Table 2.
Risk Ratios for Colorectal Adenoma Outcomes According to Treatment Assignment.*
Treatment Assignment | One or More Adenomas† | One or More Advanced Adenomas‡ | ||
---|---|---|---|---|
No. of Patients/ Total No. (%) |
Risk Ratio (95% CI)§ |
No. of Patients/ Total No. (%) |
Risk Ratio (95% CI)§ |
|
Vitamin D vs. no vitamin D | ||||
No vitamin D | 442/1035 (42.7) | Reference | 98/1042 (9.4) | Reference |
Vitamin D | 438/1024 (42.8) | 0.99 (0.89–1.09) | 98/1032 (9.5) | 0.99 (0.75–1.29) |
Calcium vs. no calcium | ||||
No calcium | 362/761 (47.6) | Reference | 77/764 (10.1) | Reference |
Calcium | 345/762 (45.3) | 0.95 (0.85–1.06) | 81/773 (10.5) | 1.02 (0.76–1.38) |
Calcium plus vitamin D vs. calcium alone |
||||
Calcium | 259/655 (39.5) | Reference | 63/662 (9.5) | Reference |
Calcium plus vitamin D | 259/643 (40.3) | 1.01 (0.88–1.15) | 56/648 (8.6) | 0.89 (0.63–1.26) |
Calcium plus vitamin D vs. neither agent |
||||
Neither calcium nor vitamin D | 183/380 (48.2) | Reference | 35/380 (9.2) | Reference |
Calcium plus vitamin D | 174/381 (45.7) | 0.93 (0.80–1.08) | 37/387 (9.6) | 0.99 (0.63–1.56) |
The analyses of vitamin D versus no vitamin D included all participants who underwent randomization. The analyses of calcium versus no calcium and of vitamin D plus calcium versus neither agent were restricted to participants who underwent full factorial randomization. The analyses of vitamin D plus calcium versus calcium did not include participants who underwent full factorial randomization and were assigned to receive placebo or vitamin D alone.
P values, calculated with the use of a chi-square contingency-table test, are as follows: vitamin D versus no vitamin D, P = 0.98; calcium versus no calcium, P = 0.37; vitamin D plus calcium versus calcium, P = 0.79; and vitamin D plus calcium versus neither agent, P = 0.49.
Denominators differ between adenomas and advanced adenomas because of missing data for lesion size and an assumption that small lesions (<6 mm) with missing pathological data are not advanced adenomas (see the Supplementary Appendix).
Risk ratios were adjusted for age, clinical center, anticipated surveillance interval (3 or 5 years), a three-level variable for sex and type of randomization (male, female and two-group randomization, female and full factorial randomization), and number of baseline adenomas (1, 2, or ≥3).