Would screening improve the outcomes or just create more patients getting unnecessary treatment?
Catching colorectal cancer at an early stage improves survival rates tremendously. You have to weigh the risk of complications from the colonoscopy (primarily bowel perforation) with the improved outcomes. There's a cost element as well, since colonoscopies (without complications) can be several thousand dollars.
Yes, colorectal cancer screening is estimated to reduce colorectal cancer mortality by 50% to 73%.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10093633/
https://www.nejm.org/doi/full/10.1056/NEJMoa2208375
Progressive screening using non-invasive assays like Cologuard and FIT is a valuable screening mode. The non-invasive assays are not perfect but they are improving.