Table 2. Incidence and hazard ratio of stroke by demographic factor and comorbidity among patients with head and neck cancers and reference cohort.
Head and neck cancer
|
||||||||||
---|---|---|---|---|---|---|---|---|---|---|
No
|
Yes
|
Adjusteda
|
||||||||
Cases | Person-years | Rate | Cases | Person-years | Rate | Rate Ratio | (95% CI) | HR | (95% CI) | |
Overall | 2915 | 369 020 | 7.90 | 694 | 60 983 | 11.4 | 1.44 | (1.33–1.57)*** | 1.52 | (1.40–1.65)*** |
Gender | ||||||||||
Female | 435 | 65 138 | 6.68 | 110 | 10 783 | 10.2 | 1.52 | (1.07–1.62)* | 1.53 | (1.24–1.88)*** |
Male | 2480 | 312 882 | 7.93 | 584 | 50 200 | 11.6 | 1.47 | (1.34–1.61)*** | 1.57 | (1.43–1.72)*** |
Age (years) | ||||||||||
<40 | 57 | 65 882 | 0.87 | 57 | 12 085 | 4.72 | 5.45 | (3.78–7.87)*** | 5.76 | (3.99–8.33)*** |
40–49 | 392 | 124 335 | 3.15 | 146 | 20 644 | 7.07 | 2.24 | (1.85–2.71)*** | 2.30 | (1.90–2.78)*** |
50–59 | 689 | 94 618 | 7.28 | 203 | 15 433 | 13.2 | 1.81 | (1.54–2.11)*** | 1.84 | (1.57–2.15)*** |
⩾60 | 1777 | 84 185 | 21.1 | 288 | 12 821 | 22.5 | 1.06 | (0.94–1.21) | 1.06 | (0.93–1.20) |
Comorbidity | ||||||||||
Hypertension | 928 | 56 360 | 16.5 | 206 | 9959 | 20.7 | 1.26 | (1.08–1.46)* | 1.37 | (1.18–1.59)*** |
Diabetes mellitus | 752 | 44 543 | 16.9 | 148 | 7382 | 20.1 | 1.19 | (1.00–1.42) | 1.68 | (1.52–1.84)*** |
Both | 374 | 18 359 | 20.4 | 81 | 3239 | 25.0 | 1.23 | (1.00–1.62) | 1.32 | (1.04–1.68)* |
Follow-up (years) | ||||||||||
<2 | 773 | 104 826 | 7.37 | 251 | 22 033 | 11.4 | 1.54 | (1.36–1.78)*** | 1.64 | (1.42–1.90)*** |
2–4 | 798 | 100 467 | 7.94 | 150 | 16 356 | 9.18 | 1.16 | (0.97–1.38) | 1.26 | (1.05–1.50)* |
5–6 | 795 | 96 087 | 8.27 | 164 | 13 847 | 11.8 | 1.43 | (1.21–1.70)*** | 1.53 | (1.29–1.81)*** |
7–8 | 495 | 60 391 | 8.20 | 118 | 7911 | 14.9 | 1.82 | (1.49–2.23)*** | 1.97 | (1.61–2.41)*** |
⩾8 | 54 | 7248 | 7.45 | 11 | 836 | 13.2 | 1.76 | (0.92–3.37) | 1.97 | (1.03–3.78)*** |
Abbreviations: CI=confidence interval; HR=hazard ratio.
Rate: per 1000 person-years; Ratio: rate ratio of study cohort to reference cohort.
*P<0.05, ***P<0.0001.
Adjusted HR: multivariable analysis including gender, age, hypertension, diabetes mellitus, and years after index date.