Table 2. Non-functional adrenal tumors and the risk of developing incident outcomes.
Incident Outcomes | Hypertension | Hyper-lipidemia | Composite Diabetes | Pre-Diabetes | Type 2 Diabetes | Chronic Kidney Disease | Cardio-Vascular Events |
---|---|---|---|---|---|---|---|
Number of Incident Events† Among Eligible Participants with NFAT+ | 19/74 (25.7%) | 15/87 (17.2%) | 30/110 (27.3%) | 23/110 (20.9%) | 14/126 (11.1%) | 15/152 (9.9%) | 13/138 (9.4%) |
Person-years at risk | 519 | 617 | 807 | 807 | 902 | 1,104 | 1,019 |
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Number of Incident Events† Among Eligible Participants with no Adrenal Tumor | 125/400 (31.3%) | 66/461 (14.3%) | 72/615 (11.7%) | 36/615 (5.8) | 44/646 (6.8%) | 62/715 (8.7%) | 55/629 (8.7%) |
Person-years at risk | 3,318 | 3,687 | 4,946 | 4,946 | 5,161 | 5,651 | 5,031 |
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Unadjusted Risk Ratios [95%CI] | 0.82 [0.51, 1.33] | 1.20 [0.69, 2.11] | 2.33 [1.52, 3.57] | 3.57 [2.12, 6.03] | 1.63 [0.89, 2.98] | 1.14 [0.65, 2.00] | 1.08 [0.59, 1.97] |
Unadjusted Rate Ratios [95%CI] | 0.97 [0.56, 1.58] | 1.35 [0.72, 2.40] | 2.55 [1.61, 3.96] | 3.91 [2.21, 6.79] | 1.82 [0.92, 3.38] | 1.23 [0.65, 2.20] | 1.16 [0.59, 2.16] |
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Multivariable Model 1 Risk Ratios [95%CI]* | 0.83 [0.51, 1.35] | 1.06 [0.58, 1.92] | 2.09 [1.33, 3.27] | 3.34 [1.93, 5.80] | 1.54 [0.81, 2.92] | 1.10 [0.59, 2.05] | 0.94 [0.49, 1.78] |
Multivariable Model 1 Rate Ratios [95%CI]* | 0.95 [0.58, 1.55] | 1.17 [0.64, 2.13] | 2.26 [1.44, 3.54] | 3.64 [2.10, 6.31] | 1.71 [0.90, 3.25] | 1.19 [0.64, 2.24] | 0.97 [0.50, 1.85] |
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Multivariable Model 2 Risk Ratios [95%CI]** | 0.76 [0.46, 1.26] | 1.03 [0.55, 1.91] | 2.03 [1.29, 3.19] | 3.26 [1.87, 5.69] | 1.50 [0.79, 2.87] | 0.99 [0.52, 1.86] | 0.78 [0.41, 1.50] |
Multivariable Model 2 Rate Ratios [95%CI]** | 0.85 [0.51, 1.41] | 1.10 [0.59, 2.05] | 2.17 [1.37, 3.42] | 3.59 [2.05, .6.28] | 1.63 [0.85, 3.14] | 1.15 [0.60, 2.16] | 0.76 [0.39, 1.49] |
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Multivariable Model 3 Risk Ratios [95%CI]*** | 0.93 [0.55, 1.57] | 0.95 [0.51, 1.78] | 1.87 [1.17, 2.98] | 3.19 [1.83, 5.59] | 0.99 [0.49, 1.98] | 1.00 [0.53, 1.89] | 0.72 [0.37, 1.39] |
Multivariable Model 3 Rate Ratios [95%CI]*** | 1.03 [0.61, 1.72] | 1.04 [0.55, 1.95] | 1.98 [1.23, 3.17] | 3.56 [2.02, 6.25] | 1.10 [0.54, 2.24] | 1.12 [0.59, 2.14] | 0.69 [0.34, 1.37] |
Incident event is defined as not having the specific outcome at baseline assessment and developing the outcome during the follow-up time.
Eligible participants include those who did not have the outcome of interest at baseline and who had ≥ 3 years of follow-up data to assess the incident development of this outcome over time.
Incident events of composite diabetes do not add up to the sum of incident type 2 diabetes events and pre-diabetes events because 15 individuals who developed incident type 2 diabetes had a diagnosis of pre-diabetes at baseline.
Multivariable Model 1 includes adjustment for: age, BMI, gender, race, smoking status
Multivariable Model 2 includes adjustment for: Model 1 + other clinically relevant baseline cardiovascular and metabolic diagnoses (hypertension, composite diabetes, hyperlipidemia, cardiovascular events, chronic kidney disease).
Multivariable Model 3 includes adjustment for: Model 2 + use of anti-hypertensive medications, use of anti-diabetes medications (oral hypoglycemics and insulin), and use of medications to treat coronary artery disease or hyperlipidemia (anti-platelets, nitrates, statins, fibrates, niacin).
NFAT= “non-functional” adrenal tumor