Table 4.
Hazard ratio of developing ADRD by a history of CVD, stroke, hypertension and diabetes in men with prostate cancer with up to 26-year follow-up from 1991 to 2016 considering death as competing risk
| Characteristics | Hazard ratio (95% CI)* of developing ADRD** by CVD, stroke, hypertension and diabetes | ||||||
|---|---|---|---|---|---|---|---|
| AD | Vascular | DLB | FTD | MCI | Others | Total | |
| Cardiovascular disease | |||||||
| Yes vs. No | 1.09(1.06-1.14) | 1.17(1.11-1.23) | 0.93(0.83-1.05) | 1.01(0.78-1.30) | 1.00(0.92-1.09) | 1.17(1.15-1.20) | 1.17(1.15-1.20) |
| Stroke | |||||||
| Yes vs. No | 1.30(1.28-1.32) | 1.31(1.29-1.33) | 1.27(1.26-1.29) | 1.27(1.25-1.29) | 1.28(1.26-1.30) | 1.38(1.36-1.4) | 1.40(1.38-1.42) |
| Hypertension | |||||||
| Yes vs. No | 1.04(1.03-1.05) | 1.05(1.04-1.06) | 1.04(1.03-1.06) | 1.04(1.03-1.06) | 1.05(1.04-1.06) | 1.06(1.05-1.07) | 1.06(1.05-1.07) |
| Diabetes | |||||||
| Yes vs. No | 1.24(1.23-1.25) | 1.25(1.24-1.27) | 1.25(1.24-1.27) | 1.25(1.24-1.27) | 1.25(1.24-1.27) | 1.24(1.23-1.25) | 1.24(1.22-1.25) |
| Age (years) | |||||||
| 65-69 | 1.00(ref) | 1.00(ref) | 1.00(ref) | 1.00(ref) | 1.00(ref) | 1.00(ref) | 1.00(ref) |
| 70-74 | 1.05(1.48-1.52) | 1.48(1.46-1.50) | 1.48(1.46-1.50) | 1.47(1.45-1.50) | 1.47(1.45-1.49) | 1.48(1.47-1.50) | 1.48(1.46-1.50) |
| 75-79 | 2.27(2.24-2.30) | 2.24(2.21-2.27) | 2.22(2.19-2.26) | 2.23(2.20-2.26) | 2.21(2.18-2.24) | 2.22(2.19-2.25) | 2.21(2.18-2.24) |
| 80-84 | 3.40(3.35-3.46) | 3.38(3.32-3.43) | 3.36(3.31-3.42) | 3.37(3.32-3.42) | 3.32(3.26-3.37) | 3.27(3.23-3.32) | 3.25(3.20-3.30) |
| 85 or older | 5.09(5.00-5.18) | 5.09(5.00-5.19) | 5.09(5.00-5.19) | 5.11(5.02-5.21) | 5.01(4.92-5.10) | 4.86(4.78-4.95) | 4.81(4.73-4.90) |
| Race/ethnicity | |||||||
| NH-Whites | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| NH-Blacks | 1.21(1.20-1.23) | 1.21(1.20-1.23) | 1.18(1.17-1.20) | 1.19(1.17-1.20) | 1.17(1.16-1.19) | 1.22(1.20-1.24) | 1.22(1.20-1.24) |
| NH-Asians/P.Islanders | 0.77(0.75-0.79) | 0.75(0.73-0.77) | 0.75(0.73-0.77) | 0.75(0.73-0.77) | 0.74(0.72-0.76) | 0.78(0.76-0.80) | 0.78(0.76-0.81) |
| Hispanics | 0.96(0.94-0.98) | 0.94(0.92-0.96) | 0.93(0.91-0.95) | 0.93(0.91-0.95) | 0.92(0.90-0.94) | 0.99(0.97-1.01) | 0.99(0.98-1.01) |
| Others | 0.91(0.87-0.94) | 0.89(0.85-0.92) | 0.89(0.85-0.92) | 0.89(0.85-0.92) | 0.88(0.84-0.91) | 0.89(0.85-0.92) | 0.89(0.86-0.93) |
| unknown/missing | 0.84(0.82-0.86) | 0.83(0.81-0.86) | 0.83(0.80-0.85) | 0.83(0.80-0.85) | 0.83(0.81-0.86) | 0.86(0.83-0.88) | 0.86(0.84-0.88) |
| Marital status | |||||||
| Married | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Unmarried | 1.30(1.29-1.32) | 1.32(1.31-1.34) | 1.31(1.30-1.33) | 1.32(1.30-1.34) | 1.28(1.26-1.29) | 1.26(1.24-1.27) | 1.24(1.23-1.26) |
| Unknown | 1.20(1.18-1.23) | 1.21(1.19-1.23) | 1.20(1.18-1.22) | 1.21(1.18-1.23) | 1.18(1.16-1.20) | 1.16(1.14-1.18) | 1.15(1.14-1.17) |
| Tumor stage | |||||||
| Local/Regional | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Distant | 3.61(3.55-3.67) | 3.77(3.71-3.84) | 3.89(3.83-3.96) | 3.92(3.85-3.98) | 3.84(3.78-3.91) | 3.05(3.00-3.10) | 2.97(2.93-3.02) |
