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To quantify the association of self-reported lower gastrointestinal endoscopy usage measured in 2004/05 with colorectal cancer tumors (CRC) death changes over 2004-2015 in European countries. an environmental analysis ended up being done utilizing endoscopy utilization data from the research of wellness, the aging process, and pension in 11 countries in europe in 2004/05 and CRC death information through the World wellness company Mortality Database over 2004-2015. Death trends were compared through yearly