Table 4.
Event Rate No. of Events/Sample Size (%) | Positive vs. Negative Unadjusted* | Positive vs. Negative Adjusted† | ||||
---|---|---|---|---|---|---|
Sex/NIT Type | Positive Test | Negative Test | Hazard Ratio (95% CI) | P-value | Hazard Ratio (95% CI) | P-value |
Interaction between test result, test type, and sex | --- | 0.020 | --- | 0.010 | ||
Women | ||||||
Association of test positivity in women randomized to CTA | 18/184 (9.78%) | 39/2148 (1.82%) | 6.39 (3.65-11.17) | <0.001 | 5.86 (3.32-10.35) | <0.001 |
Association of test positivity in women randomized to stress test | 14/274 (5.11%) | 41/2114 (1.94%) | 2.70 (1.45-5.03) | 0.002 | 2.27 (1.21-4.25) | 0.011 |
Difference between the association in CTA and the association in stress test | --- | 0.043 | --- | 0.028 | ||
Men | ||||||
Association of test positivity in men randomized to CTA | 31/350 (8.86%) | 49/1818 (2.70%) | 3.69 (2.35-5.79) | <0.001 | 2.80 (1.76-4.45) | <0.001 |
Association of test positivity in men randomized to stress test | 33/290 (11.38%) | 40/1788 (2.24%) | 5.39 (3.39-8.56) | <0.001 | 4.42 (2.77-7.07) | <0.001 |
Difference between the association in CTA and the association in stress test | --- | 0.249 | --- | 0.168 |
CTA = computed tomographic angiography; NIT = noninvasive test.
Unadjusted models contained test result, randomized testing arm, sex, and all 2-way and 3-way interaction terms.
Adjusted for age, race, body mass index, coronary artery disease (CAD) equivalent, Framingham risk score (12), ASCVD score (13), 2011 Diamond and Forrester score (14), hypertension, dyslipidemia, diabetes, family history of premature CAD, sedentary lifestyle, smoking, typicality of chest pain, and physician's estimation of likelihood of significant CAD.