Colonoscopy Delay Up to 24 Months After Positive FIT Not Tied to Added CRC Risk (Medscape)

A large French cohort study found that delays of up to 24 months after a positive fecal immunochemical test (FIT) were not associated with higher risks of colorectal cancer, advanced CRC, or advanced adenomas compared with colonoscopy at 2–3 months. Risk was instead driven by fecal hemoglobin level, with very high values conferring sharply elevated CRC risk. The authors argue screening programs should prioritize ensuring colonoscopy completion over strict timing targets.