Table 4.
Risk of any polyp overall and by subgroups in patients with IBD, UC and CD, and matched general population comparators.
| IBD | UC | CD | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Group | 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] | 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 | ||||
| Overall | 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] |
| Follow-up | |||||||||||||||
| 0 to <1 year | 202 [0.5%] | 267 [0.6%] | 49.9 [43.0–56.8] | 68.4 [60.2–76.6] | 0.72 [0.58–0.89] | 151 [0.5%] | 196 [0.7%] | 53.9 [45.3–62.5] | 72.5 [62.3–82.6] | 0.73 [0.57–0.93] | 51 [0.4%] | 71 [0.6%] | 40.9 [29.7–52.2] | 59.2 [45.5–73.0] | 0.70 [0.46–1.04] |
| 1 to <5 years | 506 [1.3%] | 371 [1.0%] | 38.6 [35.3–42.0] | 30.1 [27.0–33.1] | 1.13 [0.95–1.34] | 382 [1.4%] | 261 [1.0%] | 42.2 [38.0–46.4] | 30.4 [26.7–34.1] | 1.23 [1.01–1.50] | 124 [1.0%] | 110 [1.0%] | 30.7 [25.3–36.0] | 29.3 [23.8–34.7] | 0.91 [0.66–1.25] |
| 5 to <10 years | 482 [1.8%] | 280 [1.1%] | 46.9 [42.7–51.1] | 29.4 [25.9–32.8] | 1.54 [1.27–1.87] | 362 [2.0%] | 205 [1.2%] | 51.1 [45.8–56.3] | 30.8 [26.6–35.1] | 1.64 [1.31–2.06] | 120 [1.4%] | 75 [1.0%] | 37.7 [30.9–44.4] | 26.0 [20.2–31.9] | 1.30 [0.91–1.87] |
| 10 to <20 years | 407 [2.7%] | 203 [1.5%] | 55.8 [50.3–61.2] | 30.6 [26.4–34.8] | 1.82 [1.44–2.30] | 307 [3.0%] | 148 [1.6%] | 63.2 [56.1–70.3] | 32.7 [27.4–38.0] | 1.92 [1.44–2.56] | 100 [2.1%] | 55 [1.3%] | 40.9 [32.9–48.9] | 25.9 [19.1–32.8] | 1.66 [1.11–2.48] |
| ≥20 years | 51 [2.3%] | 22 [1.1%] | 48.7 [35.3–62.1] | 22.5 [13.1–31.9] | 2.60 [1.24–5.46] | 39 [3.1%] | 10 [0.8%] | 67.6 [46.4–88.9] | 17.0 [6.5–27.6] | 5.77 [1.74–19.10] | 12 [1.3%] | 12 [1.5%] | 25.5 [11.1–40.0] | 30.7 [13.3–48.1] | 1.03 [0.35–3.03] |
| ≥1 year | 1 446 [3.7%] | 876 [2.4%] | 45.6 [43.2–47.9] | 29.7 [27.7–31.7] | 1.42 [1.27–1.59] | 1 090 [4.0%] | 624 [2.4%] | 50.5 [47.5–53.5] | 30.7 [28.3–33.1] | 1.53 [1.35–1.75] | 356 [3.0%] | 252 [2.2%] | 35.1 [31.4–38.7] | 27.5 [24.1–30.9] | 1.19 [0.97–1.45] |
| Sex | |||||||||||||||
| Females | 742 [3.3%] | 552 [2.4%] | 36.9 [34.2–39.5] | 29.0 [26.6–31.4] | 1.19 [1.04–1.37] | 525 [3.4%] | 373 [2.4%] | 39.6 [36.2–43.0] | 29.6 [26.6–32.6] | 1.20 [1.01–1.41] | 217 [2.9%] | 179 [2.4%] | 31.5 [27.3–35.7] | 27.8 [23.8–31.9] | 1.20 [0.95–1.51] |
| Males | 906 [4.7%] | 591 [3.1%] | 58.0 [54.2–61.7] | 41.2 [37.9–44.5] | 1.26 [1.10–1.45] | 716 [5.2%] | 447 [3.3%] | 64.4 [59.6–69.1] | 42.9 [38.9–46.8] | 1.41 [1.20–1.64] | 190 [3.6%] | 144 [2.7%] | 42.2 [36.2–48.1] | 36.8 [30.8–42.8] | 0.89 [0.67–1.19] |
| Age | |||||||||||||||
| <18 years | 2 [0.4%] | 1 [0.2%] | 4.5 [0.0–10.7] | 2.7 [0.0–8.1] | — | 2 [0.7%] | 1 [0.4%] | 7.7 [0.0–18.3] | 4.5 [0.0–13.2] | 6212.37 [0.00] | [0.0%] | [0.0%] | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — |
