Luo DP, Xu BT, Zhang H, He TF. Balancing early detection and over-screening: Evaluating colonoscopy's role in shaping colorectal cancer trends in Korea. World J Gastrointest Oncol 2025; 17(3): 102858 [DOI: 10.4251/wjgo.v17.i3.102858]
Corresponding Author of This Article
Di-Ping Luo, Associate Professor, Postdoctoral Fellow, Department of Vascular Surgery, Zhuji People's Hospital, No. 9 Jianmin Road, Taozhu Street, Zhuji 311800, Zhejiang Province, China. 15067520550@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Mar 15, 2025; 17(3): 102858 Published online Mar 15, 2025. doi: 10.4251/wjgo.v17.i3.102858
Balancing early detection and over-screening: Evaluating colonoscopy's role in shaping colorectal cancer trends in Korea
Di-Ping Luo, Bo-Tao Xu, Hui Zhang, Tie-Fei He
Di-Ping Luo, Tie-Fei He, Department of Vascular Surgery, Zhuji People's Hospital, Zhuji 311800, Zhejiang Province, China
Bo-Tao Xu, Department of Cardiothoracic Surgery, Zhuji People's Hospital, Zhuji 311800, Zhejiang Province, China
Hui Zhang, Department of Emergency Surgery, Zhuji People's Hospital, Zhuji 311800, Zhejiang Province, China
Author contributions: Luo DP was responsible for conceptualizing the study, drafting, reviewing, editing the manuscript, and leading the development of the study design to ensure the scientific rigor and feasibility of the research objectives and methods; Xu BT conducted the formal analysis, including data processing and statistical evaluation, ensuring the accuracy and reliability of the analytical results; Zhang H was responsible for designing the research methodology, developing the experimental procedures, and supervising the execution of data collection to ensure adherence to research standards; He TF drafted the initial manuscript, contributed to data collection and preliminary analysis, and provided critical insights into the interpretation of the results; all authors participated in drafting the manuscript, contributed to its content, read and approved the final version of the manuscript to be published.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Di-Ping Luo, Associate Professor, Postdoctoral Fellow, Department of Vascular Surgery, Zhuji People's Hospital, No. 9 Jianmin Road, Taozhu Street, Zhuji 311800, Zhejiang Province, China. 15067520550@163.com
Received: October 31, 2024 Revised: December 24, 2024 Accepted: January 2, 2025 Published online: March 15, 2025 Processing time: 106 Days and 19.9 Hours
Abstract
This study discusses the impact of the increasing use of colonoscopy on the trends of colorectal cancer (CRC) in Korea. Different views are raised on the research methods and conclusions of Kim et al. It emphasizes the need to carefully consider the balance between the benefits of early detection and the risks of over-screening. This letter also suggests directions for future research and policy considerations in the field of CRC screening and prevention in Korea.
Core Tip: This study meticulously examines the impact of increased colonoscopy use on colorectal cancer (CRC) trends in Korea, highlighting the critical balance between early detection and the risks of over-screening. It underscores the importance of age-specific screening guidelines and advocates for the integration of advanced technologies and personalized approaches in CRC screening strategies. The document emphasizes the need for ongoing research and policy development in the realm of CRC prevention and management, aligning with current trends in gastroenterology and oncology research.
