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. 2021 Dec 10;114(4):618–625. doi: 10.1093/jnci/djab224

Table 2.

Evaluation of an association between SPLC and overall survival stratified by subgroups for assessing effect modification (ie, interaction)

Data source and subgroup Case aHR of SPLCa (95% CI) P interaction b
SEER
 Stage at IPLCc
  Early 133 445 2.14 (2.08 to 2.20) <.001
  Advanced 5524 1.43 (1.21 to 1.70)
 Age at IPLC diagnosis, y
  0-49 7 986 3.10 (2.67 to 3.60)
  50-59 22 608 2.79 (2.60 to 2.99) <.001
  60-69 45 396 2.31 (2.22 to 2.41)
  70-79 48 391 1.93 (1.85 to 2.01)
  ≥80 14 588 1.50 (1.37 to 1.64)
 Histology of IPLC
  Small cell 1970 1.43 (1.14 to 1.79)
  Large cell 4911 1.87 (1.65 to 2.12)
  Adenocarcinoma 75 738 2.06 (1.99 to 2.14) <.001
  Squamous cell 35 666 2.16 (2.07 to 2.27)
  Non-small cell carcinoma/NOS 5721 2.04 (1.81 to 2.28)
  Others 14 963 2.40 (2.17 to 2.65)
MEC
 Smoking statusd
  Former/Never 983 1.41 (0.98 to 2.03) .04
  Current 557 2.31 (1.48 to 3.61)
a

Time-varying predictor for overall survival. aHR = adjusted hazard ratio; CI = confidence interval; IPLC = initial primary lung cancer; MEC = Multiethnic Cohort Study; NOS = not otherwise specified; SEER = Surveillance, Epidemiology, and End Results Program; SPLC = second primary lung cancer.

b

2-sided likelihood ratio test comparing models with and without interaction with SPLC.

c

Stage of IPLC was defined using SEER summary stage: “localized” and “regional” for early stage and “distant” for advanced stage.

d

Assessment of smoking status was collected at baseline and updated using 10-year follow-up, if prior to IPLC diagnosis.