Evidence map›Paper›PMID 41721101›Full record

Trial reportNature medicine2026

Colonoscopy and fecal immunochemical testing versus usual care in diagnostic colorectal cancer screening: the SCREESCO randomized controlled trial.

Marcus Westerberg, Jonas F Ludvigsson, Chris Metcalfe, Ulf Strömberg, Johannes Blom, Lars Engstrand, Mikael Hellström, Christian Löwbeer, Robert Steele, Lars Holmberg and 1 more

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
  2. Article
  3. European Cancer Prevention Organization on cancer screening: an expert panel position paper.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2026
    Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Marcus WesterbergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden. marcus.westerberg@uu.se.ORCID http://orcid.org/0000-0002-8906-6967
Jonas F LudvigssonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Chris MetcalfePopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Ulf StrömbergSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Johannes BlomDepartment of Surgery, Södersjukhuset, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-4938-6640
Lars EngstrandCentre for Translational Microbiome Research, Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, Solna, Sweden.
Mikael HellströmDepartment of Radiology, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.ORCID http://orcid.org/0000-0003-4031-332X
Christian LöwbeerDepartment of Laboratory Medicine, Division of Clinical Chemistry, Karolinska Institutet, Stockholm, Sweden.
Robert SteeleDepartment of Surgery, Population Health and Genomics, School of Medicine, University of Dundee, Ninewells Hospital, Dundee, UK.
Lars HolmbergDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Anna ForsbergDivision of Clinical Epidemiology, Department of Medicine K2, Solna, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-7048-3357

Funding

Cancerfonden (Swedish Cancer Society) 2018/595 and 2021/1628Svenska Läkaresällskapet (Swedish Society of Medicine) Ihre Foundation, SLS-961166
6 · The paper itself

Abstract

There is a need to quantify the benefits and harms of colorectal cancer (CRC) screening using primary colonoscopy or fecal immunochemical testing (FIT) compared with usual care with no screening. Guidelines recommend screening in individuals aged 50-75 years using colonoscopy or FIT, and many screening programs use one-sample biennial FIT. Here we compare incidence of diagnosed CRCs and gastrointestinal and cardiovascular events between screening and usual care during the diagnostic phase of the SCREESCO trial. A randomized block method (no masking) assigned 278,280 individuals aged 60 years to once-only colonoscopy, 2 rounds of two-stool FIT with a low cutoff (10 μg g

Indexed as

ColonoscopyColorectal NeoplasmsEarly Detection of CancerFecesAgedFemaleHumansIncidenceMaleMass ScreeningMiddle AgedOccult Blood

Identifiers

PMID41721101
PMCPMC13099434

What OpenQuestion holds

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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.