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medRxiv PreprintsInternational28 October 2026

Interval colorectal cancer risk by haemoglobin concentration in Australia's National Bowel Cancer Screening Program

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Background Interval colorectal cancers (CRCs) are an important measure of screening performance. We assessed interval CRC risk after negative faecal immunochemical testing (FIT), its association with faecal haemoglobin (f-Hb) concentration, and differences by age and sex in Australia s National Bowel Cancer Screening Program (NBCSP). Methods We conducted a population-based retrospective cohort study linking Queensland screening and cancer registry records for NBCSP participants aged 50-74 years screened in 2018-2022. Eligible episodes had f-Hb below 20 ug/g in both samples. We excluded episode
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