Table 3. Sensitivity analyses for association between statins, β-blockers and low-dose aspirin use and cancer-specific mortality in endometrial cancer patients.
| Analysis | Cancer-specific deaths | All patients | Person years | Adjusteda HR (95% CI) | P |
|---|---|---|---|---|---|
|
Statins | |||||
| Main analysis: user vs non-user after diagnosis | 394 | 3058 | 15 653 | 0.83 (0.64, 1.08) | 0.07 |
| Sub group analyses: user vs non-user after diagnosis, restricted to | |||||
| BMI before diagnosis, ⩽25 kg m−2 | 68 | 545 | 2970 | 0.75 (0.36, 1.58) | 0.46 |
| BMI before diagnosis, 25–<30 kg m−2 | 97 | 726 | 3730 | 0.80 (0.47, 1.39) | 0.43 |
| BMI before diagnosis, >30 kg m−2 | 141 | 1144 | 5606 | 0.97 (0.63, 1.49) | 0.89 |
| Sensitivity analyses: user vs non-user after diagnosis | |||||
| Stage at diagnosis available (and adjusted for)b | 163 | 1530 | 7281 | 0.98 (0.67, 1.46) | 0.96 |
| Increasing lag to 1 yearc | 394 | 3058 | 15 653 | 0.88 (0.67, 1.16) | 0.36 |
| Excluding patients with ⩽6 months follow-up after diagnosisd | 523 | 3306 | 17 249 | 0.88 (0.69, 1.11) | 0.28 |
|
β-Blockers | |||||
| Main analysis: user vs non-user after diagnosis | 394 | 3058 | 15 653 | 0.87 (0.68, 1.10) | 0.24 |
| Sub group analyses: user vs non-user after diagnosis, restricted to | |||||
| BMI before diagnosis, ⩽25 kg m−2 | 68 | 545 | 2970 | 0.97 (0.48, 1.94) | 0.93 |
| BMI before diagnosis, 25–<30 kg m−2 | 97 | 726 | 3730 | 1.16 (0.72, 1.87) | 0.55 |
| BMI before diagnosis, >30 kg m−2 | 141 | 1144 | 5606 | 0.69 (0.45, 1.04) | 0.07 |
| Sensitivity analyses: user vs non-user after diagnosis | |||||
| Stage at diagnosis available (and adjusted for)b | 163 | 1530 | 7281 | 0.88 (0.60, 1.29) | 0.51 |
| Increasing lag to 1 yearc | 394 | 3058 | 15 653 | 0.91 (0.71, 1.16) | 0.43 |
| Excluding patients with ⩽6 months follow-up after diagnosisd | 523 | 3306 | 17 249 | 0.83 (0.67, 1.03) | 0.10 |
|
Low-dose aspirin | |||||
| Main analysis: user vs non-user after diagnosis | 394 | 3058 | 15 653 | 0.91 (0.69, 1.20) | 0.52 |
| Sub group analyses: user vs non-user after diagnosis, restricted to | |||||
| BMI before diagnosis, ⩽25 kg m−2 | 68 | 545 | 2970 | 0.95 (0.47, 1.89) | 0.88 |
| BMI before diagnosis, 25–<30 kg m−2 | 97 | 726 | 3730 | 0.62 (0.33, 1.16) | 0.13 |
| BMI before diagnosis, >30 kg m−2 | 141 | 1144 | 5606 | 0.75 (0.47, 1.21) | 0.24 |
| Sensitivity analyses: user vs non-user after diagnosis | |||||
| Stage at diagnosis available (and adjusted for)b | 163 | 1530 | 7281 | 0.93 (0.61, 1.41) | 0.72 |
| Increasing lag to 1 yearc | 394 | 3058 | 15 653 | 0.90 (0.68, 1.20) | 0.47 |
| Excluding patients with ⩽6 months follow-up after diagnosisd | 523 | 3306 | 17 249 | 0.98 (0.77, 1.25) | 0.90 |
Abbreviations: BMI=body mass index; CI=confidence interval; HR=hazard ratio.
Adjusted for year of diagnosis, age at diagnosis, surgery within 6 months, radiotherapy within 6 months, chemotherapy within 6 months, deprivation (in fifths), comorbidities (before diagnosis, including cerebrovascular disease, chronic pulmonary disease, congestive heart disease, diabetes, myocardial infarction, peptic ulcer disease, peripheral vascular disease and renal disease), medication use after diagnosis (time varying, including statins, β-blockers and low-dose aspirin).
Adjusted model contains all variables in a along with stage at diagnosis (in individuals with stage available).
Increasing lag to 1 year among individuals living more than 1 year after cancer diagnosis.
Excluding patients with ≤6 months follow-up after diagnosis with cases followed from 6 months after diagnosis