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. 2005 Aug;54(8):1121–1125. doi: 10.1136/gut.2004.049460

Table 1.

 Summary of studies included in the meta-analysis

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.