Table 3:
Predictors of ACRN, Cox regression analysis
| Univariable | Multivariable** | ||||||
|---|---|---|---|---|---|---|---|
| Variable | ACRN (%) | HR | 95% CI | P value* | aHR | 95% CI | P value* |
| Patients with ACRN, n (%) | 41 (100) | ||||||
| Age at index colonoscopy | - | 1.02 | 0.99 – 1.04 | 0.17 | |||
| Male sex | 27 (65.9) | 1.77 | 0.93 – 3.38 | 0.08 | 1.96 | 0.99 – 3.88 | 0.06 |
| USA cohort# | 16 (39.0) | 2.41 | 1.28 – 4.55 | 0.01 | 1.39 | 0.66 – 2.91 | 0.39 |
| Presence of PIPs^ | 17 (41.5) | 1.56 | 0.82 – 2.96 | 0.17 | 1.17 | 0.59 – 2.31 | 0.65 |
| Primary sclerosing cholangitis | 9 (22.0) | 1.70 | 0.81 – 3.57 | 0.16 | 2.30 | 1.05 – 5.06 | 0.04 |
| Dysplasia at/before index colonoscopy## | 19 (46.3) | 5.92 | 3.06 – 11.42 | <0.0005 | 4.89 | 2.60 – 9.22 | <0.0005 |
| Mean histologic inflammation | - | 2.40 | 1.63 – 3.53 | <0.0005 | 2.11 | 1.34 – 3.34 | <0.001 |
| Disease duration at index colonoscopy | - | 1.05 | 1.02 – 1.08 | 0.003 | 1.04 | 1.01 – 1.08 | 0.005 |
| Cecum reached | - | 0.11 | 0.01 – 0.85 | 0.03 | 0.09 | 0.01 – 0.68 | 0.02 |
| Family history of Colorectal Cancer | 5 (12.2) | 2.32 | 0.91 – 5.91 | 0.08 | 1.94 | 0.73 – 5.15 | 0.18 |
| Exposure to 5-Aminosalicylates | 38 (92.7) | 2.42 | 0.75 – 7.86 | 0.14 | |||
| Crohn’s Disease^^ | 16 (39.0) | 1.38 | 0.74 – 2.60 | 0.31 | |||
| Adequate Bowel Preparation | - | 1.25 | 0.27 – 5.69 | 0.78 | |||
| Exposure to biologicals | 7 (17.1) | 1.05 | 0.46 – 2.37 | 0.91 | |||
| Number of surveillance colonoscopies | - | 0.92 | 0.78 – 1.10 | 0.36 | |||
| Exposure to thiopurines | - | 0.70 | 0.37 – 1.33 | 0.27 | |||
| Extensive disease | 33 (80.5) | 0.56 | 0.26 – 1.22 | 0.15 | |||
Significant at P <0.05 level. ACRN: Advanced colorectal neoplasia. PIPs: Post-inflammatory polyps.
Reference category: Dutch cohort.
Analyzed as time-changing covariate.
Indefinite for dysplasia or low-grade dysplasia (patients with HGD excluded from outset).
Reference category: Ulcerative colitis/IBD-unclassified.
Note:38 patients (1 ACRN) were excluded due to missing data.