Table 1.
Connell14 | Farrell15 | Fraser16 | Kinlen12 | Korelitz17 | Lewis1 | |
Year | 1994 | 2000 | 2002 | 1985 | 1999 | 2001 |
Setting | Single centre | Single centre | Single centre | Single centre | Single centre | Population based |
Total No of IBD patients | 755 | 238* | 626 | 321 | 486 | 1465 |
% with CD | 60 | 46 | 43 | N/R | 67 | 57 |
% with UC | 40 | 54 | 57 | N/R | 33 | 43 |
Mean/median duration of treatment | 12.5 mo | 1.82 y | 2.26 y | N/R | 4.4 y | 2 y |
Medication studied | AZA | AZA | AZA | AZA | 6-MP | AZA |
Mean/median dose or range | 2 mg/kg/day | 2–2.5 mg/kg/day | 1.65 mg/kg/day | N/R | 12.5–100 g/day | 106 mg/day |
Mean/median duration of follow up | 9 y | 6.9 y | 6.9 y | N/R | 5.9 y | 2.87 y |
Outcome | NHL | NHL | NHL and HD | NHL | NHL and HD | NHL and HD |
Expected No of lymphomas | 0.52 | 0.05 | 0.65 | 0.16 | 0.61 | 0.64 |
Observed No of lymphomas | 0 | 2† | 3 | 2 | 3 | 1 |
SIR‡ (95% CI) | 0 (—) | 37.5 (3.5–137.7) | 4.6 (0.9–13.7) | 12.5 (1.2–46.0) | 4.9 (0.9–14.5) | 1.6 (0.0006–9.0) |
IBD, inflammatory bowel disease; UC, ulcerative colitis; CD, Crohn’s disease; NHL, non-Hodgkin lymphoma; HD, Hodgkin’s disease; AZA, azathioprine; 6-MP, 6-mercaptopurine; 95% CI, 95% confidence interval.
*Treated with immunomodulators.
†Two additional lymphomas observed in patients treated with methotrexate and ciclosporin.
N/R, not reported.
‡SIR, standardised incidence ratio for lymphoma. Because of rounding of the expected number of lymphomas, SIR does not exactly equal observed number of lymphomas divided by expected number of lymphomas.