TABLE 1.
Cumulative incidence of cardiovascular and metabolic conditions in women who underwent hysterectomy with ovarian conservation compared to referent women (overall analyses; all ages)
Condition | Hysterectomy
|
Referent Women
|
Unadjusted Modelsb
|
Adjusted Modelsc
|
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
N at Risk | Person-years | N of Events | Absolute Riska % (95% CI) | N at Risk | Person-years | N of Events | Absolute Riska % (95% CI) | Hazard Ratio (95% CI) | P | Hazard Ratio (95% CI) | P | |
Hyperlipidemia | 1,979 | 30,055 | 1,069 | 73.1 (70.1-76.0) | 2,015 | 29,792 | 906 | 69.3 (66.1-72.4) | 1.20 (1.10-1.31) | <0.001 | 1.14 (1.05-1.25) | 0.002 |
Hypertension | 1,943 | 32,383 | 871 | 62.6 (59.4-65.8) | 1,963 | 31,605 | 715 | 56.1 (52.8-59.5) | 1.20 (1.09-1.32) | <0.001 | 1.13 (1.03-1.25) | 0.01 |
Diabetes | 2,037 | 38,670 | 631 | 49.6 (46.3-53.0) | 2,056 | 36,999 | 535 | 45.9 (42.6-49.4) | 1.15 (1.03-1.28) | 0.01 | 1.09 (0.97-1.22) | 0.14 |
Obesity | 1,815 | 32,260 | 499 | 36.0 (33.1-39.1) | 1,908 | 32,532 | 406 | 31.7 (28.9-34.8) | 1.24 (1.09-1.41) | <0.001 | 1.18 (1.04-1.35) | 0.01 |
Cardiac arrhythmias | 2,043 | 38,831 | 620 | 45.1 (42.0-48.3) | 2,051 | 37,695 | 492 | 39.5 (36.4-42.8) | 1.24 (1.10-1.38) | <0.001 | 1.17 (1.05-1.32) | 0.006 |
Coronary artery disease | 2,072 | 41,904 | 322 | 24.1 (21.5-27.0) | 2,078 | 40,143 | 222 | 17.7 (15.4-20.3) | 1.42 (1.20-1.67) | <0.001 | 1.33 (1.12-1.58) | 0.001 |
Congestive heart failure | 2,089 | 44,116 | 127 | 9.5 (7.8-11.5) | 2,084 | 41,283 | 130 | 10.0 (8.3-12.0) | 0.88 (0.69-1.12) | 0.29 | 0.80 (0.62-1.02) | 0.07 |
Stroke | 2,087 | 43,505 | 171 | 12.2 (10.3-14.5) | 2,087 | 41,080 | 145 | 11.8 (9.9-13.9) | 1.11 (0.89-1.37) | 0.37 | 1.01 (0.81-1.26) | 0.91 |
Absolute cumulative risk at 30 years after hysterectomy (or index) calculated using the Kaplan-Meier method. The estimates were adjusted using inverse probability weights derived from a logistic regression model including all 20 chronic conditions present at baseline, years of education (≤12, 13-16, >16, unknown), race (white vs nonwhite), and age and calendar year at baseline (continuous).
Hazard ratios calculated using Cox proportional hazards models with age as the time scale.
Hazard ratios calculated using Cox proportional hazards models with age as the time scale and adjusted using inverse probability weights derived from a logistic regression model including all 20 chronic conditions present at baseline, years of education (≤12, 13-16, >16, unknown), race (white vs nonwhite), and age and calendar year at baseline (continuous).