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. 2021 Nov 12;18:100315. doi: 10.1016/j.lanwpc.2021.100315

Table 2.

Cox regression model on HbA1c variability score (HVS) analysed as a continuous variable either in the whole group or stratified into high and low HVS group by the median value of HVS for all-site, breast, liver and colorectal cancer and cause-specific death in patients with diabetes ≥10 years expressed as hazard ratio for each standard deviation increment of HVS.

Event/Total HR (95% CI) P value HR (95% CI) P value
All-site cancer events Model 1 Model 2
 Low HVS group 429/7767 1.03 (0.87, 1.09) 0.609 0.97 (0.87, 1.09) 0.602
 High HVS group 499/7519 1.13 (1.03, 1.24) 0.010 1.15 (1.04, 1.26) 0.006
Site-specific cancer events
 Breast cancer 77/15286 1.30 (0.97, 1.75) 0.081 1.44 (1.07, 1.94) 0.017
 Liver cancer 117/15286 1.37 (1.09, 1.74) 0.008 1.37 (1.08, 1.74) 0.010
 Colorectal cancer 184/15286 1.08 (0.90, 1.30) 0.422 1.09 (0.90, 1.32) 0.371
Cause-specific Death
 Cancer Death
 Low HVS group 167/7767 0.90 (0.76, 1.08) 0.270 0.88 (0.73, 1.05) 0.161
 High HVS group 237/7519 1.19 (1.05, 1.36) 0.008 1.21 (1.06, 1.39) 0.005
 Vascular Death
 Low HVS group 171/7767 1.00 (0.83, 1.20) 0.975 0.92 (0.76, 1.10) 0.361
 High HVS group 410/7519 1.27 (1.15, 1.39) < 0.001 1.27 (1.15, 1.40) < 0.001
 Noncancer and Nonvascular Death
 Low HVS group 589/7767 1.27 (1.15, 1.40) < 0.001 1.16 (1.05, 1.29) < 0.001
 High HVS group 1243/7519 1.18 (1.11, 1.24) < 0.001 1.15 (1.09, 1.22) 0.004

Model 1: adjusted for time weighted mean A1c (mA1c), age, sex, and disease duration. Model 2: Model 1 plus BMI, use of tobacco and alcohol, HDL-cholesterol (HDLC), triglyceride (TG) (quantiles), LDL-cholesterol (LDLC), Alanine transferase (ALT), estimated glomerular filtration rate (eGFR), microalbuminuria, and macroalbuminuria, use of oral glucose lowering drugs (OGLDs), insulin, lipid lowering drugs (LLDs), and renin angiotensin system inhibitors (RASi), and history of cardiovascular disease (CVD) and heart failure. HRs are expressed with 95% CIs in parentheses.