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. 2020 Jan 15;368:l6794. doi: 10.1136/bmj.l6794

Table 3.

Multivariable analysis of cardiac conditions by treatment era and cardiovascular risk factors 20 years from diagnosis

Risk factors by treatment era Hazard ratio (95% CI)
Heart failure Coronary artery disease Valvular heart disease Pericardial disease Arrhythmia
Sex:
 Male 1.0
 Female 1.51 (1.10 to 2.06) 0.87 (0.62 to 1.23) 1.25 (0.74 to 2.12) 0.68 (0.29 to 1.58) 1.25 (0.79 to 1.99)
Treatment era:
 1970-79 1.0 1.0 1.0 1.0 1.0
 1980-89 0.89 (0.67 to 1.17) 0.66 (0.42 to 1.02) 1.36 (0.77 to 2.43) 0.57 (0.16 to 1.97) 1.16 (0.65 to 2.05)
 1990-99 0.70 (0.45 to 1.08) 0.63 (0.36 to 1.08) 1.33 (0.42 to 4.21) 0.96 (0.23 to 4.02) 1.71 (0.96 to 3.07)
Mean heart dose (Gy):
 None 1.0 1.0 1.0 1.0 1.0
 1-15 0.74 (0.54 to 1.03) 1.31 (0.88 to 1.96) 1.12 (0.33 to 3.79) 0.64 (0.19 to 2.20) 0.97 (0.54 to 1.73)
 15.1-34.99 1.56 (1.05 to 2.33) 2.26 (1.32 to 3.84) 2.03 (0.64 to 6.44) 0.88 (0.21 to 3.64) 0.89 (0.37 to 2.18)
 ≥35 3.95 (2.87 to 5.43) 5.86 (3.69 to 9.28) 13.97 (6.01 to 32.48) 2.77 (0.59 to 12.88) 2.74 (1.10 to 6.81)
Anthracycline dose (mg/m2):
 None 1.0 1.0 1.0 1.0 1.0
 <250 2.76 (1.93 to 3.97) 1.42 (0.93 to 2.16) 1.67 (0.78 to 3.55) 1.38 (0.43 to 4.49) 1.38 (0.81 to 2.36)
 ≥250 9.29 (6.01 to 14.37) 1.77 (1.15 to 2.72) 2.04 (1.06 to 3.93) 2.81 (0.85 to 9.34) 3.81 (2.13 to 6.80)
Comorbidities:
 Diabetes 2.66 (1.67 to 4.25) 1.55 (0.67 to 3.58) 0.79 (0.10 to 6.24) 2.58 (0.26 to 25.80) 2.51 (0.82 to 7.71)
 Dyslipidemia 2.32 (1.53 to 3.52) 3.49 (2.11 to 5.77) 2.43 (0.65 to 9.02) 1.49 (0.27 to 8.25) 3.54 (1.80 to 6.96)
 Hypertension 4.93 (3.61 to 6.72) 4.75 (3.37 to 6.69) 3.12 (1.09 to 8.91) 6.35 (1.56 to 25.83) 2.59 (1.27 to 5.30)

Estimates adjusted for all variables in the table: race, age at diagnosis, body mass index, smoking, and exercise intensity (metabolic hours/week).