Table 2. HRs and 95% CIs for the association between NSAID and HT use before diagnosis and colorectal cancer mortality, stratified by tumour sub-site.
|
All tumour sub-sites combined
|
Proximal tumours
|
Distal/rectal tumours
|
||||||
|---|---|---|---|---|---|---|---|---|
| Medication exposure | Cases at risk a | Colorectal cancer deaths | HR | 95% CI | HR | 95% CI | HR | 95% CI |
| NSAID use b | ||||||||
| Never | 444 | 81 | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Ever | 466 | 62 | 0.88 | 0.62–1.24 | 0.55 | 0.32–0.92 | 1.32 | 0.83–2.10 |
| Aspirinc | 340 | 50 | 1.14 | 0.77–1.69 | 0.75 | 0.41–1.37 | 1.64 | 0.96–2.78 |
| Ibuprofen | 182 | 19 | 0.51 | 0.26–1.00 | 0.09 | 0.01–0.69 | 0.94 | 0.45–1.97 |
| HT use d | ||||||||
| Never | 344 | 57 | 1.00 | Referent | 1.00 | Referent | 1.00 | Referent |
| Ever | 465 | 68 | 0.95 | 0.66–1.35 | 0.90 | 0.53–1.54 | 0.95 | 0.57–1.56 |
| Oestrogen only | 429 | 60 | 1.04 | 0.69–1.55 | 1.17 | 0.65–2.08 | 0.91 | 0.51–1.63 |
| Oestrogens and progestin | 206 | 26 | 0.92 | 0.43–1.97 | 0.72 | 0.17–3.16 | 1.19 | 0.46–3.09 |
Abbreviations : CI=confidence interval; HR=hazard ratio; HT=hormone therapy; NSAID=non-steroidal anti-inflammatory drug.
Models in table above are adjusted for age at diagnosis, body mass index, smoking status, family history of colorectal cancer, history of preventive screening and stage of disease at diagnosis.
Reported number of cases at risk and number of colorectal cancer deaths are out of the total number of Caucasian women with non-advanced disease (n=933) for each exposure. All HT models are restricted to Caucasian women at least 50 years of age with non-advanced disease (n=818). Note that not every case answered the medication questions in the interview.
Additionally adjusted for HT use (never, ever).
Results by type are examined as ever use, adjusted for use of other medication types. For example, results reported for aspirin are generated from a model comparing ever users of aspirin to never users, including ‘ever use’ of ibuprofen in the model.
Additionally adjusted for NSAID use (never, ever).