Table 2. Subgroup RR and 95% CI analysis of thiopurine usage and risk of colorectal neoplasm in patients with IBD (random-effect model).
No. of studies |
Study heterogeneity
|
RR(95% CI) | P value | |||
---|---|---|---|---|---|---|
Q | P-value | I2 | ||||
Study population | ||||||
Non-referral | 6 | 15.43 | 0.009 | 67.60% | 0.57(0.27-1.19) | 0.133 |
Clinic-based | 13 | 35.17 | 0 | 65.90% | 0.76(0.56-1.04) | 0.082 |
Type of relative risk estimation | ||||||
OR/RR | 15 | 50.29 | 0 | 72.20% | 0.68(0.47-1.00) | 0.05 |
HR | 4 | 5.8 | 0.122 | 48.30% | 0.83(0.52-1.31) | 0.417 |
Sample size | ||||||
Smaller (<100) | 4 | 1.04 | 0.791 | 0.00% | 0.89(0.43-1.86) | 0.762 |
Larger (≥100) | 15 | 55.14 | 0 | 74.60% | 0.69(0.51-0.94) | 0.019 |
Longstanding IBD(≥7yrs) | ||||||
Yes | 6 | 4.98 | 0.418 | 0.00% | 0.98(0.74-1.29) | 0.863 |
No | 13 | 54.16 | 0 | 77.80% | 0.58(0.37-0.91) | 0.017 |
Thiopurine therapy>6m | ||||||
Yes | 6 | 17.85 | 0.003 | 72.00% | 0.56(0.22-1.42) | 0.221 |
no | 13 | 36.59 | 0 | 67.20% | 0.74(0.55-0.99) | 0.044 |
IBD type | ||||||
UC only | 9 | 13.94 | 0.083 | 42.60% | 0.85(0.56-1.27) | 0.413 |
Mixed | 10 | 42.01 | 0 | 78.60% | 0.61(0.39-0.95) | 0.029 |
5-ASA usage adjusted/matched | ||||||
Yes | 6 | 22.96 | 0 | 78.20% | 0.81(0.34-1.94) | 0.627 |
No | 13 | 28.16 | 0.005 | 57.40% | 0.71(0.54-0.94) | 0.018 |
Sex/age adjusted/matched | ||||||
Yes | 9 | 25.2 | 0.001 | 68.20% | 0.69(0.39-1.29) | 0.209 |
No | 10 | 23.03 | 0.006 | 60.90% | 0.74(0.54-1.02) | 0.066 |
Disease duration/extent adjusted | ||||||
Yes | 9 | 18.96 | 0.015 | 57.80% | 0.54(0.32-0.92) | 0.023 |
No | 10 | 16.16 | 0.064 | 44.30% | 0.89(0.69-1.14) | 0.34 |
Sex/age/duration/extent of disease adjusted/matched | ||||||
Yes | 8 | 17.26 | 0.016 | 59.50% | 0.61(0.34-1.10) | 0.098 |
No | 11 | 24.33 | 0.007 | 58.90% | 0.80(0.60-1.07) | 0.127 |
Mean/median follow-up period | ||||||
>5yr | 11 | 16.82 | 0.083 | 39.80% | 0.90(0.72-1.14) | 0.386 |
unknown | 8 | 14.08 | 0.05 | 50.3 | 0.48(0.28-0.82) | 0.007 |
Geographic distribution | ||||||
Europe | 9 | 43.61 | 0 | 82.10% | 0.60(0.37-0.97) | 0.036 |
USA | 8 | 11.64 | 0.113 | 39.80% | 0.87(0.57-1.33) | 0.529 |