Table 2.
Overview of randomized controlled trials on impact of CRC screening: results on all-cause and CRC-specific mortality (Intention-to-screen analyses a).
Studies | Screening Group | Control Group | All-Cause Mortality Rate Ratio (95 CI%) b |
CRC-Specific Mortality Rate Ratio (95 CI%) b |
||||
---|---|---|---|---|---|---|---|---|
All-Cause Deaths | CRC-Specific Deaths | Total Person-Years of Observation | All-Cause Deaths | CRC-Specific Deaths | Total Person-Years of Observation | |||
FOBT | ||||||||
A Shaukat 2013 [52] | 22,076 | 437 | 951,047 | 10,944 | 295 | 469,897 | 1.00 (0.97, 1.02) | 0.73 (0.63, 0.85) |
A Shaukat 2021 [51] | 22,474 | 786 | 605,023 | 22,535 | 851 | 603,953 | 1.00 (0.98, 1.01) | 0.92 (0.84, 1.02) |
E Lindholm 2008 [54] | 10,591 | 252 | 471,072 | 10,432 | 300 | 471,980 | 1.02 (0.99, 1.04) | 0.84 (0.71, 1.00) |
J H Scholefield 2012 [49] | 40,681 | 1176 | 1,296,712 | 40,550 | 1300 | 1,296,614 | 1.00 (0.99, 1.02) | 0.90 (0.84, 0.98) |
J Pitkäniemi 2015 [56] | 8000 | 170 | 805,480 | 7963 | 164 | 805,693 | 1.00 (0.97, 1.04) | 1.04 (0.84, 1.28) |
Meta-analysis: | ||||||||
No. of studies | 5 | 5 | ||||||
Pooled estimate | 1.00 (0.99, 1.01) | 0.88 (0.80, 0.96) | ||||||
Test for overall effect: P | 0.65 | 0.005 | ||||||
Heterogeneity: I2 (%)/Tau2/P | 0/0.00/0.74 | 59/0.01/0.04 | ||||||
FS | ||||||||
E Thiis-Evensen 2013 [57] | 188 | 1 | 8441 | 151 | 7 | 8997 | 1.33 (1.07, 1.64) | 0.15 (0.02, 1.24) |
C Senore 2022 [50] | 3062 | 122 | 296,730 | 3155 | 157 | 295,013 | 0.96 (0.92, 1.01) | 0.77 (0.61, 0.98) |
P F Pinsky 2019 [55] | 22,562 | 416 | 1,234,900 | 22,652 | 546 | 1,222,450 | 0.99 (0.97, 1.00) | 0.75 (0.66, 0.86) |
W Atkin 2017 [48] | 13,279 | 353 | 902,198 | 26,409 | 996 | 1,780,738 | 0.99 (0.97, 1.01) | 0.70 (0.62, 0.79) |
Ø Holme 2018 [53] | 3809 | 122 | 291,075 | 13,433 | 530 | 1,114,581 | 1.09 (1.05, 1.13) | 0.88 (0.72, 1.07) |
Meta-analysis: | ||||||||
No. of studies | 5 | 5 | ||||||
Pooled estimate | 1.02 (0.97, 1.06) | 0.76 (0.68, 0.84) | ||||||
Test for overall effect: P | 0.46 | <0.001 | ||||||
Heterogeneity: I2 (%)/Tau2/P | 88/0.00/<0.001 | 35/0.00/0.19 |
a Intention-to-screen analyses: including all individuals as randomized. Not be adjusted by compliance. b Control group was used as the reference.