Screening colonoscopy

Intervention1 paper5 findings

  • Humans1

Outcomes

1

Mortality

no changein humans1HR 1.01Low certainty

1 study
  1. Screening colonoscopy has no effect on mortality in humans (HR 1.01, 95% CI 0.97–1.05).

    HumansColorectal cancer screening encounter; propensity-matched comparison5 years

    Colonoscopy linked to more cancer detection in older adults · JGH open : an open access journal of gastroenterology and hepatology · 4 Oct 2026

Associations

4

Gastrointestinal bleeding

downin humans1HR 0.9Low certainty

1 study
  1. Screening colonoscopy is associated with gastrointestinal bleeding in humans (HR 0.90, 95% CI 0.84–0.97).

    HumansColorectal cancer screening encounter; propensity-matched comparison1 year

    Colonoscopy linked to more cancer detection in older adults · JGH open : an open access journal of gastroenterology and hepatology · 4 Oct 2026

Gastrointestinal bleeding →

Perforation

upin humans1HR 1.29Low certainty

1 study
  1. Screening colonoscopy is associated with perforation in humans (HR 1.29, 95% CI 1.02–1.63).

    HumansColorectal cancer screening encounter; propensity-matched comparison5 years

    Colonoscopy linked to more cancer detection in older adults · JGH open : an open access journal of gastroenterology and hepatology · 4 Oct 2026

Perforation →

Colorectal cancer detection

upin humans1HR 1.78Low certainty

1 study
  1. Screening colonoscopy is associated with colorectal cancer detection in humans (HR 1.78, 95% CI 1.59–1.98).

    HumansColorectal cancer screening encounter; propensity-matched comparison5 years

    Colonoscopy linked to more cancer detection in older adults · JGH open : an open access journal of gastroenterology and hepatology · 4 Oct 2026

Polyp detection

upin humans1HR 1.88Low certainty

1 study
  1. Screening colonoscopy is associated with polyp detection in humans (HR 1.88, 95% CI 1.82–1.95).

    HumansColorectal cancer screening encounter; propensity-matched comparison5 years

    Colonoscopy linked to more cancer detection in older adults · JGH open : an open access journal of gastroenterology and hepatology · 4 Oct 2026

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JGH OpenHumans

Colonoscopy linked to more cancer detection in older adults

Five-year cancer detection was higher with colonoscopy than with no early colonoscopy: the hazard ratio, comparing event rates over time, was 1.78…Five-year cancer detection was higher with colonoscopy than with no early colonoscopy: the hazard ratio, comparing event rates over time, was 1.78; overall mortality was unchanged.