Table 3.
Factors Associated with Intestinal Resection in Patients with Crohn’s Disease
| Variable | Entire patients (n=1,175) | |||
|---|---|---|---|---|
| Univariate HR (95% CI) |
p-value* | Multivariable HR (95% CI) |
p-value | |
| Sex | Not included | |||
| Male | Reference | |||
| Female | 1.28 (0.76–1.60) | 0.598 | ||
| Cohort | ||||
| 2009–2011 | Reference | Reference | ||
| 2012–2019 | 0.58 (0.41–0.83) | 0.003 | 0.73 (0.51–1.04) | 0.085 |
| Age at diagnosis | Not included | |||
| ≤16 yr (A1) | Reference | |||
| 17–40 yr (A2) | 1.26 (0.73–2.16) | 0.404 | ||
| >40 yr (A3) | 1.16 (0.52–2.57) | 0.724 | ||
| Family history of IBD | Not included | |||
| No | Reference | |||
| Yes | 1.13 (0.42–3.07) | 0.805 | ||
| Smoking status at diagnosis | ||||
| Never smoker | Reference | Reference | ||
| Ex-smoker | 1.31 (0.73–2.32) | 0.368 | 1.51 (0.83–2.74) | 0.176 |
| Current smoker | 1.56 (1.03–2.33) | 0.032 | 1.42 (0.93–2.16) | 0.100 |
| Disease location at diagnosis | ||||
| Ileum (L1) | Reference | Reference | ||
| Colon (L2) | 0.33 (0.12– 0.92) | 0.034 | 0.48 (0.17–1.32) | 0.155 |
| Ileocolon (L3) | 0.70 (0.49– 0.98) | 0.040 | 0.94 (0.66–1.35) | 0.736 |
| Perianal modifier at diagnosis | 0.66 (0.46– 0.92) | 0.015 | 0.90 (0.63–1.28) | 0.549 |
| Disease behavior at diagnosis | ||||
| Nonstricturing, nonpenetrating (B1) | Reference | Reference | ||
| Stricturing (B2) | 4.55 (2.90–7.15) | <0.001 | 4.15 (2.61–6.61) | <0.001 |
| Penetrating (B3) | 6.70 (4.62–9.70) | <0.001 | 5.05 (3.43–7.43) | <0.001 |
| Early use of systemic corticosteroids | 0.74 (0.52–1.06) | 0.098 | 1.10 (0.76–1.61) | 0.616 |
| Early use of thiopurines | 0.27 (0.19–0.39) | 0.014 | 0.35 (0.23–0.51) | <0.001 |
| Early use of anti-TNF agents | 0.41 (0.18–0.94) | 0.035 | 0.67 (0.29–1.55) | 0.349 |
| Early combined use of anti-TNF agent and thiopurine | 0.49 (0.18–1.32) | 0.158 | Not included | |
HR, hazard ratio; CI, confidence interval; IBD, inflammatory bowel disease; TNF, tumor necrosis factor.
*Variables with p<0.1 from the univariate model were included in the multivariable model.