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

Table 3.

Relative risk and absolute risk (cumulative risk) of familial colorectal cancer by various combinations of family history excluding half siblings

Family history constellation Relative risk by age at diagnosis of youngest affected relative Absolute risk
All <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)
0 FDR+1 SDR (excluding half siblings) 1437 1.2 (1.1 to 1.2) 597 1.1 (1.0 to 1.2) 840 1.2 (1.1 to 1.3) 1251 4.5 (4.2 to 4.9) 619 5.1 (4.6 to 5.7) 632 4.1 (3.6 to 4.5)
1 FDR+1 SDR (excluding half siblings) 277 2.2 (2.0 to 2.5) 156 2.4 (2.1 to 2.8) 121 2.0 (1.6 to 2.4) 253 7.5 (6.3 to 8.7) 129 8.3 (6.4 to 10) 124 6.9 (5.3 to 8.4)
2 FDRs+1 SDR (excluding half siblings) 48 4.8 (3.5 to 6.4) 37 5.6 (3.9 to7.7) 11 3.2 (1.6 to 5.8) 45 13 (8.6 to 17) 24 13 (7.1 to 19) 21 13 (6.3 to 19)
≥3 FDRs+1 SDR (excluding half siblings) 12 10 (5.3 to 18) 8 14 (6.0 to28) 4 6.8 (1.8 to 17) 11 26 (8.6 to 41) 6 23 (4.4 to 38) 5 26 (0 to 45)
0 FDR+2 SDRs (excluding half siblings) 99 1.6 (1.3 to 1.9) 11 1.0 (0.5 to 1.7) 88 1.7 (1.4 to 2.1) 96 4.2 (1.1 to 7.1) 43 7.2 (0.8 to 13) 53 1.5 (0.7 to 2.2)
1 FDR+2 SDRs (excluding half siblings) 32 5.1 (3.5 to 7.1) 17 7.5 (4.4 to 12) 15 3.7 (2.1 to 6.1) 32 6.9 (1.8 to 12) 18 5.0 (0.6 to 9.2) 14 9.3 (0 to 18)
2 FDRs+2 SDRs (excluding half siblings) 5 6.7 (2.2 to 16) 5 8.2 (2.7 to 19) 0 - 5 6.6 (0.4 to 13) 3 8.2 (0 to 17) 2 4.8 (0 to 11)
≥3 FDRs+2 SDRs (excluding half siblings) 0 - 0 - 0 - 0 - 0 - 0 -

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.

Significant risks.