| 18 to <40 years | 185 [1.5%] | 91 [0.7%] | 17.2 [14.7–19.7] | 9.3 [7.4–11.2] | 1.40 [1.02–1.92] | 131 [1.6%] | 62 [0.7%] | 18.8 [15.5–22.0] | 9.6 [7.2–12.0] | 1.37 [0.93–2.04] | 54 [1.3%] | 29 [0.7%] | 14.3 [10.5–18.1] | 8.8 [5.6–12.0] | 1.44 [0.84–2.47] |
| 40 to <60 years | 776 [5.0%] | 504 [3.3%] | 51.4 [47.8–55.0] | 35.7 [32.6–38.9] | 1.32 [1.14–1.52] | 581 [5.4%] | 351 [3.3%] | 56.1 [51.5–60.6] | 35.9 [32.1–39.6] | 1.40 [1.18–1.67] | 195 [4.2%] | 153 [3.3%] | 41.2 [35.4–47.0] | 35.4 [29.8–41.0] | 1.15 [0.89–1.48] |
| ≥60 years | 685 [5.1%] | 547 [4.1%] | 72.4 [67.0–77.8] | 59.7 [54.7–64.6] | 1.10 [0.95–1.28] | 527 [5.5%] | 406 [4.2%] | 77.8 [71.2–84.5] | 61.6 [55.6–67.6] | 1.17 [0.99–1.39] | 158 [4.2%] | 141 [3.7%] | 58.7 [49.5–67.8] | 54.6 [45.6–63.6] | 0.89 [0.65–1.20] |
| Year of IBD onset/index year | |||||||||||||||
| 1969–1976 | 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 [0.0–0.0] | — |
| 1977–1990 | 98 [5.8%] | 77 [4.6%] | 33.4 [26.8–40.0] | 28.2 [21.9–34.5] | 1.31 [0.88–1.95] | 74 [6.9%] | 59 [5.5%] | 43.3 [33.4–53.2] | 35.5 [26.4–44.5] | 1.38 [0.86–2.20] | 24 [3.9%] | 18 [2.9%] | 19.6 [11.8–27.5] | 16.9 [9.1–24.7] | 1.14 [0.52–2.50] |
| 1991–2002 | 723 [6.6%] | 518 [4.7%] | 48.9 [45.4–52.5] | 38.9 [35.5–42.2] | 1.04 [0.89–1.21] | 568 [7.3%] | 370 [4.7%] | 56.1 [51.5–60.8] | 39.8 [35.7–43.9] | 1.19 [0.99–1.43] | 155 [4.8%] | 148 [4.6%] | 33.3 [28.0–38.5] | 36.8 [30.9–42.7] | 0.74 [0.56–0.99] |
| 2003–2016 | 827 [2.8%] | 548 [1.9%] | 45.8 [42.7–48.9] | 31.6 [29.0–34.2] | 1.39 [1.22–1.58] | 599 [3.0%] | 391 [1.9%] | 47.8 [43.9–51.6] | 32.4 [29.2–35.6] | 1.40 [1.20–1.63] | 228 [2.5%] | 157 [1.7%] | 41.4 [36.0–46.8] | 29.9 [25.2–34.5] | 1.37 [1.07–1.74] |
| Year—First 5 years of follow-up | |||||||||||||||
| 1969–1976 | 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 [0.0–0.0] | — |
| 1977–1990 | 18 [1.1%] | 28 [1.7%] | 24.5 [13.2–35.9] | 41.6 [26.2–57.0] | 0.56 [0.27–1.15] | 14 [1.3%] | 25 [2.3%] | 30.6 [14.6–46.7] | 59.5 [36.2–82.8] | 0.48 [0.21–1.09] | 4 [0.7%] | 3 [0.5%] | 14.4 [0.3–28.6] | 11.9 [0.0–25.3] | 0.79 [0.13–4.84] |
| 1991–2002 | 206 [1.9%] | 251 [2.3%] | 41.4 [35.7–47.0] | 55.2 [48.4–62.0] | 0.56 [0.44–0.72] | 168 [2.2%] | 174 [2.2%] | 48.1 [40.9–55.4] | 54.1 [46.0–62.1] | 0.67 [0.50–0.90] | 38 [1.2%] | 77 [2.4%] | 25.5 [17.4–33.6] | 57.8 [44.9–70.7] | 0.35 [0.20–0.59] |
| 2003–2012 | 421 [2.0%] | 359 [1.2%] | 43.9 [39.7–48.1] | 32.6 [29.2–35.9] | 1.20 [1.01–1.43] | 310 [2.1%] | 258 [1.3%] | 46.5 [41.3–51.7] | 33.7 [29.6–37.9] | 1.25 [1.02–1.53] | 111 [1.8%] | 101 [1.1%] | 38.1 [31.0–45.1] | 29.9 [24.1–35.8] | 1.08 [0.78–1.50] |
| Country of birth | |||||||||||||||
| Nordic | 1 537 [4.0%] | 1 041 [2.7%] | 45.7 [43.4–48.0] | 33.3 [31.3–35.3] | 1.22 [1.10–1.35] | 1 166 [4.3%] | 743 [2.8%] | 50.7 [47.8–53.6] | 34.5 [32.0–36.9] | 1.32 [1.16–1.49] | 371 [3.2%] | 298 [2.5%] | 34.9 [31.4–38.5] | 30.7 [27.3–34.2] | 1.01 [0.83–1.22] |
