Table 4.
Self-reported History of Multivitamin Use and Prostate Cancer Risk
| Recency of Multivitamin Use at Baseline | Cumulative Years of Multivitamin Use at Baseline | |||||
|---|---|---|---|---|---|---|
|
|
|
|||||
| Never n=17,719 | Former n=2,821 | Current n=14,347 | None n=17,719 | <5 years n=5,502 | ≥5 years n=11,666 | |
|
| ||||||
| Total PCa | ||||||
| HR (95% CI)1 | Ref | 0.98 (0.91–1.06) | 1.01 (0.97–1.06) | Ref | 0.97 (0.92–1.03) | 1.02 (0.98–1.07) |
| IDR (95% CI)2 | Ref | 0.97 (0.85, 1.12) | 1.01 (0.93, 1.09) | Ref | 0.96 (0.86–1.07) | 1.03 (0.95–1.11) |
| High-Grade PCa (Gleason 7–10) 3 | ||||||
| HR (95% CI)1 | Ref | 1.13 (0.99–1.30) | 1.19 (1.10–1.28) | Ref | 1.10 (1.00–1.22) | 1.21 (1.12–1.31) |
| IDR (95% CI)2 | Ref | 0.93 (0.72, 1.21) | 1.10 (0.96, 1.26) | Ref | 0.97 (0.77–1.24) | 1.20 (1.01–1.44) |
|
|
||||||
| Excluding Men who had a biopsy prior to SELECT Trial entry | ||||||
|
|
||||||
| N=16,156 | N=2,585 | N=12,739 | N=16,156 | N=5,020 | N=10,304 | |
| Total PCa | ||||||
| HR (95% CI)1 | Ref | 0.88 (0.81–0.96) | 1.02 (0.97–1.06) | Ref | 0.92 (0.87–0.98) | 1.03 (0.98–1.08) |
| IDR (95% CI)2 | Ref | 0.95 (0.82, 1.10) | 1.01 (0.93, 1.09) | Ref | 0.94 (0.84–1.05) | 1.03 (0.95–1.12) |
| High-Grade PCa (Gleason 7–10) 3 | ||||||
| HR (95% CI)1 | Ref | 0.93 (0.80–1.07) | 1.15 (1.06–1.24) | Ref | 0.99 (0.88–1.10) | 1.17 (1.08–1.27) |
| IDR (95% CI)2 | Ref | 0.86 (0.65, 1.15) | 1.07 (0.93, 1.24) | Ref | 0.94 (0.77–1.16) | 1.09 (0.94–1.27) |
Model 1: Hazard ratios are adjusted for age (linear), race (white, black, other), family history of prostate cancer, longitudinal PSA (linear; time-dependent); longitudinal DRE (normal vs abnormal; time-dependent), negative biopsy at baseline or on study (yes vs no; time-dependent).
Incidence Density Hazard ratios are adjusted for age, PSA, DRE status within the prior year, family history of prostate cancer, prior negative biopsy and race; Imputation was performed separately for any and high-grade PCa.
For the -specific models, participants with a different grade of cancer are censored at diagnosis date, and cases with no known Gleason score (N=203) are removed from the analysis.