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. 2020 Mar 11;156(5):1–9. doi: 10.1001/jamadermatol.2020.0218

Table 2. Risk of Skin Cancer in Patients With Vitiligo After Long-term NBUVB Phototherapy.

Group Incidence Rate (95% CI)a Events, No. Population, No. No. of Person-Years Univariable Analysis Multivariable Analysis
Crude HR (95% CI) P Value Adjusted HR (95% CI)b P Value
Actinic keratosis
No NBUVBc 6.1 (4.7-7.7) 65 20 105 106 910 1 [Reference] 1 [Reference]
NBUVB <50d 5.6 (4.3-7.2) 60 20 106 106 578 0.920 (0.648-1.307) .64 0.940 (0.662-1.336) .73
NBUVB 50-99e 4.3 (2.7-6.4) 23 9702 53 732 0.701 (0.435-1.127) .14 0.751 (0.467-1.209) .24
NBUVB 100-199f 8.4 (5.7-11.9) 31 6226 36 888 1.379 (0.899-2.115) .14 1.413 (0.921-2.168) .11
NBUVB ≥200g 14.2 (10.2-19.4) 40 4182 28 106 2.359 (1.590-3.499) <.001 2.269 (1.530-3.365) <.001
Bowen disease
No NBUVBc 0.7 (0.3-1.3) 7 20 105 107 110 1 [Reference] 1 [Reference]
NBUVB <50d 0.2 (0-0.7) 2 20 106 106 748 0.283 (0.059-1.360) .12 0.289 (0.060-1.392) .12
NBUVB 50-99e 0.4 (0-1.3) 2 9702 53 795 0.560 (0.116-2.694) .47 0.603 (0.125-2.904) .53
NBUVB 100-199f 0.8 (0.2-2.4) 3 6226 36 992 1.219 (0.315-4.714) .78 1.273 (0.329-4.924) .73
NBUVB ≥200g 0.7 (0.1-2.6) 2 4182 28 260 1.068 (0.221-5.146) .94 1.021 (0.212-4.919) .98
Nonmelanoma skin cancer
No NBUVBc 2.6 (1.7-3.8) 28 20 105 107 025 1 [Reference] 1 [Reference]
NBUVB <50d 2.3 (1.5-3.5) 25 20 106 106 674 0.889 (0.518-1.525) .67 0.914 (0.533-1.567) .74
NBUVB 50-99e 1.9 (0.9-3.4) 10 9702 53 781 0.705 (0.343-1.452) .34 0.765 (0.372-1.576) .47
NBUVB 100-199f 2.4 (1.1-4.6) 9 6226 36 960 0.924 (0.436-1.959) .84 0.960 (0.453-2.034) .91
NBUVB ≥200g 2.5 (1.0-5.1) 7 4182 28 233 0.940 (0.410-2.153) .88 0.905 (0.395-2.073) .81
Melanoma
No NBUVBc 1.3 (0.7-2.2) 14 20 105 107 090 1 [Reference] 1 [Reference]
NBUVB <50d 0.8 (0.4-1.6) 9 20 106 106 736 0.649 (0.281-1.500) .31 0.660 (0.286-1.526) .33
NBUVB 50-99e 1.1 (0.4-2.4) 6 9702 53 772 0.862 (0.331-2.243) .76 0.907 (0.348-2.362) .84
NBUVB 100-199f 0.8 (0.2-2.4) 3 6226 36 991 0.632 (0.182-2.200) .47 0.648 (0.186-2.255) .50
NBUVB ≥200g 0.7 (0.1-2.6) 2 4182 28 254 0.559 (0.127-2.460) .44 0.539 (0.122-2.374) .41

Abbreviations: HR, hazard ratio; NBUVB, narrowband UV-B.

a

Incidence rate per 10 000 person-years.

b

Adjusted by age and sex.

c

Patients who had not received phototherapy.

d

Patients who had received less than 50 sessions.

e

Patients who had received 50 to 99 sessions.

f

Patients who had received 100 to 199 sessions.

g

Patients who had received 200 or more sessions.