Table 2. Adjusted Hazard Ratios (HRs) and 95% Confidence Intervals (CIs) for Site-Specific Cancers, by Proportion of Follow-Up Days Covered (PDC) With Statins,a Israel, 1998-2006.
Site | Cases, n | PDC Quintiles | Adjusted for Age and Sex | Fully Adjustedb | ||
---|---|---|---|---|---|---|
| ||||||
HR (95% CI) | P Value | HR (95% CI) | P Value | |||
All-site | 8,662 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 1.03 (0.96–1.10) | .38 | 0.86 (0.80–0.93) | .001 | ||
3 | 0.93 (0.87–0.99) | .001 | 0.75 (0.70–0.81) | .001 | ||
4 | 0.82 (0.77–0.86) | .001 | 0.73 (0.68–0.79) | .001 | ||
5 | 0.81 (0.76–0.86) | .001 | 0.90 (0.84–0.96) | .002 | ||
| ||||||
Colorectal | 1,247 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 0.92 (0.76–1.11) | .41 | 0.89 (0.74–1.08) | .26 | ||
3 | 0.80 (0.66–0.96) | .02 | 0.78 (0.65–0.94) | .01 | ||
4 | 0.73 (0.61–0.89) | .001 | 0.73 (0.60–0.87) | .001 | ||
5 | 0.93 (0.78–1.10) | .41 | 0.93 (0.78–1.11) | .43 | ||
| ||||||
Breast | 1,368 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 0.86 (0.73–1.02) | .09 | 0.84 (0.71–0.99) | .03 | ||
3 | 0.76 (0.64–0.90) | .002 | 0.73 (0.61–0.87) | .001 | ||
4 | 0.81 (0.68–0.96) | .02 | 0.77 (0.65–0.92) | .005 | ||
5 | 1.10 (0.93–1.29) | .27 | 1.03 (0.87–1.22) | .10 | ||
| ||||||
Prostate | 1,311 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 0.89 (0.73–1.07) | .22 | 0.81 (0.67–0.99) | .04 | ||
3 | 0.76 (0.63–0.92) | .005 | 0.72 (0.59–0.87) | .001 | ||
4 | 0.82 (0.68–0.99) | .04 | 0.75 (0.62–0.89) | .002 | ||
5 | 0.98 (0.84–1.16) | .86 | 0.95 (0.81–1.13) | .57 | ||
| ||||||
Lung and bronchus | 584 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 0.82 (0.62–1.08) | .17 | 0.81 (0.61–1.06) | .14 | ||
3 | 0.86 (0.66–1.13) | .30 | 0.85 (0.65–1.12) | .24 | ||
4 | 0.72 (0.54–0.96) | .02 | 0.71 (0.53–0.94) | .02 | ||
5 | 1.01 (0.79–1.29) | .93 | 0.97 (0.76–1.25) | .86 | ||
| ||||||
Female genital organsc | 427 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 1.01 (0.75–1.37) | .93 | 0.89 (0.66–1.22) | .50 | ||
3 | 0.97 (0.72–1.32) | .88 | 0.85 (0.63–1.16) | .33 | ||
4 | 0.74 (0.53–1.03) | .07 | 0.65 (0.46–0.91) | .01 | ||
5 | 0.88 (0.69-1.13) | .44 | 0.78 (0.57–1.06) | .12 | ||
| ||||||
Hematopoieticd | 681 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 0.88 (0.69–1.13) | .32 | 0.87 (0.68–1.12) | .29 | ||
3 | 0.74 (0.58–0.94) | .02 | 0.72 (0.56–0.92) | .01 | ||
4 | 0.69 (0.54–0.89) | .004 | 0.65 (0.51–0.85) | .001 | ||
5 | 0.76 (0.61–0.96) | .02 | 0.69 (0.55–0.88) | .002 | ||
| ||||||
Leukemia | 177 | 1 | 1 [Reference] | 1 [Reference] | ||
2 | 0.72 (0.45–1.14) | .16 | 0.72 (0.45–1.15) | .17 | ||
3 | 0.58 (0.37–0.94) | .03 | 0.58 (0.36–0.91) | .03 | ||
4 | 0.55 (0.34–0.89) | .02 | 0.54 (0.33–0.88) | .01 | ||
5 | 0.63 (0.61–0.96) | .03 | 0.58 (0.37–0.91) | .02 | ||
| ||||||
Lymphoma | 429 | 1 | 1 [Reference] | 1 [Reference]e | ||
2 | 0.91 (0.67–1.24) | .55 | 0.87 (0.64–1.20) | .42 | ||
3 | 0.87 (0.64–1.18) | .37 | 0.82 (0.61–1.11) | .21 | ||
4 | 0.78 (0.57–1.07) | .14 | 0.72 (0.52–0.99) | .05 | ||
5 | 0.78 (0.58–1.04) | .10 | 0.69 (0.51–0.94) | .002 |
a Calculated by dividing the quantity of statin packs dispensed, from date of first statin dispensation, by the total follow-up time. Data are presented as percentages unless otherwise indicated.
b Adjusted for age, sex, marital status, area of residence, nationality, socioeconomic level, years of stay in Israel, obesity, diabetes mellitus, hypertension, cardiovascular disease, efficacy, hospitalizations and visits to physicians a year before first statin dispensation, as well as for asthma, and chronic obstructive pulmonary disease (for lung and bronchus cancers).
c Including uterus, ovary, cervix, fallopian tube, vagina, and vulva.
d Leukemia, lymphoma, and multiple myeloma.
e P for trend < .002.