Evidence map›Paper›PMID 41998115›Full record

ArticleScientific reports2026

Sequential invitations to FOBT screening and colorectal cancer incidence.

Xiaoqin Wang, Hanna Ribbing Wilén, Rachael V Phillips, Zeyi Wang, Mark J van der Laan, Li Yin, Johannes Blom

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

7 authors.

Xiaoqin WangDepartment of Electrical Engineering, Mathematics and Science, University of Gävle, Gävle, Sweden.
Hanna Ribbing WilénDepartment of Emergency Surgery, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Rachael V PhillipsDivision of Biostatistics, School of Public Health, University of California at Berkeley, Berkeley, CA, USA.
Zeyi WangDivision of Biostatistics, School of Public Health, University of California at Berkeley, Berkeley, CA, USA.
Mark J van der LaanDivision of Biostatistics, School of Public Health, University of California at Berkeley, Berkeley, CA, USA.
Li YinDepartment of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.
Johannes BlomDepartment of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden. johannes.blom@ki.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of different sequences of invitations to Faecal Occult Blood Test (FOBT) screening regarding colorectal cancer (CRC) incidence has never been evaluated. In 2008-2012, all residents in Stockholm-Gotland, Sweden, born 1938-1954, were randomly assigned by birth year to different calendar years of invitation to guaiac-based FOBT (g) or Faecal Immunochemical Test (f) screening at 60-69 years (1-5 rounds), or not (0). Linkage was made to the national Cancer- and Cause of Death Registers on CRC diagnosis and mortality 1958-2020, and the Swedish Colorectal Cancer Register regarding stage. Follow-up started age 60 and CRC incidence, calculated per 100,000 person-years, was assessed during screening (age 60-69) and post screening (age 70-73). Stage I-II and III-IV was assessed post screening. 364,668 individuals were included. During screening, incidence rate ratio was significantly higher in sequences (0, g, g, g, g) (RR 1.25, 95% CI 1.09-1.43), (g, g, g, g, f) (RR 1.17, 95% CI 1.01-1.35), and (g, g, f, f, f) (RR 1.14, 95% CI 1.01-1.29). Post screening, the largest decrease was seen in sequences (g, g, g, g, f) and (g, g, g, f, f), RR 0.65, 95%, CI 0.47-0.90, and RR 0.53, 95% CI 0.30-0.94, respectively. There was an overall decreasing trend along sequences from (0, 0, 0, 0, g) to (g, g, f, f, f) post screening and both stages I-II and III-IV (p < 0.001). We could demonstrate a decreased CRC incidence post screening proportional to the number of invitations with implications for future modeling studies and risk-based screening strategies.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerMass ScreeningOccult BloodAgedFemaleHumansIncidenceMaleMiddle AgedSweden

Identifiers

PMID41998115
PMCPMC13090354

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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.