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. 2023 Mar 30;17(9):1395–1409. doi: 10.1093/ecco-jcc/jjad056

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.