| Unknown/missing | 1.41(1.38-1.43) | 1.42(1.40-1.45) | 1.43(1.41-1.46) | 1.44(1.41-1.46) | 1.42(1.39-1.45) | 1.34(1.32-1.37) | 1.34(1.31-1.36) |
| Tumor grade | |||||||
| Well-differentiated | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| Moderately-differentiated | 0.95(0.93-0.97) | 0.95(0.93-0.97) | 0.96(0.94-0.97) | 0.95(0.94-0.97) | 0.97(0.95-0.98) | 0.95(0.93-0.97) | 0.95(0.93-0.96) |
| Poorly-differentiated | 1.17(1.15-1.20) | 1.19(1.17-1.22) | 1.21(1.18-1.23) | 1.21(1.18-1.23) | 1.22(1.20-1.25) | 1.13(1.11-1.15) | 1.12(1.10-1.14) |
| Unknown/Missing | 1.38(1.35-1.41) | 1.40(1.37-1.44) | 1.42(1.38-1.45) | 1.42(1.38-1.45) | 1.43(1.39-1.46) | 1.33(1.30-1.36) | 1.32(1.29-1.35) |
| Chemotherapy | |||||||
| Yes vs. No | 1.29(1.26-1.32) | 1.30(1.27-1.33) | 1.31(1.28-1.34) | 1.31(1.28-1.34) | 1.30(1.27-1.33) | 1.26(1.23-1.28) | 1.25(1.22-1.28) |
| Radiotherapy | |||||||
| Yes vs. No | 0.87(0.87-0.88) | 0.87(0.86-0.88) | 0.87(0.86-0.88) | 0.87(0.86-0.88) | 0.88(0.87-0.89) | 0.88(0.88-0.89) | 0.89(0.88-0.89) |
| Androgen deprivation therapy | |||||||
| Yes vs. No | 0.89(0.87-0.91) | 0.89(0.87-0.91) | 0.88(0.86-0.90) | 0.88(0.86-0.90) | 0.88(0.86-0.90) | 0.91(0.89-0.93) | 0.91(0.90-0.93) |
| Comorbidity Scores | |||||||
| 0 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 1 | 1.33(1.31-1.34) | 1.34(1.33-1.36) | 1.34(1.33-1.36) | 1.35(1.33-1.36) | 1.33(1.32-1.35) | 1.32(1.30-1.33) | 1.31(1.30-1.33) |
| ≥2 | 1.67(1.64-1.70) | 1.70(1.68-1.73) | 1.72(1.69-1.75) | 1.72(1.69-1.75) | 1.71(1.68-1.73) | 1.63(1.60-1.66) | 1.62(1.59-1.64) |
| SEER Areas | |||||||
| Connecticut | 1.28(1.26-1.31) | 1.33(1.31-1.36) | 1.32(1.30-1.35) | 1.33(1.30-1.35) | 1.29(1.27-1.32) | 1.21(1.19-1.23) | 1.19(1.17-1.21) |
| Detroit | 1.22(1.20-1.24) | 1.22(1.20-1.24) | 1.22(1.20-1.24) | 1.22(1.20-1.24) | 1.19(1.17-1.21) | 1.15(1.13-1.16) | 1.13(1.12-1.15) |
| Hawaii | 1.26(1.21-1.31) | 1.30(1.25-1.35) | 1.28(1.23-1.33) | 1.29(1.24-1.34) | 1.28(1.23-1.33) | 1.23(1.19-1.28) | 1.21(1.17-1.25) |
| Iowa | 1.35(1.32-1.37) | 1.38(1.36-1.41) | 1.41(1.38-1.43) | 1.41(1.39-1.44) | 1.37(1.34-1.39) | 1.25(1.23-1.27) | 1.22(1.20-1.24) |
| New Mexico | 1.35(1.32-1.39) | 1.39(1.36-1.43) | 1.41(1.37-1.45) | 1.42(1.38-1.45) | 1.39(1.35-1.42) | 1.30(1.26-1.33) | 1.27(1.24-1.30) |
| Seattle | 1.19(1.17-1.21) | 1.24(1.22-1.27) | 1.27(1.24-1.29) | 1.28(1.25-1.30) | 1.23(1.21-1.26) | 1.00(0.98-1.02) | 0.98(0.96-1.00) |
| Utah | 1.30(1.27-1.33) | 1.34(1.31-1.37) | 1.36(1.33-1.39) | 1.37(1.33-1.40) | 1.33(1.29-1.36) | 1.20(1.17-1.22) | 1.17(1.15-1.20) |
| Georgia | 1.27(1.25-1.30) | 1.29(1.27-1.32) | 1.32(1.30-1.35) | 1.33(1.30-1.36) | 1.30(1.27-1.32) | 1.14(1.12-1.16) | 1.12(1.10-1.14) |
| Kentucky | 1.39(1.36-1.43) | 1.40(1.36-1.43) | 1.42(1.39-1.46) | 1.43(1.39-1.46) | 1.37(1.34-1.41) | 1.34(1.31-1.37) | 1.31(1.28-1.33) |
| Louisiana | 1.25(1.22-1.28) | 1.29(1.26-1.32) | 1.32(1.29-1.35) | 1.33(1.29-1.36) | 1.28(1.25-1.31) | 1.09(1.07-1.11) | 1.07(1.04-1.09) |
| New Jersey | 1.06(1.04-1.08) | 1.04(1.02-1.06) | 1.03(1.02-1.05) | 1.03(1.01-1.05) | 1.04(1.02-1.06) | 1.04(1.03-1.06) | 1.05(1.03-1.07) |
| California | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |