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Table 3 SIR and Cox model with time dependent covariates for the excess risk after 10 years follow-up comparing different types of fixations

From: A prospective study on cancer risk after total hip replacements for 41,402 patients linked to the Cancer registry of Norway

 

#hips

#cancers

Total

Before 10 years

After 10 years

Cox model with time-dep. covariatesa

SIR (95% CI)

SIR (95% CI)

SIR (95% CI)

HR b

(95% CI)

P

Total:

41,402

6167

1.06 (1.03–1.09)

1.06 (1.03–1.09)

1.02 (0.97–1.07)

   

Cemented

32,534

5060

1.05 (1.03–1.08)

1.06 (1.03–1.09)

0.99 (0.94–1.05)

1

(reference)

–

Uncemented

6679

743

1.08 (1.00–1.16)

1.04 (0.94–1.13)

1.16 (1.02–1.30)

1.24

(1.05–1.46)

0.009

Hybrid

2189

364

1.11 (0.99–1.22)

1.09 (0.95–1.22)

1.12 (0.91–1.33)

1.07

(0.85–1.35)

0.55

< 55 years:

3374

246

0.96 (0.84–1.08)

0.89 (0.74–1.04)

1.06 (0.86–1.26)

   

Cemented

1138

89

1.09 (0.86–1.31)

1.04 (0.77–1.32)

1.16 (0.77–1.56)

1

(reference)

–

Uncemented

1967

139

0.89 (0.75–1.04)

0.80 (0.62–0.99)

1.00 (0.76–1.24)

1.19

(0.69–2.05)

0.54

Hybrid

269

18

0.96 (0.52–1.40)

0.85 (0.37–1.34)

1.27 (0.25–2.29)

1.31

(0.45–3.82)

0.62

55–64 years:

12,500

1664

1.06 (1.01–1.11)

1.00 (0.95–1.06)

1.16 (1.06–1.25)

   

Cemented

8480

1119

1.02 (0.96–1.08)

0.97 (0.90–1.04)

1.11 (1.00–1.22)

1

(reference)

–

Uncemented

3219

418

1.15 (1.04–1.27)

1.08 (0.95–1.21)

1.29 (1.09–1.50)

1.07

(0.85–1.36)

0.56

Hybrid

801

127

1.15 (0.95–1.35)

1.13 (0.90–1.36)

1.16 (0.79–1.53)

0.93

(0.62–1.38)

0.71

65–74 years:

25,528

4257

1.07 (1.03–1.10)

1.09 (1.05–1.12)

0.96 (0.90–1.02)

   

Cemented

22,916

3852

1.06 (1.03–1.10)

1.09 (1.05–1.13)

0.95 (0.89–1.01)

1

(reference)

–

Uncemented

1493

186

1.10 (0.94–1.26)

1.11 (0.93–1.29)

1.03 (0.72–1.35)

1.00

(0.71–1.43)

0.98

Hybrid

1119

219

1.10 (0.96–1.25)

1.09 (0.91–1.26)

1.09 (0.82–1.35)

1.12

(0.83–1.51)

0.46

Men:

13,954

2542

1.03 (0.99–1.07)

1.02 (0.97–1.07)

1,03 (0.95–1.10)

   

Cemented

10,423

2037

1.02 (0.98–1.07)

1.02 (0.97–1.07)

0,99 (0.91–1.08)

1

(reference)

–

Uncemented

2748

343

1.04 (0.93–1.15)

0.98 (0.85–1.11)

1.15 (0.95–1.34)

1.41

(1.11–1.80)

0.004

Hybrid

783

162

1.13 (0.96–1.31)

1.11 (0.91–1.31)

1.15 (0.81–1.49)

1.11

(0.78–1.58)

0.58

Women:

27,448

3625

1.08 (1.05–1.12)

1.09 (1.05–1.13)

1.02 (0.96–1.08)

   

Cemented

22,111

3023

1.08 (1.04–1.12)

1.09 (1.04–1.14)

1.00 (0.93–1.06)

1

(reference)

–

Uncemented

3931

400

1.12 (1.01–1.23)

1.09 (0.96–1.22)

1.17 (0.97–1.36)

1.09

(0.87–1.36)

0.47

Hybrid

1406

202

1.09 (0.94–1.24)

1.07 (0.89–1.24)

1.10 (0.80–1.39)

1.06

(0.78–1.43)

0.72

  1. a Adjusted for current age, gender, diagnosis, and a second primary or revision prosthesis operation
  2. b,c The estimates are hazard ratios (HR)