Table 2. Crude and adjusted hazard ratios for the association between the use of contaminated ranitidine with incident cancer in the propensity score-matched cohort (n = 55,584)

NDMA exposure N (%) Cancer events Person-years Cancer incidence rate* HR (95% CI)
Adjusted§ Fully adjusted
No exposure 27,792 2,840 173,511 16.4 1.00 (reference) 1.00 (reference)
Exposure 27,792 2,913 171,722 17.0 1.01 (0.95 to 1.06) 1.01 (0.95 to 1.06)
Cumulative exposure (mg)
 <70,000 9,901 1,010 60,786 16.6 1.05 (0.97 to 1.12) 1.05 (0.98 to 1.13)
 70,000-129,999 9,098 937 56,329 16.6 0.99(0.92 to 1.07) 0.99 (0.92 to 1.07)
 ≥130,000 8,793 966 54,606 17.7 0.98 (0.91 to 1.05) 0.98 (0.91 to 1.05)
P for trend 0.483 0.429
Cumulative duration of use (yr)
 <1 14,391 1,455 88,786 16.4 1.03 (0.96 to 1.09) 1.03 (0.97 to 1.10)
 1-2 7,670 826 47,339 17.4 1.00 (0.93 to 1.09) 1.00 (0.93 to 1.08)
 ≥2 5,731 632 35,597 17.8 0.96 (0.88 to 1.05) 0.96 (0.88 to 1.05)
P for trend 0.611 0.549
Abbreviations here: CI, confidence interval; H2 blocker, histamine H2 receptor antagonist; HR, hazard ratio; NDMA, N-nitrosodimethylamine; SD, standard deviation.
Cancer incidence rate is expressed as per 1,000 person-years.
Risk factors were adjusted for age and sex.
Risk factors were adjusted for age; sex; frequency of alcohol consumption; region of residence (rural or urban); body mass index (<25, 25–30, or ≥30 kg/m2); systolic blood pressure, diastolic blood pressure, fasting blood glucose, and serum total cholesterol (continuous variables); history of diabetes mellitus, stroke, or hypertension; Charlson comorbidity index (0-1, 2, or ≥3), alcoholic drinks (<1, 1-2, 3-4, or ≥5 days per week); household income (low, middle, or high), smoking (never smoker, ex-smoker, or current smoker); physical activity (0, 1–2, 3–4, 5–6, or 7 sessions per week); and use of a proton pump inhibitor, statin, systemic glucocorticoid, metformin, aspirin, or hormone replacement therapy.
Number in bold indicate significant differences (P < 0.05).