Table 3.
Risk of incident polyp by type in patients with IBD [n = 41 880] and matched general population comparators [n = 41 880], UC [n = 29 030] and matched general population comparators [n = 29 030], and CD [n = 12 850] and matched general population comparators [n = 12 850].
| Group | IBD | UC | CD | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N events [%] | Incidence rate [95% CI] per 10 000 person-years | aHRa [95% CI] | No. of events [%] | Incidence rate [95% CI] per 10 000 person-years | aHRa [95%CI] | No. of events [%] | Incidence rate [95% CI] per 10 000 person years | aHRa [95% CI] | |||||||
| IBD | Ref | IBD | Ref | UC | Ref | UC | Ref | CD | Ref | CD | Ref | ||||
| Any polyp | 1648 [3.9%] | 1143 [2.7%] | 46.1 [43.9–48.3] | 34.2 [32.2–36.2] | 1.23 [1.12–1.35] | 1241 [4.3%] | 820 [2.8%] | 50.9 [48.1–53.7] | 35.6 [33.1–38.0] | 1.31 [1.17–1.46] | 407 [3.2%] | 323 [2.5%] | 35.7 [32.3–39.2] | 31.2 [27.8–34.6] | 1.06 [0.89–1.27] |
| Tubular adenoma | 1241 [3.0%] | 885 [2.1%] | 34.5 [32.6–36.4] | 26.4 [24.6–28.1] | 1.19 [1.06–1.33] | 926 [3.2%] | 633 [2.2%] | 37.7 [35.3–40.2] | 27.3 [25.2–29.5] | 1.25 [1.09–1.42] | 315 [2.5%] | 252 [2.0%] | 27.5 [24.5–30.6] | 24.2 [21.3–27.2] | 1.06 [0.86–1.30] |
| Sessile serrated polyps | 16 [0.0%] | 4 [0.0%] | 0.4 [0.2–0.6] | 0.1 [0.0–0.2] | 8.50 [1.10–65.90] | 12 [0.0%] | 3 [0.0%] | 0.5 [0.2–0.7] | 0.1 [–0.0–0.3] | 6.13 [0.63–59.66] | 4 [0.0%] | 1 [0.0%] | 0.3 [0.0–0.7] | 0.1 [−0.1 to 0.3] | — |
| Polyp unspecified with LGD | 40 [0.1%] | 12 [0.0%] | 1.1 [0.8–1.4] | 0.4 [0.2–0.6] | 2.09 [0.97–4.49] | 35 [0.1%] | 12 [0.0%] | 1.4 [0.9–1.9] | 0.5 [0.2–0.8] | 1.67 [0.75–3.71] | 5 [0.0%] | 0 | 0.4 [0.1–0.8] | 0.0 [0.0–0.0] | — |
| Any advanced polyp | 544 [1.3%] | 381 [0.9%] | 14.9 [13.7–16.2] | 11.2 [10.1–12.4] | 1.18 [1.00–1.39] | 428 [1.5%] | 269 [0.9%] | 17.2 [15.6–18.9] | 11.5 [10.1–12.9] | 1.38 [1.13–1.68] | 116 [0.9%] | 112 [0.9%] | 10.0 [8.2–11.9] | 10.7 [8.7–12.7] | 0.79 [0.57–1.09] |
| Sessile serrated poyps with LGD | 8 [0.0%] | 3 [0.0%] | 0.2 [0.1–0.4] | 0.1 [–0.0–0.2] | 8.27 [0.59–116.09] | 7 [0.0%] | 2 [0.0%] | 0.3 [0.1–0.5] | 0.1 [–0.0–0.2] | 8.73 [0.46–166.97] | 1 [0.0%] | 1 [0.0%] | 0.1 [−0.1 to 0.3] | 0.1 [−0.1 to 0.3] | — |
