Table 3. Characteristics of a cohort of postmenopausal Swedish women with a breast cancer diagnosis between 1970 and 2003, and SIR, with 95% CI, of gastric non-cardia adenocarcinoma.
Gastric non-cardia adenocarcinoma
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Unexposed (1970–1987) | Exposed (1988–2003) | Total cohort (1970–2003) | |
No. of breast cancer cases | 53 643 | 65 505 | 119 148 |
No. of person-years at risk | 528 789 | 363 765 | 892 555 |
Mean years of follow-up | 9.85 | 5.55 | 7.49 |
Mean age at entry (range) | 69 (50–101) | 68 (50–104) | 68 (50–104) |
No. of observed gastric non-cardia adenocarcinoma cases | 257 | 84 | 341 |
No. of expected gastric non-cardia adeno-carcinoma cases | 174.52 | 65.88 | 240.39 |
SIR (95% CI) | 1.47 (1.30–1.66) | 1.27 (1.03–1.57) | 1.41 (1.27–1.57) |
Latency interval after breast cancer diagnosis in years | Number of observed cases of gastric non-cardia adenocarcinoma SIR (95% CI) | ||
1–4 | 105 | 46 | 151 |
1.7 (1.4–2.06) | 1.29 (0.96–1.72) | 1.55 (1.32–1.82) | |
5–9 | 71 | 24 | 95 |
1.4 (1.11–1.77) | 1.06 (0.71–1.58) | 1.3 (1.06–1.58) | |
10–14 | 39 | 14 | 53 |
1.19 (0.87–1.63) | 1.86 (1.1–3.14) | 1.32 (1.008–1.72) | |
>15 | 42 | 0 | 42 |
1.41 (1.04–1.91) | 1.4 (1.04–1.9) |
CI=confidence interval; SIR=standardised incidence ratio.
Patients diagnosed between 1970 and 1987 were considered unexposed to tamoxifen treatment, whereas those diagnosed between 1988 and 2003 were considered exposed. First year of follow-up was excluded. The earliest data available for the gastric cancer diagnosis were from 1961, but distinction between cardia and non-cardia diagnoses was only available from 1970.