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Table 3 Seizure incidence and occurrence rates for all BRCA+ patients (adjusted for age at metastasis, number of prior lines of treatment, and metastasis location)

From: Risk of seizures in a population of women with BRCA-positive metastatic breast cancer from an electronic health record database in the United States

 

N

N patients with a seizure

Median duration to seizure (days)

% patients with at least one seizure

Incidence person-years*

Incidence rate** (95% CI)

Total Occurrences

Occurrence frequency

Occurrence person-years†

Occurrence rate**

Overall

7941

2207

161

27.8%

18655

7.28 (6.01–8.83)

15,029

6.81

7468

201.26

Use of PARP inhibitors during evaluation period

Patients exposed to PARP inhibitors

92

16

53.5

17.4%

61

76.58 (7.81–751.26)

93

5.81

20

458.04

Patients not exposed to PARP inhibitors

7849

2175

161

27.7%

18452

7.20 (5.94–8.74)

14827

6.82

7379

200.93

Diagnosed brain metastases during evaluation period

Patients with diagnosed brain metastases

1041

504

9

48.4%

1002

42.55 (28.59–63.30)

4071

8.08

951

428.06

Patients without diagnosed brain metastases

6900

1627

153

23.6%

16874

5.26 (4.20–6.59)

9994

6.14

5796

172.43

History of seizures prior to index date

Patients with history of seizures

788

465

22

59.0%

913

34.76 (23.24–52.01)

5532

11.90

1336

414.12

Patients without history of seizures

7153

1742

237.5

24.4%

17743

6.35 (5.11–7.88)

9497

5.45

6132

154.88

Use of anticonvulsants prior to index date

Patients with history anticonvulsants

2280

688

122.5

30.2%

5057

7.6 (5.38–10.73)

5956

8.66

2250

264.67

Patients without history of anticonvulsants

5661

1519

178

26.8%

13598

6.93 (5.50–8.75)

9073

5.97

5217

173.91

  1. *Follow-up duration is from the date of metastasis to first seizure date or end of follow-up for those without a seizure. Duration is in person-years
  2. **Per 100 person-years
  3. †Follow-up duration is from the date of metastasis to the end of follow-up among patients with a seizure