenceMaleMiddle AgedSex Factors

Identifiers

PMID41715250
PMCPMC12920682

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Registered trials

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.