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. 2010 Feb 1;28(7):1224–1231. doi: 10.1200/JCO.2009.24.4608

Table 2.

All-Cause and Cause-Specific Standardized Mortality Ratios in 5-Year Survivors of Childhood Cancer

Characteristic All Causes
Subsequent Malignancy
Cardiac Causes
Pulmonary Causes
No. of Deaths SMR 95% CI P* No. of Deaths SMR 95% CI P* No. of Deaths SMR 95% CI P* No. of Deaths SMR 95% CI P*
All patients 2,076 8.89 8.52 to 9.29 205 8.02 6.96 to 9.19 103 6.05 4.94 to 7.34 29 7.32 4.90 to 10.51
Sex < .001 .19 .89 .03
    Male 1,214 7.64 7.22 to 8.08 104 8.81 7.20 to 10.68 68 6.12 4.75 to 7.75 21 10.10 6.25 to 15.43
    Female 862 11.57 10.81 to 12.37 101 7.33 5.97 to 8.91 35 5.93 4.13 to 8.25 8 4.25 1.83 to 8.38
Year of diagnosis < .001 .04 .03 .83
    1974-1980 825 7.52 7.02 to 8.05 121 8.18 6.79 to 9.77 46 4.65 3.40 to 6.20 16 7.70 4.40 to 12.51
    1981-1987 617 8.82 8.14 to 9.54 42 6.29 4.53 to 8.51 40 8.72 6.23 to 11.88 8 7.18 3.09 to 14.15
    1988-1994 419 10.32 9.36 to 11.36 37 11.63 8.19 to 16.04 15 7.47 4.18 to 12.32 3 5.04 1.01 to 14.72
    1995-2000 215 16.35 14.24 to 18.69 5 5.40 1.74 to 12.60 2 3.77 0.42 to 13.63 2 11.47 1.29 to 41.41
Race/ethnicity < .001 < .001 .15 .19
    White 1,699 8.92 8.50 to 9.36 156 7.12 6.05 to 8.33 87 6.41 5.13 to 7.91 22 7.27 4.55 to 11.00
    Black 229 6.67 5.84 to 7.59 29 10.72 7.18 to 15.40 11 3.71 1.85 to 6.65 4 5.01 1.35 to 12.83
    Asian, Pacific Islander, American Indian, Alaskan native 144 16.60 14.00 to 19.55 20 20.73 12.66 to 32.02 4 8.31 2.24 to 21.28 3 22.25 4.47 to 65.02

NOTE. As of December 31, 2005. All SMRs were age-, sex-, and race-standardized according to the US mortality rates from the SEER Program. “Subsequent malignancy” refers to a new neoplasm. Cancer deaths resulting from progression of the original cancer are not included in the observed number of events.

Abbreviations: SMR, standardized mortality ratio; SEER, Surveillance, Epidemiology, and End Results.

*

P from test for heterogeneity.

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