Table 3

Effects of surveillance on colorectal cancer incidence by number of surveillance visits and risk group

n%No of person-yearsNo of CRCsIncidence rate per 100 000 person-years (95% CI)Effect of surveillance on CRC incidence*
Univariable HR (95% CI)P value†Multivariable HR (95% CI)‡P value†
Low-risk patients§ <0.0010.001
 0 visit743849.390 451136150 (127 to 178)11
 1 visit419927.839 39244112 (83 to 150)0.57 (0.40 to 0.81)0.58 (0.41 to 0.83)
 ≥2 visits344222.822 65426115 (78 to 169)0.48 (0.30 to 0.75)0.53 (0.33 to 0.83)
Total15 07970.7152 497206135 (118 to 155)
High-risk patients§ <0.0010.002
 0 visit227636.525 79678302 (242 to 377)11
 1 visit170427.317 53152297 (226 to 389)0.73 (0.51 to 1.05)0.71 (0.49 to 1.03)
 ≥2 visits225936.214 99032213 (151 to 302)0.42 (0.27 to 0.66)0.44 (0.28 to 0.70)
Total623929.358 318162278 (238 to 324)
  • *Number of surveillance visits was included as a time-varying covariate, meaning that patients who had surveillance contributed person-years to more than a single category of number of surveillance visits.

  • †P values were calculated with the likelihood ratio test.

  • ‡Multivariable HR adjusted for age, number of premalignant polyps, adenoma histology, adenoma dysplasia, proximal polyps and length of baseline visit, the characteristics independently associated with CRC incidence in the whole cohort.

  • §High-risk patients were those with ≥2 premalignant polyps, of which ≥1 was advanced, ≥5 premalignant polyps, or ≥1 large (≥20 mm) non-pedunculated premalignant polyp; low-risk patients had none of these findings.

  • CRC, colorectal cancer.