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. 2022 Jul 14;60(1):2200551. doi: 10.1183/13993003.00551-2022

TABLE 1.

Cox proportional hazard models including relevant factors and their association with incident cancer (n=437) in 4447 patients treated with continuous positive airway pressure (CPAP) for obstructive sleep apnoea over a median follow-up of 7.2 years

Unadjusted HR (95% CI) p-value Adjusted# HR (95% CI) p-value
Age, years (1sd) 1.75 (1.58–1.94) <0.0001 1.66 (1.48–1.87) <0.0001
Body mass index, kg·m−2 (1sd) 1.01 (0.92–1.11) 0.8391
Epworth Sleepiness Score (1sd) 0.75 (0.68–0.83) <0.0001 0.85 (0.76–0.94) 0.0019
Male versus female gender 1.07 (0.87–1.32) 0.5007
Daily alcohol intake (yes versus no) 1.26 (1.04–1.53) 0.0181 1.05 (0.85–1.30) 0.6459
Smoking habits
 Never Ref. Ref.
 Current 0.90 (0.68–1.18) 0.0375 1.30 (0.95–1.77) 0.0974
 Former 1.35 (1.09–1.66) 0.0213 1.22 (0.97–1.54) 0.0943
Prevalent diseases
 Diabetes (yes versus no) 1.59 (1.28–1.97) <0.0001 1.26 (0.98–1.63) 0.0698
 Hypertension (yes versus no) 1.29 (1.07–1.56) 0.0079 0.88 (0.70–1.10) 0.2479
 CVD (yes versus no) 1.37 (1.09–1.72) 0.0072 0.85 (0.65–1.11) 0.2347
 COPD (yes versus no) 1.52 (1.14–2.01) 0.0037 1.11 (0.81–1.51) 0.5252
PSG (versus HSAT) 0.83 (0.68–1.01) 0.0667 1.04 (0.82–1.32) 0.7374
ln oxygen desaturation index 1.13 (0.99–1.28) 0.0520
ln apnoea-hypopnoea index 1.09 (0.99–1.19) 0.0888
ln T90 1.20 (1.08–1.34) 0.0010 0.97 (0.86–1.09) 0.6101
CPAP daily usage, h (1sd) 1.16 (1.04–1.29) 0.0097 1.07 (0.96–1.20) 0.2194
PR devices (versus non-PR devices) 0.94 (0.77–1.14) 0.5437 0.91 (0.74–1.12) 0.3835
Years of follow-up (1sd) 1.01 (0.88–1.15) 0.9405

HR: hazard ratio; CVD: cardiovascular diseases; HSAT: type 3 home sleep apnoea testing; PSG: polysomnography; T90: % of sleep (recording) time with oxygen saturation <90%; PR: Philips Respironics. #: adjusted for variables with a p-value below 0.15 in the univariate Cox model and for a competing risk of death.