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Table 4 Alcohol’s effects on CVD risks among CRC survivors according to the World Health Organization classification

From: Associations between alcohol consumption and cardiovascular disease among long-term survivors of colorectal cancer: a population-based, retrospective cohort study

Outcome

No drinking (n = 14,972)

Moderate drinking

<  20 g/day for females and < 40 g/day for males (n = 4779)

Hazardous drinking

≥ 20 g/day for females and ≥ 40 g/day for males (n = 882)

P for trend

CVD

 Event (%)

691 (4.6)

223 (4.6)

67 (7.6)

 

 Person-years

49,226

15,585

2975

 

 HR (95% CI)

1.00 (Reference)

1.02 (0.88–1.19)

1.60 (1.25–2.06)

0.001

 aHR (95% CI)a

1.00 (Reference)

1.06 (0.90–1.25)

1.51 (1.15–1.97)

0.010

IHD

 Event (%)

310 (2.1)

106 (2.2)

22 (2.5)

 

 Person-year

50,136

15,850

3069

 

 HR (95% CI)

1.00 (Reference)

1.08 (0.87–1.35)

1.16 (0.75–1.78)

0.661

 aHR (95% CI)a

1.00 (Reference)

1.09 (0.85–1.39)

1.07 (0.68–1.68)

0.794

Stroke

 Event (%)

422 (2.8)

129 (2.7)

49 (5.6)

 

 Person-years

49,899

15,826

3030

 

 HR (95% CI)

1.00 (Reference)

0.97 (0.79–1.18)

1.91 (1.42–2.56)

< 0.001

 aHR (95% CI)a

1.00 (Reference)

1.01 (0.82–1.26)

1.77 (1.29–2.42)

0.001

Ischemic stroke

 Event (%)

210 (1.4)

70 (1.5)

25 (2.8)

 

 Person-years

50,415

15,962

3095

 

 HR (95% CI)

1.00 (Reference)

1.06 (0.81–1.38)

1.93 (1.28–2.92)

0.017

 aHR (95% CI)a

1.00 (Reference)

1.04 (0.77–1.39)

1.60 (1.03–2.48)

0.107

Hemorrhagic stroke

 Event (%)

45 (0.3)

15 (0.3)

10 (1.1)

 

 Person-years

50,783

16,075

3108

 

 HR (95% CI)

1.00 (Reference)

1.05 (0.59–1.88)

3.60 (1.82–7.15)

0.001

 aHR (95% CI)a

1.00 (Reference)

0.87 (0.46–1.63)

2.65 (1.25–5.62)

0.017

  1. HR calculated using Cox proportional hazards regression
  2. CVD cardiovascular disease, CRC colorectal cancer, HR hazard ratio, aHR adjusted hazard ratio, CI confidence interval, IHD ischemic heart disease
  3. aAdjusted for age, sex, household income, body mass index, systolic blood pressure, fasting serum glucose, total cholesterol, smoking, physical activity, Charlson Comorbidity Index, history of chemotherapy, and history of radiotherapy