| Other | 111 [3.6%] | 102 [3.3%] | 51.9 [42.3–61.6] | 47.8 [38.5–57.0] | 1.70 [0.59–4.92] | 75 [3.8%] | 77 [3.6%] | 54.5 [42.2–66.9] | 52.1 [40.5–63.8] | 2.38 [0.70–8.13] | 36 [3.3%] | 25 [2.7%] | 47.3 [31.8–62.7] | 38.0 [23.1–52.9] | 0.00 [0.00–.] |
| Montreal Classification CD | |||||||||||||||
| L1/L3/LX | — | — | — | — | — | — | — | — | — | — | 214 [2.7%] | 163 [2.1%] | 38.3 [33.2–43.4] | 31.5 [26.6–36.3] | 1.13 [0.88–1.45] |
| L2 | — | — | — | — | — | — | — | — | — | — | 88 [3.4%] | 63 [2.5%] | 43.9 [34.7–53.1] | 34.0 [25.6–42.4] | 1.27 [0.86–1.87] |
| Montreal Classification UC | |||||||||||||||
| E1/E2 | — | — | — | — | — | 338 [2.9%] | 244 [2.1%] | 41.7 [37.2–46.1] | 32.5 [28.4–36.5] | 1.24 [1.01–1.53] | — | — | — | — | — |
| E3/EX | — | — | — | — | — | 616 [4.1%] | 386 [2.6%] | 53.8 [49.5–58.0] | 35.4 [31.8–38.9] | 1.39 [1.18–1.65] | — | — | — | — | — |
| Extraintestinal manifestations | |||||||||||||||
| PSC | 23 [6.4%] | 10 [2.8%] | 102.1 [60.4–143.8] | 41.0 [15.6–66.4] | 1.90 [0.71–5.05] | 23 [7.7%] | 10 [3.4%] | 120.1 [71.0–169.2] | 49.5 [18.8–80.3] | 1.90 [0.71–5.05] | [0.0%] | [0.0%] | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | — |
| Other EMF | 89 [3.3%] | 53 [2.0%] | 55.3 [43.8–66.8] | 33.5 [24.5–42.5] | 1.29 [0.85–1.97] | 70 [4.3%] | 37 [2.3%] | 70.3 [53.8–86.7] | 37.3 [25.3–49.3] | 1.41 [0.84–2.37] | 19 [1.8%] | 16 [1.5%] | 31.1 [17.1–45.0] | 27.2 [13.9–40.5] | 1.09 [0.53–2.24] |
| Inflammatory status at index | |||||||||||||||
| Low histology | 208 [4.0%] | 123 [2.4%] | 47.5 [41.0–53.9] | 30.5 [25.1–35.9] | 1.25 [0.94–1.66] | 155 [4.8%] | 92 [2.9%] | 54.7 [46.1–63.3] | 34.8 [27.7–42.0] | 1.32 [0.95–1.83] | 53 [2.7%] | 31 [1.6%] | 34.2 [25.0–43.4] | 22.3 [14.4–30.1] | 0.98 [0.53–1.80] |
| High histology | 1 440 [3.9%] | 1 020 [2.8%] | 45.9 [43.5–48.3] | 34.7 [32.6–36.9] | 1.23 [1.11–1.36] | 1 086 [4.2%] | 728 [2.8%] | 50.4 [47.4–53.4] | 35.7 [33.1–38.3] | 1.31 [1.16–1.48] | 354 [3.3%] | 292 [2.7%] | 36.0 [32.2–39.7] | 32.6 [28.9–36.3] | 1.07 [0.88–1.29] |
| Colon surgery at baseline | |||||||||||||||
| Resection of the colon | 72 [2.9%] | 96 [3.9%] | 24.3 [18.7–29.9] | 37.6 [30.1–45.2] | 0.52 [0.35–0.77] | 9 [2.0%] | 20 [4.4%] | 25.2 [8.8–41.7] | 57.8 [32.5–83.1] | 0.54 [0.20–1.51] | 63 [3.1%] | 76 [3.7%] | 24.2 [18.2–30.2] | 34.5 [26.7–42.2] | 0.51 [0.33–0.78] |
| Other bowel surgery | 25 [2.5%] | 29 [2.9%] | 29.8 [18.1–41.5] | 36.8 [23.4–50.2] | 1.17 [0.52–2.63] | 16 [3.4%] | 16 [3.4%] | 46.2 [23.6–68.9] | 47.0 [24.0–70.1] | 9.85 [1.51–64.23] | 9 [1.6%] | 13 [2.4%] | 18.3 [6.3–30.2] | 29.0 [13.3–44.8] | 0.25 [0.05–1.22] |
aAdjusted for age, sex, calendar period and number of endoscopies at baseline.