Table III.
Risk of cervical and ovarian cancer for ART women compared with non-ART women, stratified analyses.
Cervical cancer (C53) |
Ovarian cancer (C56) |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|
ART | Non-ART | HR | Lower bound | Upper bound | ART | Non-ART | HR | Lower bound | Upper bound | |
n | n | n | n | |||||||
Number of cancers during the observational period | 24 | 2156 | 16 | 800 | ||||||
Crude risk | 24 | 2156 | 0.83 | 0.55 | 1.24 | 16 | 800 | 1.67 | 1.02 | 2.74 |
Adjusted riska | 24 | 2156 | 0.86 | 0.57 | 1.29 | 16 | 800 | 1.56 | 0.94 | 2.60 |
Excl. cancer during the first yearb | 23 | 2102 | 0.87 | 0.58 | 1.32 | 14 | 781 | 1.43 | 0.83 | 2.45 |
Parity at entry | ||||||||||
P0 | 19 | 1459 | 0.78 | 0.50 | 1.24 | 14 | 402 | *1.80 | 1.04 | 3.11 |
P1+ | 5 | 697 | 2.03 | 0.84 | 4.93 | 2 | 398 | 1.60 | 0.40 | 6.45 |
Total | 24 | 2156 | 16 | 800 | ||||||
Parity at exit | ||||||||||
One | 15 | 498 | 0.99 | 0.59 | 1.67 | 12 | 172 | *2.00 | 1.08 | 3.65 |
Two | 9 | 910 | 0.85 | 0.44 | 1.64 | 3 | 305 | 0.95 | 0.30 | 2.98 |
Three or more | 0 | 748 | NA | – | – | 1 | 323 | 1.22 | 0.17 | 8.71 |
Total | 24 | 2156 | 16 | 800 | ||||||
Method of ART | ||||||||||
IVF | 17 | 2156 | 0.88 | 0.55 | 1.43 | 11 | 800 | 1.45 | 0.79 | 2.65 |
ICSI | 4 | 2156 | 0.70 | 0.26 | 1.88 | 2 | 800 | 1.51 | 0.37 | 6.11 |
Other | 3 | 2156 | 1.04 | 0.33 | 3.22 | 3 | 800 | 2.33 | 0.75 | 7.28 |
Total | 24 | 16 | ||||||||
Duration of follow-up, years | ||||||||||
<1 year | 2 | 56 | 1.08 | 0.25 | 4.54 | 2 | 19 | *5.59 | 1.12 | 28.0 |
1–5 | 11 | 317 | 1.70 | 0.91 | 3.15 | 3 | 73 | 2.01 | 0.60 | 6.67 |
>5–10 | 9 | 608 | 1.10 | 0.57 | 2.15 | 6 | 133 | 1.98 | 0.85 | 4.64 |
>10 | 2 | 1175 | 0.20 | 0.05 | 0.81 | 5 | 575 | 0.96 | 0.39 | 2.33 |
Total | 24 | 2156 | 16 | 800 |
aHazard ratios are adjusted for attained age, age at start of follow-up, parity, region of residence and calendar period.
bThose with an index cancer diagnosed within the first year of follow-up were omitted from this analysis.
*Hazard rates which were statistically significant between ART and non-ART women, lost statistical significance once corrections were made for multiple analyses, using the Benjamini-Hochberg method.