Crohn's Disease and Cancer: A Study Population-Based Cohort

BaclWotmd/Aims: To study the association between Crohn’s disease and cancer, we performed a population-based study of 1251 subjects with Crohn’s disease diagnosed in Stockholm from 1955 to 1984 and followed in both the National Cancer Register and the National Cause-of-Death Register until 1989. Methods: For comparisons, regional cancer incidence rates in Stockholm County were used together with individually computed person-years at risk in the Crohn’s disease cohort. f?esus 95% confidence interval, 0.90-1.46). An excess number of cancers of the upper gastrointestinal tract (SMR, 3.05; 95% confidence interval, 1.675.11) was observed, mainly because of an increased number of cancers of the small intestine (SMR, 15.64; 95% confidence interval, 4.26-40.06). An increased occurrence of urinary bladder cancer was also observed (SMR, 2.68; 95% confidence interval, 1.08-5.53). Conclusions: The occurrence of colorectal cancer was not increased.

[1]  P. Munkholm,et al.  Intestinal cancer risk and mortality in patients with Crohn's disease. , 1993, Gastroenterology.

[2]  Anders Ahlbom,et al.  Biostatistics for Epidemiologists , 1993 .

[3]  G. Mullin,et al.  Lymphoma in inflammatory bowel disease , 2010, Cancer.

[4]  G. Stansby,et al.  Cigarette Smoking and its Relationship to Inflammatory Bowel Disease: A Review , 1992, Journal of the Royal Society of Medicine.

[5]  A. Ahlbom,et al.  Diet and Inflammatory Bowel Disease: A Case-Control Study , 1992, Epidemiology.

[6]  H. Adami,et al.  Extracolonic malignancies in inflammatory bowel disease , 1991, Cancer.

[7]  A. Ahlbom,et al.  Inflammatory bowel disease and tobacco smoke--a case-control study. , 1990, Gut.

[8]  H. Adami,et al.  Increased risk of large-bowel cancer in Crohn's disease with colonic involvement , 1990, The Lancet.

[9]  G. Steineck,et al.  Vitamin A supplements, fried foods, fat and urothelial cancer. A case‐referent study in Stockholm in 1985–87 , 1990, International journal of cancer.

[10]  C. Leijonmarck,et al.  Factors affecting colectomy rate in ulcerative colitis: an epidemiologic study. , 1990, Gut.

[11]  C. Hogstedt,et al.  Urothelial cancer and some industry-related chemicals: an evaluation of the epidemiologic literature. , 1990, American journal of industrial medicine.

[12]  Z. Fireman,et al.  Intestinal cancer in patients with Crohn's disease. A population study in central Israel. , 1989, Scandinavian journal of gastroenterology.

[13]  S. Shivananda,et al.  Risk of cancer in inflammatory bowel disease: why are the results in the reviewed literature so varied? , 1989, Scandinavian journal of gastroenterology. Supplement.

[14]  L. Melton,et al.  Epidemiologic aspects of Crohn's disease: a population based study in Olmsted County, Minnesota, 1943-1982. , 1988, Gut.

[15]  H. K. Kvist,et al.  Malignancy in Crohn's disease. , 1986, Scandinavian journal of gastroenterology.

[16]  G. Hellers,et al.  Incidence of ulcerative colitis in Stockholm County 1955-1979. , 1985, Scandinavian journal of gastroenterology.

[17]  S. Kreiner,et al.  Alimentary tract andpancreas Prognosis inCrohn's disease -based onresults froma regional patient group fromthecounty ofCopenhagen , 1985 .

[18]  D. Sachar,et al.  A comparison of cancer risk in crohn's disease and ulcerative colitis , 1981, Cancer.

[19]  G. Hellers Crohn's disease in Stockholm county 1955-1974. A study of epidemiology, results of surgical treatment and long-term prognosis. , 1979, Acta chirurgica Scandinavica. Supplementum.

[20]  W. Taylor,et al.  Crohn's disease and cancer. , 1973, The New England journal of medicine.

[21]  J. Macartney,et al.  Malignancy in Crohn's disease. , 1980, British journal of preventive & social medicine.

[22]  J. Macartney,et al.  Malignancy in Crohn's disease. , 1980, Gut.