Table 4.
Aspirin
|
Non-aspirin NSAID
|
|||||
---|---|---|---|---|---|---|
None | Occasional | Daily | None | Occasional | Daily | |
Prostate cancer-specific mortality | ||||||
| ||||||
AARP | ||||||
No. of deaths, n=209 | 62 | 59 | 88 | 125 | 71 | 13 |
Model 1, HRs (95%CIs) a | ref | 0.85 (0.59, 1.22) | 0.81 (0.58, 1.12) | ref | 0.97 (0.72, 1.30) | 0.87 (0.49, 1.54) |
Model 2, HRs (95%CIs) b | ref | 0.91 (0.63, 1.31) | 0.82 (0.58, 1.16) | ref | 0.95 (0.70, 1.28) | 0.74 (0.41, 1.33) |
Model 3, HRs (95%CIs) c | ref | 0.87 (0.60, 1.27) | 0.77 (0.54, 1.11) | ref | 0.97 (0.71, 1.33) | 0.78 (0.43, 1.43) |
PLCO total | ||||||
No. of deaths, n=35 | 5 | 15 | 15 | 19 | 12 | 4 |
Model 1, HRs (95%CIs) d | ref | 1.44 (0.51, 4.03) | 1.30 (0.47, 3.61) | ref | 1.58 (0.75, 3.30) | 2.53 (0.84, 7.62) |
Model 2, HRs (95%CIs) e | ref | 1.56 (0.55, 4.40) | 1.27 (0.44, 3.63) | ref | 1.63 (0.78, 3.43) | 2.22 (0.71, 6.94) |
Model 3, HRs (95%CIs) f | ref | 1.52 (0.53, 4.33) | 1.26 (0.43, 3.67) | ref | 1.65 (0.77, 3.50) | 2.35 (0.74, 7.51) |
| ||||||
Pooled HRs (95%CIs) g | ref | 0.93 (0.65, 1.33) | 0.81 (0.58, 1.14) | ref | 1.05 (0.79, 1.40) | 0.99 (0.58, 1.68) |
| ||||||
All-cause mortality | ||||||
| ||||||
AARP | ||||||
No. of deaths, n=1326 | 397 | 344 | 585 | 808 | 425 | 93 |
Model 1, HRs (95%CIs) a | ref | 0.78 (0.67, 0.90) | 0.80 (0.70, 0.91) | ref | 0.91 (0.81, 1.02) | 1.02 (0.82, 1.26) |
Model 2, HRs (95%CIs) b | ref | 0.83 (0.72, 0.96) | 0.77 (0.67, 0.87) | ref | 0.92 (0.82, 1.04) | 0.90 (0.72, 1.12) |
Model 3, HRs (95%CIs) c | ref | 0.85 (0.73, 0.98) | 0.75 (0.66, 0.86) | ref | 0.94 (0.83, 1.06) | 0.89 (0.71, 1.12) |
PLCO total | ||||||
No. of deaths, n=208 | 47 | 65 | 96 | 138 | 53 | 17 |
Model 1, HRs (95%CIs) d | ref | 0.74 (0.51, 1.08) | 0.86 (0.61, 1.23) | ref | 0.97 (0.71, 1.33) | 1.19 (0.71, 1.97) |
Model 2, HRs (95%CIs) e | ref | 0.73 (0.50, 1.06) | 0.76 (0.53, 1.09) | ref | 1.01 (0.73, 1.39) | 1.27 (0.76, 2.12) |
Model 3, HRs (95%CIs) f | ref | 0.72 (0.49, 1.05) | 0.76 (0.52, 1.10) | ref | 0.97 (0.70, 1.34) | 1.27 (0.76, 2.14) |
| ||||||
Pooled HRs (95%CIs) g | ref | 0.83 (0.72, 0.95) | 0.75 (0.66, 0.86) | ref | 0.94 (0.84, 1.06) | 0.94 (0.77, 1.16) |
Abbreviations: HR, hazard ratio; CI, confidence interval; ref, reference.
Model 1 used age as the time-metric, adjusted for Gleason score (<7 vs. ≥7), tumor stage (localized vs. regional/distant), and primary treatment (no curative treatment, prostatectomy, radiation only, hormone treatment only, radiation and hormone treatment, and other).
Model 2 additionally adjusted for race (Non-Hispanic whites vs. other), marital status (married/cohabiting vs. other), history of cardiovascular disease (ever vs. never), history of diabetes (ever vs. never), BMI (<25, 25–29, and ≥30 kg/m2), smoking status (never, former & quit≥10 years, former & quit<10 years, and current & quit<1 year), history of prostate cancer screening (ever vs. never), and self-reported general health status (excellent/very good, good, and fair or poor).
Model 3 additionally adjusted for pre-diagnostic aspirin or non-aspirin NSAID use, respectively, from Risk Factor Questionnaire.
Model 1 used age as the time-metric, adjusted for Gleason score (<7 vs. ≥7), tumor stage (localized vs. regional/distant), primary treatment (prostatectomy, radiation only, hormone treatment only, radiation and hormone treatment, and other), and trial arm (screening vs. standard of care).
Model 2 additionally adjusted for race (Non-Hispanic whites vs. other), marital status (married/cohabiting vs. other), history of cardiovascular disease (ever vs. never), history of diabetes (ever vs. never), BMI (<25, 25–29, and ≥30 kg/m2), and smoking status (never, former & quit≥10 years, former & quit<10 years, and current & quit<1 year).
Model 3 additionally adjusted for pre-diagnostic aspirin or non-aspirin NSAID use, respectively, from Baseline Questionnaire for Men.
Pooled HRs and 95%CIs were computed using study-specific results from Model #3 in fixed-effects models