n | % | No of person-years | No of CRCs | Incidence 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§ | <0.001 | 0.001 | |||||||
0 visit | 7438 | 49.3 | 90 451 | 136 | 150 (127 to 178) | 1 | 1 | ||
1 visit | 4199 | 27.8 | 39 392 | 44 | 112 (83 to 150) | 0.57 (0.40 to 0.81) | 0.58 (0.41 to 0.83) | ||
≥2 visits | 3442 | 22.8 | 22 654 | 26 | 115 (78 to 169) | 0.48 (0.30 to 0.75) | 0.53 (0.33 to 0.83) | ||
Total | 15 079 | 70.7 | 152 497 | 206 | 135 (118 to 155) | ||||
High-risk patients§ | <0.001 | 0.002 | |||||||
0 visit | 2276 | 36.5 | 25 796 | 78 | 302 (242 to 377) | 1 | 1 | ||
1 visit | 1704 | 27.3 | 17 531 | 52 | 297 (226 to 389) | 0.73 (0.51 to 1.05) | 0.71 (0.49 to 1.03) | ||
≥2 visits | 2259 | 36.2 | 14 990 | 32 | 213 (151 to 302) | 0.42 (0.27 to 0.66) | 0.44 (0.28 to 0.70) | ||
Total | 6239 | 29.3 | 58 318 | 162 | 278 (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.