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. 2021 May 11;36(7):1796–1807. doi: 10.1093/humrep/deab066

Table II.

Worst diagnosis (histology and cytology in the absence of histology) at follow-up for women with normal cytology at baseline.

Groups
Crude relative risks (RR (95%CI))
Adjusted relative risks** (aRR (95%CI))
Most severe follow-up diagnosis HIUD N = 53 283 CIUD N = 27 222 OC N = 146 818 HIUD versus OC CIUD versus OC HIUD versus CIUD HIUD versus OC CIUD versus OC HIUD versus CIUD
Histology 6193 (11.6) 2298 (8.4) 14 000 (9.5)
CIN3+ 645 (1.2%) 373 (1.4%) 3810 (2.6%)

0.47

(0.43–0.51)

0.53

(0.47–0.58)

0.88

(0.77–1.00)

0.63

(0.57–0.69)

0.58

(0.52–0.65)

1.08

(0.94–1.22)

CIN2 413 (0.8%) 197 (0.7%) 1629 (1.1%)

0.70

(0.62–0.77)

0.65

(0.56–0.75)

1.07

(0.89–1.25)

0.86

(0.75–0.96)

0.68

(0.57–0.78)

1.27

(1.05–1.48)

CIN1 641 (1.2%) 296 (1.1%) 1794 (1.2%)

0.98

(0.90–1.07)

0.89

(0.78–1.00)

1.11

(0.95–1.26)

1.15

(1.03–1.27)

0.95

(0.83–1.07)

1.21

(1.05–1.38)

Normal histology 4408 (8.3%) 1395 (5.1%) 6466 (4.4%)

1.88

(1.81–1.95)

1.16

(1.10–1.23)

1.61

(1.52–1.71)

1.67

(1.60–1.74)

1.14

(1.07–1.21)

1.46

(1.38–1.55)

Undefined* hist 86 (0.2%) 37 (0.1%) 301 (0.2%)

0.79

(0.60–0.98)

0.66

(0.44–0.89)

1.19

(0.73–1.64)

0.69

(0.51–0.87)

0.63

(0.41–0.85)

1.09

(0.67–1.52)

Cytology 47 090 (88.4) 24 924 (91.6) 132 818 (90.4)
ASCUS+ 1189 (2.2%) 673 (2.5%) 4356 (3.0%)

0.75

(0.70–0.80)

0.83

(0.77–0.90)

0.90

(0.82–0.99)

0.77

(0.72–0.83)

0.85

(0.78–0.93)

0.90

(0.82–0.99)

Normal cytology 45 108 (84.7%) 24 130 (88.6%) 127 793 (87.0%)

0.97

(0.97–0.98)

1.02

(1.01–1.02)

0.96

(0.95–0.96)

0.97

(0.97–0.98)

1.02

(1.01–1.02)

0.95

(0.95–0.96)

Undefined* cyt 793 (1.5%) 121 (0.4%) 669 (0.5%)

3.27

(2.93–3.60)

0.98

(0.79–1.16)

3.35

(2.71–3.99)

3.04

(2.69–3.40)

1.11

(0.89–1.34)

2.74

(2.21–3.26)

Data are crude and adjusted RR with 95% CI. N, number.

*

Other/unsatisfactory.

**

Adjusted for age, region of residence, education level before age 32 years, time to follow-up, and duration of IUD or OC use.