Endoscopy International Open, Table of Contents CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(11): E1342-E1344DOI: 10.1055/a-2451-8572 Editorial Colonoscopy is not mammography: Challenges of applying the Duty of Candor Maddalena Menini 1 Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy (Ringgold ID: RIN9268) , Cesare Hassan 1 Endoscopy Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy (Ringgold ID: RIN9268) 2 Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy › Author Affiliations Recommend Article Abstract Keywords KeywordsEndoscopy Upper GI Tract - Endoscopy Lower GI Tract Refers to: Discharging the duty of candor following delayed post-endoscopy cancer diagnosisEndosc Int Open 2024; 12(11): E1345-E1348DOI: 10.1055/a-2459-1240 Full Text References References 1 Han C, Wu F, Xu J. Effectiveness of sigmoidoscopy or colonoscopy screening on colorectal cancer incidence and mortality: a systematic review and meta-analysis of randomized controlled trial. Front Oncol 2024; 14 2 Noh CK, Lee E, Lee GH. et al. Association of intensive endoscopic screening burden with gastric cancer detection. JAMA Netw Open 2021; 4: e2032542 3 Hamashima C. Benefits and harms of endoscopic screening for gastric cancer. World J Gastroenterol 2016; 22: 6385 4 Menon S, Trudgill N. How commonly is upper gastrointestinal cancer missed at endoscopy? A meta-analysis. Endosc Int Open 2014; 02: E46-E50 5 Zhao S, Wang S, Pan P. et al. Magnitude, risk factors, and factors associated with adenoma miss rate of tandem colonoscopy: A systematic review and meta-analysis. Gastroenterology 2019; 156: 1661-1674.e11 6 Juul FE, Cross AJ, Schoen RE. et al. Effectiveness of colonoscopy screening vs sigmoidoscopy screening in colorectal cancer. JAMA Netw Open 2024; 7: e240007 7 Anderson JC, Robinson CM, Hisey W. et al. Colonoscopy findings in FIT+ and mt-sDNA+ patients versus in colonoscopy-only patients: New Hampshire Colonoscopy Registry Data. Cancer Prev Res 2022; 15: 455-464 8 de Pierola LBF, Cubiella J, Mugica F. et al. Malignant colorectal polyps: Diagnosis, treatment and prognosis. In: Bustamante M. colonoscopy and colorectal cancer screening - future directions. London: InTech; 2013 9 Anderson R, Burr NE, Valori R. Causes of post-colonoscopy colorectal cancers based on World Endoscopy Organization system of analysis. Gastroenterology 2020; 158: 1287-1299.e2 10 Rutter MD, Beintaris I, Valori R. et al. World Endoscopy Organization Consensus Statements on Post-Colonoscopy and Post-Imaging Colorectal Cancer. Gastroenterology 2018; 155: 909-925.e3 11 Kaminski MF, Regula J, Kraszewska E. et al. Quality indicators for colonoscopy and the risk of interval cancer. N Engl J Med 2010; 362: 1795-1803 12 Robertson DJ, Lieberman DA, Winawer SJ. et al. Colorectal cancers soon after colonoscopy: a pooled multicohort analysis. Gut 2014; 63: 949-956 13 le Clercq CMC, Bouwens MWE, Rondagh EJA. et al. Postcolonoscopy colorectal cancers are preventable: a population-based study. Gut 2014; 63: 957-963 14 Alexandre L, Tsilegeridis-Legeris T, Lam S. Clinical and endoscopic characteristics associated with post-endoscopy upper gastrointestinal cancers: A systematic review and meta-analysis. Gastroenterology 2022; 162: 1123-1135 15 Wieszczy P, Regula J, Kaminski MF. Adenoma detection rate and risk of colorectal cancer. Best Pract Res Clin Gastroenterol 2017; 31: 441-446 16 Hassan C, Piovani D, Spadaccini M. et al. Variability in adenoma detection rate in control groups of randomized colonoscopy trials: a systematic review and meta-analysis. Gastrointest Endosc 2023; 97: 212-225.e7 17 Haghbin H, Zakirkhodjaev N, Aziz M. Withdrawal time in colonoscopy, past, present, and future, a narrative review. Transl Gastroenterol Hepatol 2023; 8: 19-19 18 Barclay RL, Vicari JJ, Doughty AS. et al. Colonoscopic withdrawal times and adenoma detection during screening colonoscopy. N Engl J Med 2006; 355: 2533-2541