Table 3.
Standardized mortality ratios for death after 5 years for AYA cancer survivors by cancer site and ICD coded cause of death, diagnosed 1975–2012, SEER-9.
Primary Cancer Site | Data Shown in Cause of Death Columns | All Causes | Malignant Causes | All Non- Malignant Causes | Cardio/Cerebrovascular | Infections | Pulmonary | Renal | Liver and Cirrhosis | Pregnancy and Childbirth | Suicide | Accidents | Homicides and Legal Intervention | All Other Coded Causes |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All cancers 1 | Obs | 25,999 | 17,280 | 8378 | 2928 | 986 | 379 | 196 | 277 | 16 | 380 | 800 | 80 | 2336 |
SMR [95% CI] |
2.93
[2.90, 2.97] |
6.35
[6.26, 6.45] |
1.37
[1.34, 1.40] |
1.38
[1.33, 1.43] |
1.97
[1.85, 2.10] |
1.11
[1.00, 1.23] |
1.85
[1.60, 2.13] |
0.94 [0.83, 1.06] |
3.13
[1.79, 5.08] |
1.15
[1.04, 1.27] |
1.02 [0.95, 1.09] |
0.71
[0.56, 0.88] |
1.55
[1.49, 1.62] |
|
Breast, female | Obs | 6357 | 5426 | 917 | 366 | 75 | 49 | 15 | 26 | 4 | 27 | 62 | 8 | 285 |
SMR [95% CI] |
4.76
[4.65, 4.88] |
10.96
[10.67, 11.26] |
1.10
[1.03, 1.17] |
1.22
[1.10, 1.36] |
1.13 [0.89, 1.41] |
0.74
[0.55, 0.98] |
0.78 [0.44, 1.28] |
0.76 [0.50, 1.11] |
4.70
[1.28, 12.02] |
1.09 [0.72, 1.59] |
0.85 [0.65, 1.09] |
0.93 [0.40, 1.83] |
1.19
[1.05, 1.33] |
|
Hodgkin lymphoma | Obs | 2583 | 1368 | 1206 | 557 | 159 | 38 | 21 | 19 | 1 | 41 | 93 | 5 | 272 |
SMR [95% CI] |
4.50
[4.33, 4.68] |
9.35
[8.87, 9.86] |
2.84
[2.68, 3.00] |
4.26
[3.91, 4.63] |
4.18
[3.56, 4.89] |
2.43
[1.72, 3.33] |
3.65
[2.26, 5.58] |
0.90 [0.54, 1.41] |
2.01 [0.05, 11.18] |
1.30 [0.93, 1.76] |
1.27
[1.02, 1.55] |
0.38
[0.12, 0.89] |
2.86
[2.53, 3.22] |
|
Non-Hodgkin lymphoma | Obs | 1454 | 846 | 602 | 157 | 180 | 19 | 13 | 13 | 0 | 23 | 50 | 8 | 139 |
SMR [95% CI] |
3.55
[3.37, 3.73] |
7.66
[7.15, 8.20] |
2.02
[1.86, 2.19] |
1.54
[1.30, 1.80] |
7.11
[6.11, 8.23] |
1.46 [0.88, 2.28] |
2.82
[1.50, 4.83] |
0.87 [0.46, 1.49] |
0.00 [0.00, 17.80] |
1.22 [0.78, 1.84] |
1.15 [0.85, 1.51] |
1.06 [0.46, 2.09] |
2.05
[1.73, 2.42] |
|
Bone/soft tissue sarcoma 1 | Obs | 1256 | 866 | 373 | 132 | 36 | 14 | 4 | 12 | 2 | 19 | 48 | 7 | 99 |
SMR [95% CI] |
2.97
[2.81, 3.14] |
7.37
[6.89, 7.88] |
1.23
[1.11, 1.36] |
1.27
