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 | ||||
|
UC or CD with any dysplasia size > 10 mm | UC + CD with any dysplasia | UC with any dysplasia | UC with only LGD |
|
EMR, ESD, hybrid ESD | Simple polypectomy, EMR, ESD or hybrid | Simple polypectomy | Surveillance colonoscopy or colectomy |
Lesion characteristics (%) |
|
|
|
|
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.
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.