Table 1. Observed and expected numbers of colon cancers, including rectosigmoid cancers, and corresponding standardised incidence ratios in patients with irritable bowel syndrome overall and by period of follow-up, gender, age at diagnosis, and calendar period of diagnosis.
All 57 851 IBS patients
|
19 150 IBS patients with known colonoscopya
|
|||||
---|---|---|---|---|---|---|
Observed cancers, N | Expected cancers, N | SIR (95% CI) | Observed cancers, N | Expected cancers, N | SIR (95% CI) | |
Total | 407 | 358.6 | 1.14 (1.03–1.25) | 56 | 54.3 | 1.03 (0.78–1.34) |
Follow-up | ||||||
⩽3 months | 64 | 7.6 | 8.42 (6.48–10.75) | 26 | 2.4 | 10.77 (7.03–15.78) |
4–12 months | 34 | 22.8 | 1.49 (1.03–2.08) | 3 | 7.1 | 0.42 (0.09–1.24) |
2nd and 3rd year | 62 | 57.4 | 1.08 (0.83–1.39) | 9 | 16.6 | 0.54 (0.25–1.03) |
4th and 5th year | 41 | 50.8 | 0.81 (0.58–1.10) | 7 | 12.5 | 0.56 (0.22–1.15) |
6th to 10th year | 89 | 95.3 | 0.93 (0.75–1.15) | 11 | 14.1 | 0.78 (0.39–1.39) |
>10 years | 117 | 124.7 | 0.94 (0.78–1.12) | 0 | 1.6 | — |
Gender | ||||||
Women | 302 | 253.1 | 1.19 (1.06–1.34) | 34 | 35.0 | 0.97 (0.67–1.36) |
Men | 105 | 105.5 | 1.00 (0.81–1.21) | 22 | 19.3 | 1.14 (0.71–1.73) |
Age | ||||||
<20 years | 0 | 0.3 | — | 0 | ||
20–39 years | 25 | 16.5 | 1.52 (0.98–2.24) | 5 | 0.9 | 5.47 (1.77–12.75) |
40–49 years | 43 | 36.7 | 1.17 (0.85–1.58) | 1 | 3.2 | 0.31 (0.01–1.73) |
50–59 years | 88 | 78.5 | 1.12 (0.90–1.38) | 12 | 10.7 | 1.12 (0.58–1.95) |
60–69 years | 113 | 107.5 | 1.05 (0.87–1.26) | 13 | 17.4 | 0.75 (0.40–1.28) |
70–79 years | 96 | 91.3 | 1.05 (0.85–1.28) | 18 | 16.3 | 1.10 (0.65–1.74) |
⩾80 years | 42 | 27.8 | 1.51 (1.09–2.04) | 7 | 5.7 | 1.23 (0.49–2.53) |
Abbreviations: IBS=irritable bowel syndrome; CI=confidence interval; SIR=standardised incidence ratio.
Colonoscopy or flexible sigmoidoscopy.