A Population-Based Matched Cohort Study of Digestive System Cancer Incidence and Mortality in Individuals With and Without Inflammatory Bowel Disease Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.14309/ajg.0000000000002900
INTRODUCTION: To study digestive system cancer risks in individuals with inflammatory bowel diseases (IBDs) in the biologic era. METHODS: We used population-level administrative and cancer registry data from Ontario, Canada, (1994–2020) to compare people with IBD to matched controls (1:10 by sex and birth year) on trends in age-sex standardized cancer incidence and risk ratios of incident cancers and cancer-related deaths. RESULTS: Among 110,919 people with IBD and 1,109,190 controls, colorectal cancer incidence (per 100,000 person-years) declined similarly in people with ulcerative colitis (average annual percentage change [AAPC] −1.81; 95% confidence interval [CI] −2.48 to −1.156) and controls (AAPC −2.79; 95% CI −3.44 to −2.14), while small bowel cancer incidence rose faster in those with Crohn's disease (AAPC 9.68; 95% CI 2.51–17.3) than controls (AAPC 3.64; 95% CI 1.52–5.80). Extraintestinal digestive cancer incidence rose faster in people with IBD (AAPC 3.27; 95% CI 1.83–4.73) than controls (AAPC −1.87; 95% CI −2.33 to −1.42), particularly for liver (IBD AAPC 8.48; 95% CI 4.11–13.1) and bile duct (IBD AAPC 7.22; 95% CI 3.74–10.8) cancers. Beyond 2010, the incidences (and respective mortality rates) of colorectal (1.60; 95% CI 1.46–1.75), small bowel (4.10; 95% CI 3.37–4.99), bile duct (2.33; 95% CI 1.96–2.77), and pancreatic (1.19; 95% CI 1.00–1.40) cancers were higher in people with IBD. DISCUSSION: Cancer incidence is declining for colorectal cancer and rising for other digestive cancers in people with IBD. Incidence and mortality remain higher in people with IBD than controls for colorectal, small bowel, bile duct, and pancreatic cancers.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.14309/ajg.0000000000002900
- OA Status
- hybrid
- Cited By
- 8
- References
- 68
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4400006197
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4400006197Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.14309/ajg.0000000000002900Digital Object Identifier
- Title
-
A Population-Based Matched Cohort Study of Digestive System Cancer Incidence and Mortality in Individuals With and Without Inflammatory Bowel DiseaseWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-25Full publication date if available
- Authors
-
Sanjay K. Murthy, Parul Tandon, Priscilla Matthews, Faria Ahmed, Michael Pugliese, Monica Taljaard, Gilaad G. Kaplan, Stephanie Coward, Çharles N. Bernstein, Eric I. Benchimol, M Ellen Kuenzig, Laura E. Targownik, Harminder SinghList of authors in order
- Landing page
-
https://doi.org/10.14309/ajg.0000000000002900Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.14309/ajg.0000000000002900Direct OA link when available
- Concepts
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Medicine, Incidence (geometry), Inflammatory bowel disease, Disease, Cohort, Internal medicine, Colorectal cancer, Cancer, Gastroenterology, Cohort study, Inflammatory Bowel Diseases, Population, Intestinal Cancer, Environmental health, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
8Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 7, 2024: 1Per-year citation counts (last 5 years)
- References (count)
-
68Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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