Table 5.
Cumulative incidence of any polyp at 10 and 20 years of follow-up in patients with IBD, UC and CD.
| Group | IBD | UC | CD | ||||||
|---|---|---|---|---|---|---|---|---|---|
| IBD | Comparators | Risk difference | UC | Comparators | Risk difference | CD | Comparators | Risk difference | |
| 10-year cumulative incidence [95% CI] | |||||||||
| Any polyp | 4.3% [4.1–4.6] | 3.3% [3.1–3.6] | 1.0% [0.9; 1.1] | 4.7% [4.4–5.0] | 3.4% [3.2–3.7] | 1.3% [1.1; 1.4] | 3.4% [3.1–3.9] | 3.0% [2.7–3.4] | 0.4% [0.2; 0.6] |
| Tubular adenoma | 3.2% [3.0–3.5] | 2.6% [2.4–2.8] | 0.6% [0.5; 0.8] | 3.5% [3.2–3.7] | 2.7% [2.5–2.9] | 0.8% [0.6; 0.9] | 2.7% [2.4–3.1] | 2.4% [2.1–2.8] | 0.3% [0.1; 0.5] |
| Sessile serrated polyps | 0.0% [0.0–0.1] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [0.0; 0.1] |
| Polyp unspecified with LGD | 0.1% [0.1–0.2] | 0.0% [0.0–0.1] | 0.1% [0.0; 0.1] | 0.1% [0.1–0.2] | 0.1% [0.0–0.1] | 0.1% [0.0; 0.1] | 0.1% [0.0–0.1] | 0.0% [0.0–0.0] | 0.1% [0.0; 0.1] |
| Any advanced polyp | 1.4% [1.3–1.6] | 1.1% [0.9–1.2] | 0.3% [0.3; 0.4] | 1.6% [1.4–1.8] | 1.1% [0.9–1.2] | 0.5% [0.4; 0.6] | 0.9% [0.8–1.2] | 1.0% [0.8–1.3] | –0.1% [–0.2; 0.0] |
| Sessile serrated polyps with LGD | 0.0% [0.0–0.1] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | –0.0% [–0.0; 0.0] |
| 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] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] |
| Traditional serrated adenomas | 0.1% [0.1–0.2] | 0.1% [0.1–0.1] | 0.1% [0.0; 0.1] | 0.2% [0.1–0.2] | 0.1% [0.0–0.1] | 0.1% [0.1; 0.1] | 0.1% [0.1–0.2] | 0.1% [0.1–0.3] | –0.0% [–0.1; 0.0] |
| Traditional serrated adenomas with LGD | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [–0.0; 0.0] | 0.1% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [–0.0; 0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | –0.0% [–0.0; 0.0] |
| 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] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] |
| Tubulovillous | 1.1% [1.0–1.3] | 0.9% [0.8–1.0] | 0.3% [0.2; 0.3] | 1.3% [1.1–1.5] | 0.9% [0.8–1.1] | 0.4% [0.3; 0.5] | 0.8% [0.6–1.0] | 0.8% [0.7–1.1] | –0.0% [–0.1; 0.1] |
| Tubulovillous with HGD | 0.1% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [–0.0; 0.0] | 0.1% [0.0–0.1] | 0.1% [0.0–0.1] | 0.0% [–0.0; 0.0] | 0.1% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [0.0; 0.0] |
| Villous | 0.1% [0.1–0.1] | 0.1% [0.0–0.1] | 0.0% [0.0; 0.1] | 0.1% [0.1–0.2] | 0.1% [0.0–0.1] | 0.1% [0.0; 0.1] | 0.0% [0.0–0.1] | 0.1% [0.0–0.1] | –0.0% [–0.1; –0.0] |
| Villous 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% [0.0–0.1] | 0.0% [0.0–0.1] | –0.0% [–0.0; 0.0] |
| Tubulous with HGD | 0.0% [0.0–0.1] | 0.1% [0.0–0.1] | –0.0% [–0.0; 0.0] | 0.1% [0.0–0.1] | 0.1% [0.0–0.1] | –0.0% [–0.0; –0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [–0.0; 0.0] |
| Polyp unspecified with HGD |
