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Table 3 Hazard ratios and 95% confidence intervals (CI) for the association between calcium (age-specific and albumin-corrected) and risk of gastrointestinal cancer

From: Serum calcium and risk of gastrointestinal cancer in the Swedish AMORIS study

 

Oesophageal cancer

Stomach cancer

Colon cancer

Rectal cancer

Colorectal cancer

n

HR (95% CI)

HR (95% CI)1

n

HR (95% CI)

HR (95% CI)1

n

HR (95% CI)

HR (95% CI)1

n

HR (95% CI)

HR (95% CI)1

n

HR (95% CI)

HR (95% CI)1

Calcium (SD: 0.10 mmol/L)

1.07 (0.96-1.18)

1.16 (1.04-1.30)

 

0.91 (0.85-0.97)

0.98 (0.91-1.06)

 

0.97 (0.94-1.01)

1.04 (0.99-1.08)

 

1.00 (0.95-1.05)

1.03 (0.97-1.09)

 

0.98 (0.95-1.01)

1.04 (1.01-1.07)

Quartiles of calcium

              

  < 2.32

71

1.00 (Ref)

1.00 (Ref)

187

1.00 (Ref)

1.00 (Ref)

575

1.00 (Ref)

1.00 (Ref)

314

1.00 (Ref)

1.00 (Ref)

989

1.00 (Ref)

1.00 (Ref)

  2.32-2.38

76

0.91 (0.67-1.24)

0.97 (0.71-1.32)

218

0.96 (0.80-1.16)

1.03 (0.85-1.25)

622

0.92 (0.82-1.02)

0.96 (0.86-1.07)

379

1.13 (0.98-1.31)

1.14 (0.99-1.32)

1001

0.99 (0.91-1.08)

1.03 (0.94-1.12)

  2.38-2.45

76

0.86 (0.63-1.19)

0.96 (0.69-1.34)

171

0.78 (0.64-0.96)

0.88 (0.72-1.09)

665

0.94 (0.84-1.05)

1.02 (0.91-1.15)

415

1.10 (0.95-1.27)

1.12 (0.97-1.31)

1080

0.99 (0.91-1.08)

1.06 (0.97-1.16)

  ≥ 2.45

100

1.08 (0.81-1.44)

1.31 (0.96-1.80)

206

0.86 (0.72-1.04)

1.06 (0.86-1.29)

657

0.88 (0.79-0.98)

1.01 (0.90-1.14)

387

0.99 (0.86-1.13)

1.04 (0.89-1.21)

1044

0.92 (0.84-1.00)

1.02 (0.93-1.12)

P-value for trend

 

0.61

0.09

 

0.04

0.95

 

0.03

0.56

 

0.08

0.71

 

0.05

0.51

Calcium according to age-specific cut-offs

             

Low

2

0.77 (0.19-2.08)

0.64 (0.16-2.58)

9

1.34 (0.70-2.59)

1.09 (0.56-2.12)

17

0.81 (0.50-1.31)

0.69 (0.43-1.12)

13

1.08 (0.62-1.86)

1.06 (0.61-1.84)

30

0.91 (0.63-1.30)

0.82 (0.57-1.17)

Normal

311

1.00 (Ref)

1.00 (Ref)

758

1.00 (Ref)

1.00 (Ref)

2453

1.00 (Ref)

1.00 (Ref)

1449

1.00 (Ref)

1.00 (Ref)

3902

1.00 (Ref)

1.00 (Ref)

High

10

1.73 (0.92-3.24)

1.95 (1.03-3.69)

15

1.04 (0.62-1.73)

1.19 (0.71-1.99)

49

1.12 (0.85-1.48)

1.25 (0.95-1.65)

33

1.27 (0.90-1.78)

1.30 (0.92-1.84)

82

1.18 (0.95-1.46)

1.27 (1.03-1.58)

Albumin-corrected calcium 2

             

  (SD: 0.09 mmol/L)

1.14 (1.03-1.26)

1.17 (1.05-1.30)

 

0.98 (0.92-1.05)

1.00 (0.94-1.08)

 

1.03 (0.99-1.07)

1.05 (1.01-1.09)

 

1.01 (0.96-1.06)

1.03 (0.98-1.08)

 

1.02 (0.99-1.05)

1.04 (1.01-1.07)

Quartiles of albumin-corrected calcium 2

             

  < 2.27

59

1.00 (Ref)

1.00 (Ref)

149

1.00 (Ref)

1.00 (Ref)

404

1.00 (Ref)

1.00 (Ref)

272

1.00 (Ref)

1.00 (Ref)

676

1.00 (Ref)

1.00 (Ref)

  2.27-2.33

76

0.88 (0.61-1.25)

0.86 (0.61-1.25)

198

0.96 (0.77-1.19)

0.96 (0.77-1.20)

640

1.12 (0.99-1.27)

1.13 (0.99-1.28)

385

1.03 (0.88-1.21)

1.04 (0.88-1.22)

1025

1.09 (0.98-1.20)

1.09 (0.99-1.21)

  2.33-2.39

78

1.03 (0.74-1.44)

1.04 (0.75-1.44)

186

0.89 (0.72-1.11)

0.91 (0.73-1.12)

668

1.09 (0.97-1.24)

1.10 (0.98-1.25)

398

1.05 (0.90-1.21)

1.06 (0.91-1.24)

1066

1.08 (0.98-1.19)

1.09 (0.99-1.20)

  ≥ 2.39

110

1.20 (0.88-1.63)

1.26 (0.92-1.72)

249

0.97 (0.79-1.18)

1.02 (0.83-1.24)

807

1.16 (1.03-1.30)

1.19 (1.06-1.34)

440

0.99 (0.86-1.15)

1.04 (0.90-1.21)

1247

1.09 (1.00-1.20)

1.13 (1.03-1.24)

P-value for trend

 

0.11

0.05

 

0.72

0.86

 

0.03

0.007

 

0.99

0.61

 

0.12

0.02

  1. All models are adjusted for age at index measurement.
  2. 1Adjusted for sex, SES, albumin (continuous), and Charlson comorbidity index.
  3. 2Not adjusted for albumin.