| Sessile serrated polyps with HGD | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | – | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — |
| Traditional serrated adenomas | 74 [0.2%] | 37 [0.1%] | 2.0 [1.6–2.5] | 1.1 [0.7–1.4] | 1.72 [1.02–2.91] | 58 [0.2%] | 23 [0.1%] | 2.3 [1.7–2.9] | 1.0 [0.6–1.4] | 2.64 [1.34–5.19] | 16 [0.1%] | 14 [0.1%] | 1.4 [0.7–2.1] | 1.3 [0.6–2.0] | 0.76 [0.31–1.86] |
| Traditional serrated adenomas with LGD | 23 [0.1%] | 12 [0.0%] | 0.6 [0.4–0.9] | 0.4 [0.2–0.6] | 1.76 [0.69–4.50] | 17 [0.1%] | 8 [0.0%] | 0.7 [0.4–1.0] | 0.3 [0.1–0.6] | 2.35 [0.74–7.52] | 6 [0.0%] | 4 [0.0%] | 0.5 [0.1–0.9] | 0.4 [0.0–0.8] | 0.84 [0.13–5.60] |
| Traditional serrated adenomas with HGD | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — |
| Tubulovillous | 437 [1.0%] | 315 [0.8%] | 12.0 [10.9–13.1] | 9.3 [8.3–10.3] | 1.13 [0.94–1.36] | 341 [1.2%] | 226 [0.8%] | 13.7 [12.2–15.2] | 9.6 [8.4–10.9] | 1.28 [1.03–1.58] | 96 [0.7%] | 89 [0.7%] | 8.3 [6.6–10.0] | 8.5 [6.7–10.3] | 0.82 [0.58–1.17] |
| Tubulovillous with HGD | 24 [0.1%] | 20 [0.0%] | 0.7 [0.4–0.9] | 0.6 [0.3–0.8] | 1.66 [0.75–3.70] | 19 [0.1%] | 16 [0.1%] | 0.8 [0.4–1.1] | 0.7 [0.3–1.0] | 1.93 [0.75–4.95] | 5 [0.0%] | 4 [0.0%] | 0.4 [0.1–0.8] | 0.4 [0.0–0.8] | 1.05 [0.21–5.28] |
| Villous | 35 [0.1%] | 28 [0.1%] | 1.0 [0.6–1.3] | 0.8 [0.5–1.1] | 1.41 [0.71–2.81] | 30 [0.1%] | 17 [0.1%] | 1.2 [0.8–1.6] | 0.7 [0.4–1.1] | 2.15 [0.89–5.16] | 5 [0.0%] | 11 [0.1%] | 0.4 [0.1–0.8] | 1.0 [0.4–1.7] | 0.67 [0.19–2.36] |
| Villous with HGD | 3 [0.0%] | 1 [0.0%] | 0.1 [–0.0–0.2] | 0.0 [−0.0 to 0.1] | — | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — | 3 [0.0%] | 1 [0.0%] | 0.3 [−0.0 to 0.6] | 0.1 [−0.1 to 0.3] | — |
| Tubulous with HGD | 21 [0.1%] | 25 [0.1%] | 0.6 [0.3–0.8] | 0.7 [0.4–1.0] | 0.54 [0.22–1.33] | 19 [0.1%] | 21 [0.1%] | 0.8 [0.4–1.1] | 0.9 [0.5–1.3] | 0.68 [0.26–1.80] | 2 [0.0%] | 4 [0.0%] | 0.2 [−0.1 to 0.4] | 0.4 [0.0–0.8] | 0.00 [0.00–.] |
| Polyp unspecified with HGD | 3 [0.0%] | 0 | 0.1 [–0.0–0.2] | 0.0 [0.0–0.0] | — | 3 [0.0%] | 0 | 0.1 [−0.0 to 0.3] | 0.0 [0.0–0.0] | – | 0 | 0 | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — |
aAdjusted for age, sex, calendar period, and number of endoscopies at baseline.