0.0% [0.0–0.0] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] | 0.0% [0.0–0.1] | 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] |
| 20-year cumulative incidence [95% CI] | |||||||||
| Any polyp | 9.4% [8.8–10.1] | 6.1% [5.6–6.6] | 3.3% [3.2; 3.5] | 10.7% [9.9–11.6] | 6.4% [5.8–7.0] | 4.4% [4.1; 4.6] | 6.9% [6.1–7.8] | 5.4% [4.7–6.3] | 1.5% [1.2; 1.8] |
| Tubular adenoma | 7.4% [6.9–8.0] | 4.8% [4.4–5.3] | 2.6% [2.4; 2.8] | 8.3% [7.6–9.1] | 5.0% [4.5–5.6] | 3.3% [3.1; 3.5] | 5.6% [4.9–6.5] | 4.4% [3.7–5.1] | 1.3% [1.0; 1.5] |
| Sessile serrated polyps | 0.1% [0.1–0.2] | 0.0% [0.0–0.1] | 0.1% [0.1; 0.1] | 0.2% [0.1–0.4] | 0.0% [0.0–0.1] | 0.1% [0.1; 0.2] | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [0.0; 0.1] |
| Polyp unspecified with LGD | 0.3% [0.2–0.4] | 0.1% [0.0–0.1] | 0.2% [0.2; 0.2] | 0.4% [0.2–0.6] | 0.1% [0.1–0.2] | 0.3% [0.2; 0.3] | 0.1% [0.0–0.1] | 0.0% [0.0–0.0] | 0.1% [0.0; 0.1] |
| Any advanced polyp | 3.2% [2.9–3.6] | 2.1% [1.9–2.4] | 1.1% [1.0; 1.2] | 3.9% [3.4–4.4] | 2.2% [1.9–2.6] | 1.7% [1.5; 1.8] | 1.9% [1.5–2.4] | 1.9% [1.5–2.5] | 0.0% [–0.2; 0.2] |
| Sessile serrated polyps with LGD | 0.1% [0.0–0.2] | 0.0% [0.0–0.1] | 0.1% [0.0; 0.1] | 0.1% [0.0–0.3] | 0.0% [0.0–0.1] | 0.1% [0.1; 0.1] | 0.0% [0.0–0.1] | 0.0% [0.0–0.1] | –0.0% [–0.0; 0.0] |
| 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] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] |
| Traditional serrated adenomas | 0.6% [0.4–0.8] | 0.3% [0.2–0.4] | 0.3% [0.3; 0.4] | 0.8% [0.5–1.1] | 0.3% [0.2–0.5] | 0.5% [0.4; 0.5] | 0.3% [0.2–0.6] | 0.2% [0.1–0.4] | 0.1% [0.1; 0.2] |
| Traditional serrated adenomas with LGD | 0.2% [0.1–0.3] | 0.1% [0.0–0.1] | 0.1% [0.1; 0.2] | 0.2% [0.1–0.4] | 0.1% [0.0–0.1] | 0.1% [0.1; 0.2] | 0.1% [0.1–0.4] | 0.0% [0.0–0.1] | 0.1% [0.1; 0.1] |
| 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] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] |
| Tubulovillous | 2.4% [2.1–2.8] | 1.7% [1.5–2.0] | 0.7% [0.6; 0.8] | 2.9% [2.5–3.3] | 1.8% [1.5–2.1] | 1.1% [1.0; 1.3] | 1.6% [1.2–2.0] | 1.5% [1.1–2.1] | 0.0% [–0.1; 0.2] |
| Tubulovillous with HGD | 0.1% [0.1–0.2] | 0.2% [0.1–0.3] | –0.0% [–0.1; –0.0] | 0.2% [0.1–0.3] | 0.2% [0.1–0.4] | –0.1% [–0.1; –0.0] | 0.1% [0.0–0.2] | 0.1% [0.0–0.2] | 0.0% [–0.0; 0.1] |
| Villous | 0.2% [0.1–0.2] | 0.2% [0.1–0.4] | –0.1% [–0.1; –0.0] | 0.2% [0.1–0.3] | 0.1% [0.1–0.3] | 0.0% [0.0; 0.1] | 0.1% [0.0–0.2] | 0.3% [0.1–0.7] | –0.3% [–0.3; –0.2] |
| Villous 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% [0.0–0.1] | 0.0% [0.0–0.1] | 0.0% [–0.0; 0.0] |
| Tubulous with HGD | 0.2% [0.1–0.3] | 0.2% [0.1–0.3] | –0.0% [–0.0; 0.0] | 0.2% [0.1–0.4] | 0.2% [0.1–0.3] | 0.0% [–0.0; 0.1] | 0.0% [0.0–0.1] | 0.1% [0.0–0.3] | –0.1% [–0.1; –0.0] |
| Polyp unspecified with HGD | 0.0% [0.0–0.1] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] | 0.0% [0.0–0.1] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.1] | 0.0% [0.0–0.0] | 0.0% [0.0–0.0] | 0.0% [0.0; 0.0] |