IRs and HRs with 95% CIs of different types of second primary solid tumors and hematological malignancies other than NHL and MDS/AML, comparing lymphoma patients diagnosed 1993-2014, with follow-up through 2017, to matched population comparators in Sweden
. | Events, n . | Median time to event years (IQR) . | Rate (per 1000 person-years) . | HR (95% CI)* . | P . |
---|---|---|---|---|---|
Solid tumors | |||||
Lip, oral cavity, pharynx, upper respiratory system | |||||
Comparator | 560 | 5.8 (2.8-7) | 0.4 (0.4-0.4) | 1.0 (ref) | <.001 |
Case | 117 | 4.3 (2.7-8.4) | 0.6 (0.5-0.8) | 1.8 (1.5-2.2) | |
Gastrointestinal tract | |||||
Comparator | 5182 | 5.7 (2.6-10.0) | 3.5 (3.4-3.6) | 1.0 (ref) | <.001 |
Case | 742 | 4.6 (2.1-8.5) | 4.0 (3.7-4.3) | 1.27 (1.2-1.4) | |
Lower respiratory system | |||||
Comparator | 1926 | 5.6 (2.6-9.8) | 1.3 (1.2-1.4) | 1.0 (ref) | <.001 |
Case | 331 | 5.2 (2.5-9.9) | 1.8 (1.6-2.0) | 1.5 (1.3-1.6) | |
Thymus, bone cartilage and soft tissue sarcoma | |||||
Comparator | 215 | 4.5 (2.3-9.6) | 0.1 (0.1-0.2) | 1.0 (ref) | <.001 |
Case | 43 | 5.2 (2.6-9.3) | 0.2 (0.2-0.3) | 1.7 (1.2-2.4) | |
Melanoma | |||||
Comparator | 1136 | 6.2 (2.9-11.1) | 0.8 (0.7-0.8) | 1.0 (ref) | <.001 |
Case | 224 | 4.8 (2.2-8.7) | 1.2 (1.1-1.4) | 1.7 (1.5-2.0) | |
Nonmelanoma skin cancer | |||||
Comparator | 2691 | 6.1 (2.8-10.9) | 1.8 (1.8-1.9) | 1.0 (ref) | <.001 |
Case | 952 | 4.3 (2.0-8.2) | 5.2 (4.8-5.5) | 3.6 (3.3-3.8) | |
Breast | |||||
Comparator | 2265 | 5.6 (2.6-9.8) | 1.5 (1.5-1.6) | 1.00 (ref) | .252 |
Case | 258 | 5.9 (2.8-10.7) | 1.4 (1.2-1.6) | 0.9 (0.8-1.1) | |
Female genital organs | |||||
Comparator | 1041 | 5.2 (2.5-9.6) | 1.5 (1.4-1.6) | 1.00 (ref) | .047 |
Case | 103 | 5.1 (1.5-8.5) | 1.2 (1.0-1.5) | 0.8 (0.7-1.0) | |
Male genital organs | |||||
Comparator | 5574 | 5.6 (2.5-9.8) | 7.2 (7.0-7.4) | 1.00 (ref) | .578 |
Case | 631 | 5.2 (2.3-9.3) | 6.4 (5.9-6.9) | 1.0 (0.9-1.1) | |
Urinary tract | |||||
Comparator | 2156 | 5.5 (2.7-10.0) | 1.5 (1.4-1.5) | 1.0 (ref) | <.001 |
Case | 328 | 4.0 (1.2-8.4) | 1.8 (1.6-2.0) | 1.3 (1.2-1.5) | |
Central nervous system | |||||
Comparator | 435 | 5.5 (2.5-9.1) | 0.3 (0.3-0.3) | 1.0 (ref) | .087 |
Case | 69 | 4.4 (1.5-8.9) | 0.4 (0.3-0.5) | 1.3 (1.0-1.6) | |
Endocrine system | |||||
Comparator | 337 | 4.8 (2.3-8.5) | 0.2 (0.2-0.3) | 1.0 (ref) | <.001 |
Case | 73 | 2.3 (1.3-6.4) | 0.4 (0.3-0.5) | 1.7 (1.3-2.1) | |
Ill-defined/unknown primary site | |||||
Comparator | 796 | 5.0 (2.3-9.1) | 0.5 (0.5-0.6) | 1.0 (ref) | <.001 |
Case | 145 | 4.2 (1.5-7.0) | 0.8 (0.7-0.9) | 1.6 (1.3-1.9) | |
Hematological malignancies other than NHL and MDS/AML | |||||
CML/MPN | |||||
Comparator | 226 | 5.9 (3.0-11.7) | 0.2 (0.1-0.2) | 1.0 (ref) | .036 |
Case | 39 | 3.5 (2.1-5.4) | 0.2 (0.2-0.3) | 1.4 (1.0-2.0) | |
Hodgkin lymphoma | |||||
Comparator | 33 | 6.0 (2.6-9.2) | 0.02 (0.02-0.03) | 1.0 (ref) | <.001 |
Case | 37 | 6.0 (3.3-7.7) | 0.2 (0.1-0.3) | 8.7 (5.4-13.4) | |
Multiple myeloma | |||||
Comparator | 327 | 5.7 (2.6-9.4) | 0.2 (0.2-0.2) | 1.0 (ref) | .854 |
Case | 37 | 4.9 (2.6-8.6) | 0.2 (0.1-0.3) | 1.0 (0.7-1.4) | |
Lymphatic leukemia† | |||||
