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. 2019 Mar 14;364:l803. doi: 10.1136/bmj.l803

Table 2.

Relative risk and absolute risk (cumulative risk) of familial colorectal cancer by detailed relationship, age at diagnosis of youngest affected relative, and sex

Relationship Relative risk by age at diagnosis of youngest affected relative Absolute risk
All ages <50 years ≥50 years All Men Women
No SIR* (95% CI) No SIR* (95% CI) No SIR* (95% CI) No LCR, % (95% CI) No LCR, % (95% CI) No LCR, % (95% CI)
1 sibling+0 SDR 2089 1.7 (1.6 to 1.7) 188 2.1 (1.8 to 2.4) 1901 1.6 (1.5 to 1.7) 2049 7.0 (6.6 to 7.3) 1145 8.0 (7.4 to 8.6) 904 6.0 (5.5 to 6.5)
 1 brother 1165 1.7 (1.6 to 1.8) 95 2.4 (1.9 to 2.9) 1070 1.7 (1.6 to 1.8) 1146 7.1 (6.6 to 7.6) 648 8.1 (7.3 to 8.9) 498 6.1 (5.5 to 6.8)
 1 sister 924 1.6 (1.5 to 1.7) 93 1.9 (1.5 to 2.3) 831 1.6 (1.5 to 1.7) 903 6.8 (6.2 to 7.4) 497 7.9 (7.0 to 8.8) 406 5.8 (5.1 to 6.5)
1 half sibling+0 FDR 140 1.5 (1.3 to 1.8) 23 1.9 (1.2 to 2.8) 117 1.5 (1.2 to 1.8) 136 6.1 (4.7 to 7.6) 68 7.5 (4.9 to 10) 68 5.0 (3.4 to 6.5)
 1 maternal half sibling 60 1.4 (1.1 to 1.8) 8 1.6 (0.7 to 3.1) 52 1.4 (1.0 to 1.8) 57 5.7 (3.5 to 7.9) 27 5.9 (2.4 to 9.2) 30 5.5 (2.7 to 8.2)
 1 paternal half sibling 80 1.7 (1.3 to 2.1) 15 2.1 (1.2 to 3.5) 65 1.6 (1.2 to 2.0) 79 6.6 (4.6 to 8.5) 41 9.0 (5.1 to 13) 38 4.5 (2.9 to 6.2)
1 parent+0 SDR 5520 1.6 (1.5 to 1.6) 192 2.8 (2.5 to 3.3) 5328 1.5 (1.5 to 1.6) 5457 6.5 (6.3 to 6.8) 3021 7.4 (7.0 to 7.8) 2436 5.7 (5.4 to 6.1)
 Father 2697 1.6 (1.5 to 1.6) 94 3.6 (2.9 to 4.4) 2603 1.5 (1.5 to 1.6) 2668 6.5 (6.1 to 6.8) 1455 7.1 (6.6 to 7.6) 1213 5.9 (5.4 to 6.4)
 Mother 2823 1.6 (1.5 to 1.6) 98 2.4 (1.9 to 2.9) 2725 1.5 (1.5 to 1.6) 2789 6.6 (6.3 to 6.9) 1566 7.7 (7.1 to 8.2) 1223 5.6 (5.2 to 6.0)
1 grandparent+0 FDR 460 1.2 (1.1 to 1.3) 13 1.8 (1.0 to 3.1) 447 1.2 (1.0 to 1.3) 460 1.7 (0.7 to 2.6) 231 1.3 (0.8 to 1.9) 229 2.0 (0.2 to 3.7)
1 uncle/aunt+0 FDR 189 1.2 (1.0 to 1.3) 12 1.1 (0.6 to 1.9) 177 1.2 (1.0 to 1.4) 189 2.0 (0.2 to 3.7) 90 1.4 (0.7 to 2.0) 99 2.6 (0 to 6.0)
1 half sibling+1 FDR 41 3.5 (2.5 to 4.8) 16 7.0 (4.0 to 11) 25 2.7 (1.7 to 3.9) 39 11 (6.0 to 16) 22 15 (4.9 to 24) 17 7.6 (3.5 to 12)
 1 maternal half sibling+1 FDR 15 2.7 (1.5 to 4.5) 3 3.0 (0.6 to 8.7) 12 2.7 (1.4 to 4.6) 15 9.3 (3.5 to 15) 8 12 (1.4 to 21) 7 6.8 (1.1 to 12)
 1 paternal half-sibling+1 FDR 26 4.3 (2.8 to 6.2) 13 10 (5.4 to 17) 13 2.7 (1.4 to 4.6) 24 13 (4.4 to 21) 14 16 (1.4 to 29) 10 8.5 (2.3 to 14)
1 half sibling+1 sibling 8 3.4 (1.4 to 6.6) 0 - 8 4.3 (1.9 to 8.5) 6 20 (0.0 to 35) 3 24 (0 to 45) 3 8.7 (0 to 18)
1 half sibling+1 parent 32 3.6 (2.4 to 5.0) 15 9.4 (5.3 to 16) 17 2.3 (1.3 to 3.7) 32 7.7 (4.4 to 11) 19 9.8 (3.9 to 15) 13 5.8 (2.4 to 9.2)
1 grandparent+1 FDR 82 3.0 (2.4 to 3.7) 19 6.4 (3.8 to 10) 63 2.6 (2.0 to 3.3) 82 2.2 (1.4 to 3.1) 39 1.7 (0.8 to 2.5) 43 2.8 (1.3 to 4.3)
1 uncle/aunt+1 FDR 28 2.2 (1.4 to 3.1) 11 6.2 (3.1 to 11) 17 1.5 (0.9 to 2.4) 28 1.2 (0.6 to 1.9) 16 1.7 (0.4 to 3.0) 12 0.8 (0.3 to 1.3)
2 half siblings+0 FDR 6 3.5 (1.3 to 7.6) 1 2.9 (0.1 to 16) 5 3.6 (1.2 to 8.5) 6 14 (1.1 to 25) 4 24 (0 to 45) 2 6.1 (0 to 14)
2 siblings+0 SDR 105 2.2 (1.8 to 2.7) 11 1.7 (0.8 to 3.0) 94 2.3 (1.9 to 2.9) 104 9.1 (7.0 to 11) 60 10 (7.0 to 13) 44 8.1 (5.1 to 11)
1 sibling+1 parent+0 SDR 396 2.7 (2.4 to 3.0) 78 5.0 (3.9 to 6.2) 318 2.4 (2.2 to 2.7) 392 9.4 (8.2 to 11) 218 10 (8.4 to 12) 174 8.7 (7.1 to 10)

FDR=first degree relative; LCR=lifetime (0-79 years) cumulative risk; SDR=second degree relative; SIR=standardised incidence ratio.

*

Adjusted for sex, age, calendar periods, residential areas, and socioeconomic status; maximum age in third generation of latest available dataset was 68 years, so cumulative risks for grandparents/aunts/uncles are limited to this age.

Significant risks.