[1.06, 1.51] |
1.31 [0.92, 1.82] |
1.00 [0.55, 1.67] |
0.77 [0.21, 1.97] |
0.86 [0.44, 1.50] |
7.40 [0.90, 26.72] |
1.09 [0.66, 1.71] |
1.13 [0.84, 1.50] |
0.84 [0.34, 1.73] |
1.40
[1.14, 1.70] |
|
Cervical/ uterine |
Obs | 1774 | 844 | 923 | 307 | 80 | 67 | 33 | 23 | 1 | 20 | 73 | 8 | 311 |
SMR [95% CI] |
2.29
[2.19, 2.40] |
2.96
[2.77, 3.17] |
1.90
[1.78, 2.03] |
1.78
[1.59, 2.00] |
2.04
[1.62, 2.54] |
1.80
[1.39, 2.28] |
2.96
[2.04, 4.16] |
1.15 [0.73, 1.73] |
1.70 [0.04, 9.50] |
1.31 [0.80, 2.03] |
1.64
[1.29, 2.07] |
1.40 [0.61, 2.76] |
2.23
[1.99, 2.49] |
|
Testicular germ cell | Obs | 1384 | 571 | 801 | 265 | 93 | 18 | 15 | 48 | - | 70 | 98 | 11 | 183 |
SMR [95% CI] |
1.31
[1.24, 1.38] |
2.29
[1.20, 2.48] |
1.00 [0.93, 1.07] |
0.96 [0.85, 1.09] |
1.40
[1.13, 1.72] |
0.62
[0.37, 0.98] |
1.51 [0.85, 2.49] |
1.07 [0.79, 1.42] |
- | 1.11 [0.87, 1.41] |
0.76
[0.61, 0.92] |
0.64 [0.32, 1.14] |
1.10 [0.95, 1.27] |
|
Melanoma | Obs | 2134 | 1568 | 553 | 169 | 57 | 15 | 5 | 18 | 3 | 55 | 65 | 6 | 160 |
SMR [95% CI] |
1.57
[1.50, 1.64] |
3.69
[3.51, 3.88] |
0.60
[0.55, 0.65] |
0.52
[0.44, 0.60] |
0.82 [0.62, 1.06] |
0.27
[0.15, 0.44] |
0.34
[0.11, 0.80] |
0.38
[0.22, 0.60] |
4.50 [0.93, 13.15] |
1.04 [0.78, 1.35] |
0.55
[0.42, 0.70] |
0.46
[0.17, 0.99] |
0.70
[0.60, 0.82] |
|
Thyroid | Obs | 945 | 427 | 514 | 166 | 37 | 26 | 18 | 18 | 1 | 26 | 58 | 2 | 162 |
SMR [95% CI] |
0.96 [0.90, 1.03] |
1.33
[1.21, 1.46] |
0.78
[0.72, 0.85] |
0.75
[0.64, 0.87] |
0.72
[0.51, 0.99] |
0.65
[0.42, 0.95] |
1.53 [0.90, 2.41] |
0.57
[0.34, 0.90] |
1.03 [0.03, 5.76] |
0.78 [0.51, 1.15] |
0.70
[0.53, 0.90] |
0.19
[0.02, 0.68] |
0.95 [0.81, 1.11] |
|
Other 1 | Obs | 8112 | 5364 | 2489 | 809 | 269 | 133 | 72 | 100 | 4 | 99 | 253 | 25 | 725 |
SMR [95% CI] |
4.16
[4.07, 4.26] |
9.40
[9.15, 9.66] |
1.82
[1.75, 1.89] |
1.65
[1.54, 1.77] |
2.33
[2.06, 2.62] |
1.90
[1.59, 2.26] |
3.04
[2.38, 3.83] |
1.52
[1.24, 1.85] |
3.76
[1.02, 9.62] |
1.35
[1.09, 1.64] |
1.44
[1.27, 1.63] |
0.88 [0.57, 1.30] |
2.23
[2.07, 2.40] |
1 Excluding Kaposi sarcoma. AYA = adolescent and young adult; Obs = observed deaths; SMR = standardized mortality ratio; 95% CI = 95% confidence interval. Note: Bolded SMRs are statistically significant.