Table 5

Efficacy of each markers of inflammation in predicting development of colorectal neoplasia after adjusting for other significant predictors

Inflammation severity
(Median number of colonoscopies)
HR (95% CI)P value
Endoscopic
 In last procedure only (1)1.0 (0.8 to 1.3)1.0
Mean severity in preceding
  3 years (2) 1.4 (1.0 to 1.8) 0.02
  5 years (3) 1.5 (1.1 to 2.0) 0.007
  10 years (4) 1.7 (1.2 to 2.4) 0.001
  All episodes (6) 1.9 (1.3 to 2.6) 2.3e-04
Max severity in preceding
  3 years(2)1.0 (0.8 to 1.2)0.9
  5 years(3)1.1 (0.9 to 1.4)0.4
   10 years (4) 1.3 (1.0 to 1.7) 0.02
  All episodes(6) 1.4 (1.1 to 1.8) 0.003
Persistency in preceding
  3 years (2) 1.3 (1.1 to 1.6) 0.01
  5 years (3) 1.4 (1.1 to 1.8) 0.001
  10 years (4) 1.6 (1.2 to 2.0) 4.1e-0.4
  All episodes (6) 1.8 (1.4 to 2.4) 1.1e-05
Histological
 In last procedure only (1)0.9 (0.7 to 1.2)0.5
Mean severity in preceding
  3 years (2) 1.5 (1.1 to 2.1) 0.01
  5 years (3) 2.2 (1.6 to 3.1) 2.4e-06
  10 years (4) 2.8 (1.9 to 4.1) 5.8e-08
  All episodes (6) 3.1 (2.1 to 4.5) 4.8e-09
Max severity in preceding
  3 years (2)1.1 (0.8 to 2.4)0.6
  5 years (3) 1.4 (1.1 to 1.8) 0.01
  10 years (4) 1.7 (1.3 to 2.2) 7.0e-05
  All episodes (6) 1.8 (1.4 to 2.4) 4.7e-06
Persistency in preceding
  3 years (2) 1.5 (1.1 to 1.9) 0.005
  5 years (3) 1.9 (1.4 to 2.6) 9.5e-06
   10 years (4) 2.2 (1.6 to 3.0) 7.3e-07
  All episodes (6) 2.4 (1.7 to 3.3) 1.2e–07
  • All HRs presented are per 1-unit increase in each inflammatory score. For mean and maximal severity, each 1-unit increase represents increments from quiescent to mild (0–1), mild to moderate (1–2) or moderate to severe (2–3) active inflammation. For persistency, 1-unit increase represents 33.3% increase in proportion of surveillance episodes with active inflammation of any severity (ie, 0=0%, 1=33.3%, 2=66.6% and 3=100%). The median number of surveillance procedures performed in preceding 3-year, 5-year, 10-year period for each episode was 2 (IQR, 2–3), 3 (IQR, 2–4) and 4 (IQR, 2–5), respectively. Statistically significant variables are highlighted in bold.