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. 2022 May 13;10(5):E593–E601. doi: 10.1055/a-1784-7063

Table 3. Incidence of colorectal cancer and dysplasia during follow-up in patients with IBD-associated dysplasia.

Present study Mohan et al (2020) 2 Wanders et al (2014) 21 Thomas et al (2007) 20
No. of included studies 11 18 10 20
No. of patients (n) 506 1037 376 508
Inclusion criteria
  • Study population

UC or CD with any dysplasia size > 10 mm UC + CD with any dysplasia UC with any dysplasia UC with only LGD
  • Intervention

EMR, ESD, hybrid ESD Simple polypectomy, EMR, ESD or hybrid Simple polypectomy Surveillance colonoscopy or colectomy
Lesion characteristics (%)
  • Non-polypoid (67.7)

  • polypoid (32.3)

  • Non-polypoid (25)

  • Polypoid (9.4)

  • Non-polypoid + Polypoid (65.4)

  • Polypoid (100)

  • Non-polypoid (93.8)

  • Polypoid (6.1)

Follow-up period (person-years) 1514 NA 1704 1520
Polyp size (cm) 2.3 (mean) NA 0.5–1.2 NA
Incidence of any dysplastic lesion
(per 1000 person-years)
56
(95 % CI, 33–97)
43
(95 % CI, 30–57)
65
(95 % CI, 54–78)
NA
Incidence of HGD/CRC
(per 1000 person-years)
15
(95 % CI: 7–32)
NA 7.0
(95 % CI, 4.0–12.4)
30
(95 % CI, 12–76)
Incidence of CRC 1
(per 1000 person-years)
NA 2
(95 % CI: 0–3)
5.3
(95 % CI, 2.7–10.1)
14
(95 % CI, 5–34)

IBD, inflammatory bowel disease; UC, ulcerative colitis; CD, Crohn’s disease; LGD, low-grade dysplasia; EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection; HGD, high-grade dysplasia; CRC, colorectal cancer; CI, confidence interval.

1

Unable to report incidence of CRC per 1000 person years in the present study because of a very low event rate; overall 0.2 % CRC was detected during the surveillance period. IBD, inflammatory bowel disease; UC, ulcerative colitis; CD, Crohn’s disease; LGD, low-grade dysplasia; EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection; HGD, high-grade dysplasia; CRC, colorectal cancer; CI, confidence interval.