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Table 4 Annual incidence/mortality rates and subdistribution hazard ratios for malignancies and causes of death in persons with porphyria cutanea tarda (2000–2016, 18 years or older)

From: Porphyria cutanea tarda increases risk of hepatocellular carcinoma and premature death: a nationwide cohort study

 

Incidence cases/no. at risk

Person-years; annual mortality rate per 100 (95% CI)

Subdistribution hazard ratios (95% confidence intervals)

Crude SHR (95% CI)

Adjusted SHR (95% CI)

All sites – first primary C (C00–96, D45–47)

 Reference

3549/30468

393,347; 0.902 (0.873–0.932)

1.0

1.0

 PCT

78/572

8132; 0.959 (0.768–1.198)

0.7 (0.5–0.8)

0.7 (0.6–0.9)

HCC (155.0; C22.0)

 Reference

80/30,468

402,342; 0.020; 0.020 (0.16–0.025)

1.0

1.0

 PCT

5/572

8330; 0.060 (0.025–0.144)

2.2 (0.9–5.5)

3.1 (1.2–7.7)

Gallbladder & biliary tract (156; C23–24)

 Reference

19/30,468

402,403; 0.003 (0.003–0.007)

1.0

1.0

 PCT

3/572

8339; 0.036 (0.012–0.112)

4.4 (1.3–15.0)

4.0 (1.1–14.4)

All-cause mortality

 Reference

11,756/30468

402,757; 2.919 (2.867–2.972)

1.0

1.0

 PCT

150/595

8684; 1.728 (1.472–2.027)

0.4 (0.3–0.4)

0.4 (0.4–0.5)

Diseases of the liver (K70–77, B15–19, E83.1)

 Reference

735/30468

402,746; 0.182 (0.170–0.196)

1.0

1.0

 PCT

4/595

8683; 0.046 (0.017–0.123)

0.2 (0.1–0.6)

0.2 (0.1–0.6)

Malignant neoplasms (C00–96)

 Reference

2323/30,468

402,746; 0.577 (0.554–0.601)

1.0

1.0

 PCT

45/595

8683; 0.518 (0.387–0.694)

0.5 (0.4–0.7)

0.6 (0.4–0.8)

Drug and alcohol overdose (X40–49)

 Reference

484/30,468

402,746; 0.134 (0.134–0.157)

1.0

1.0

 PCT

5/597

8.683; 0.058 (0.024–0.138)

0.5 (0.2–1.1)

0.5 (0.2–1.2)

  1. Disease codes defined using the International Classification of Primary Care – 2nd Edition (ICPC-2) and the International Statistical Classification of Diseases 7th (ICD-7) and 10th (ICD-10) revisions. Reference group = Chronic alcohol abuse/dependence (ICD-10 = F10, ICD-9 = 303, 305.0, ICPC2 = P15). 17 persons with both PCT and a diagnosis of chronic alcohol abuse or dependence, including one person with HCC, were excluded from the analyses. 23 persons with a cancer diagnosis prior to their PCT diagnosis were excluded from any analysis in which cancer was the outcome
  2. Mean age at death for persons with chronic alcohol abuse = 63.6 (SD: 11.7) vs. PCT = 72.5 (SD = 11.7), proportion of males = 78% vs. PCT = 50%