{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T22:27:30Z","timestamp":1749853650523,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,7,3]],"date-time":"2022-07-03T00:00:00Z","timestamp":1656806400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aim<\/jats:title><jats:p>Colonoscopy and fecal immunochemical test (FIT) are commonly used screening methods for the detection of colorectal cancer (CRC), but their effects on survival have not been compared. We compared survival outcomes in patients with CRC according to the exposure history to colonoscopy or FIT before diagnosis of CRC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a nationwide population\u2010based retrospective cohort study using Korean national\u2010insurance claims data. In total, 24\u00a0875 patients with CRC diagnosed in 2012 were included. The patients were divided into three groups in terms of examinations performed during the 10\u00a0years prior to CRC diagnosis: the colonoscopy group, the FIT group, and the never\u2010screened group. Survival outcomes were compared among the three groups. The colonoscopy group and FIT group were matched using propensity score\u2010matching method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort consisted of 9619 patients in the colonoscopy group, 6936 patients in the FIT group, and 8320 patients in the never\u2010screened group. The 5\u2010year overall survival rates were 74.1% in the colonoscopy group, 65.9% in the FIT group, and 59.6% in the never\u2010screened group (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). The adjusted hazard ratios for death were 0.56 (95% confidence interval [CI], 0.53\u20130.59) in the colonoscopy group and 0.78 (95% CI, 0.74\u20130.82) in the FIT group compared with the never\u2010screened group. In the matched cohort, the adjusted hazard ratios for death was 0.76 (95% CI, 0.72\u20130.81) in the colonoscopy group compared with the FIT group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Colonoscopy is a more effective method for reducing mortality in patients with CRC compared with FIT.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.15924","type":"journal-article","created":{"date-parts":[[2022,6,23]],"date-time":"2022-06-23T22:03:36Z","timestamp":1656021816000},"page":"1991-1997","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Colonoscopy decreases mortality in colorectal cancer patients compared with fecal immunochemical test"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4234-9270","authenticated-orcid":false,"given":"Soo\u2010Yoon","family":"Sung","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology, Eunpyeong St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0187-3842","authenticated-orcid":false,"given":"Hyun Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukil","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo Ram","family":"Park","sequence":"additional","affiliation":[{"name":"Big Data Department National Health Insurance Service"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Ki","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyung\u2010Keun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1537-3427","authenticated-orcid":false,"given":"Young\u2010Seok","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sang Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiun\u2010Suk","family":"Chae","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine The Catholic University of Korea  Seoul Republic of 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