Table 3. Relative risk of lung cancer, by markers of immunodeficiency at two different time periods before cancer diagnosis.
One to two years before lung cancera
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Within one year before lung cancera
|
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Lung cancer
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Controls
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Lung cancer
|
Controls
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N | % | N | % | ORb (95% CI) | Smoking-adjusted ORc (95% CI) | N | % | N | % | ORb (95% CI) | Smoking-adjusted ORc (95% CI) | |
Overall | 68 | 337 | 68 | 337 | ||||||||
CD4+ cell count, cells per μl | ||||||||||||
⩾500 | 23 | 39.0 | 100 | 34.2 | 1 | 1 | 20 | 29.4 | 119 | 36.4 | 1 | 1 |
200–499 | 26 | 44.1 | 146 | 50.0 | 0.76 (0.41–1.43) | 0.59 (0.30–1.16) | 38 | 55.9 | 159 | 48.6 | 1.41 (0.78–2.54) | 1.11 (0.59–2.10) |
<200 | 10 | 16.9 | 46 | 15.8 | 0.96 (0.41–2.24) | 0.97 (0.40–2.34) | 10 | 14.7 | 49 | 15.0 | 1.21 (0.49–2.96) | 1.19 (0.47–3.04) |
Unknown | 9 | 45 | 0 | 10 | ||||||||
CD8+ cell count, cells per μl | ||||||||||||
⩾1000 | 28 | 47.5 | 122 | 41.9 | 1 | 1 | 26 | 38.2 | 132 | 40.4 | 1 | 1 |
500–999 | 25 | 42.4 | 128 | 44.0 | 0.84 (0.46–1.53) | 1.05 (0.55–1.98) | 35 | 51.5 | 156 | 47.7 | 1.15 (0.65–2.05) | 1.11 (0.60–2.04) |
<500 | 6 | 10.2 | 41 | 14.1 | 0.64 (0.25–1.67) | 0.57 (0.20–1.58) | 7 | 10.3 | 39 | 11.9 | 0.92 (0.37–2.29) | 0.77 (0.30–1.97) |
Unknown | 9 | 46 | 0 | 10 | ||||||||
CD4+/CD8+ ratio, % | ||||||||||||
⩾0.50 | 25 | 42.4 | 125 | 43.0 | 1 | 1 | 22 | 32.4 | 140 | 42.8 | 1 | 1 |
0.25–0.49 | 22 | 37.3 | 109 | 37.5 | 1.01 (0.53–1.90) | 0.78 (0.39–1.55) | 26 | 38.2 | 120 | 36.7 | 1.38 (0.74–2.57) | 1.14 (0.58–2.23) |
<0.25 | 12 | 20.3 | 57 | 19.6 | 1.07 (0.49–2.36) | 0.92 (0.40–2.09) | 20 | 29.4 | 67 | 20.5 | 2.15 (1.00–4.59) | 2.12 (0.94–4.77) |
Unknown | 9 | 46 | 0 | 10 | ||||||||
HIV viral load, copies per ml | ||||||||||||
<500 | 37 | 68.5 | 192 | 71.4 | 1 | 1 | 40 | 72.7 | 207 | 74.5 | 1 | 1 |
500–9999 | 12 | 22.2 | 36 | 13.4 | 1.79 (0.83–3.86) | 2.05 (0.90–4.67) | 8 | 14.5 | 37 | 13.3 | 1.15 (0.49–2.70) | 1.27 (0.50–3.21) |
⩾10 000 | 5 | 9.3 | 41 | 15.2 | 0.66 (0.24–1.79) | 0.44 (0.15–1.29) | 7 | 12.7 | 34 | 12.2 | 1.10 (0.44–2.75) | 0.81 (0.32–2.07) |
Unknown | 14 | 68 | 13 | 59 |
Abbreviations: CI=confidence interval; OR=odds ratio.
Or before the reference date in controls (see the ‘Materials and Methods’ section for definition).
Conditioned upon matching variables.
Conditioned upon matching variables and adjusted for smoking (never/former, current with <30 pack-years, current with ⩾30 pack-years, unknown).