Comparator | 37 | 5.4 (2.9-8.6) | 0.02 (0.02-0.03) | 1.0 (ref) | <.001 |
Case | 17 | 3.4 (1.2-5.9) | 0.1 (0.1-0.1) | 3.7 (2.1-6.6) |
. | Events, n . | Median time to event years (IQR) . | Rate (per 1000 person-years) . | HR (95% CI)* . | P . |
---|---|---|---|---|---|
Solid tumors | |||||
Lip, oral cavity, pharynx, upper respiratory system | |||||
Comparator | 560 | 5.8 (2.8-7) | 0.4 (0.4-0.4) | 1.0 (ref) | <.001 |
Case | 117 | 4.3 (2.7-8.4) | 0.6 (0.5-0.8) | 1.8 (1.5-2.2) | |
Gastrointestinal tract | |||||
Comparator | 5182 | 5.7 (2.6-10.0) | 3.5 (3.4-3.6) | 1.0 (ref) | <.001 |
Case | 742 | 4.6 (2.1-8.5) | 4.0 (3.7-4.3) | 1.27 (1.2-1.4) | |
Lower respiratory system | |||||
Comparator | 1926 | 5.6 (2.6-9.8) | 1.3 (1.2-1.4) | 1.0 (ref) | <.001 |
Case | 331 | 5.2 (2.5-9.9) | 1.8 (1.6-2.0) | 1.5 (1.3-1.6) | |
Thymus, bone cartilage and soft tissue sarcoma | |||||
Comparator | 215 | 4.5 (2.3-9.6) | 0.1 (0.1-0.2) | 1.0 (ref) | <.001 |
Case | 43 | 5.2 (2.6-9.3) | 0.2 (0.2-0.3) | 1.7 (1.2-2.4) | |
Melanoma | |||||
Comparator | 1136 | 6.2 (2.9-11.1) | 0.8 (0.7-0.8) | 1.0 (ref) | <.001 |
Case | 224 | 4.8 (2.2-8.7) | 1.2 (1.1-1.4) | 1.7 (1.5-2.0) | |
Nonmelanoma skin cancer | |||||
Comparator | 2691 | 6.1 (2.8-10.9) | 1.8 (1.8-1.9) | 1.0 (ref) | <.001 |
Case | 952 | 4.3 (2.0-8.2) | 5.2 (4.8-5.5) | 3.6 (3.3-3.8) | |
Breast | |||||
Comparator | 2265 | 5.6 (2.6-9.8) | 1.5 (1.5-1.6) | 1.00 (ref) | .252 |
Case | 258 | 5.9 (2.8-10.7) | 1.4 (1.2-1.6) | 0.9 (0.8-1.1) | |
Female genital organs | |||||
Comparator | 1041 | 5.2 (2.5-9.6) | 1.5 (1.4-1.6) | 1.00 (ref) | .047 |
Case | 103 | 5.1 (1.5-8.5) | 1.2 (1.0-1.5) | 0.8 (0.7-1.0) | |
Male genital organs | |||||
Comparator | 5574 | 5.6 (2.5-9.8) | 7.2 (7.0-7.4) | 1.00 (ref) | .578 |
Case | 631 | 5.2 (2.3-9.3) | 6.4 (5.9-6.9) | 1.0 (0.9-1.1) | |
Urinary tract | |||||
Comparator | 2156 | 5.5 (2.7-10.0) | 1.5 (1.4-1.5) | 1.0 (ref) | <.001 |
Case | 328 | 4.0 (1.2-8.4) | 1.8 (1.6-2.0) | 1.3 (1.2-1.5) | |
Central nervous system | |||||
Comparator | 435 | 5.5 (2.5-9.1) | 0.3 (0.3-0.3) | 1.0 (ref) | .087 |
Case | 69 | 4.4 (1.5-8.9) | 0.4 (0.3-0.5) | 1.3 (1.0-1.6) | |
Endocrine system | |||||
Comparator | 337 | 4.8 (2.3-8.5) | 0.2 (0.2-0.3) | 1.0 (ref) | <.001 |
Case | 73 | 2.3 (1.3-6.4) | 0.4 (0.3-0.5) | 1.7 (1.3-2.1) | |
Ill-defined/unknown primary site | |||||
Comparator | 796 | 5.0 (2.3-9.1) | 0.5 (0.5-0.6) | 1.0 (ref) | <.001 |
Case | 145 | 4.2 (1.5-7.0) | 0.8 (0.7-0.9) | 1.6 (1.3-1.9) | |
Hematological malignancies other than NHL and MDS/AML | |||||
CML/MPN | |||||
Comparator | 226 | 5.9 (3.0-11.7) | 0.2 (0.1-0.2) | 1.0 (ref) | .036 |
Case | 39 | 3.5 (2.1-5.4) | 0.2 (0.2-0.3) | 1.4 (1.0-2.0) | |
Hodgkin lymphoma | |||||
Comparator | 33 | 6.0 (2.6-9.2) | 0.02 (0.02-0.03) | 1.0 (ref) | <.001 |
Case | 37 | 6.0 (3.3-7.7) | 0.2 (0.1-0.3) | 8.7 (5.4-13.4) | |
Multiple myeloma | |||||
Comparator | 327 | 5.7 (2.6-9.4) | 0.2 (0.2-0.2) | 1.0 (ref) | .854 |
Case | 37 | 4.9 (2.6-8.6) | 0.2 (0.1-0.3) | 1.0 (0.7-1.4) | |
Lymphatic leukemia† | |||||
Comparator | 37 | 5.4 (2.9-8.6) | 0.02 (0.02-0.03) | 1.0 (ref) | <.001 |
Case | 17 | 3.4 (1.2-5.9) | 0.1 (0.1-0.1) | 3.7 (2.1-6.6) |