Journal of Investigative Dermatology

TABLE III

FROM:

The Increased Risk of Skin Cancer Is Persistent After Discontinuation of Psoralen+Ultraviolet A: A Cohort Study

Tamar E C Nijsten and Robert S Stern

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Table III. Univariate analysis of potential risk factors associated with development of SCC and BCC in patients in the PUVA Follow-up Study (n=1380)

 SCCBCC
 IRR95% CIIRR95% CI
Age (y)    
 <451a  1a  
 45–643.763.02–4.703.822.91–5.02
 >646.645.22–8.4412.269.27–16.21
Men, compared with women1.531.27–1.832.542.07–3.12
Skint ype, compared with:    
 III–VI1a  1a  
 I–II1.671.40–2.011.170.96–1.44
Region    
 North1a  1a  
 Middle0.590.47–0.760.970.75–1.25
 South1.150.94–1.411.331.07–1.65
Years since stopping Puva    
 < 2 y1A  1A  
 2–5 y1.731.38–2.172.632.03–3.39
 6–10 y1.541.21–1.963.412.62–4.43
 11–15 y1.461.11–1.943.442.55–4.64
 >15 y1.060.77–1.463.792.75–5.23
High methotrexate exposure (36+mo) compared with low3.262.66, 3.992.031.61–2.56
High tar (45+mo) and/or UVB exposure (300+treatments) compared with low1.941.62–2.332.311.90–2.81
X-ray therapy prior to entering study compared with none2.371.96–2.872.331.90–2.86
No. of PUVA treatments    
 < 1001a  1a  
 100–1993.993.21–4.982.391.90–3.00
 200–2997.676.00–9.803.522.69–4.62
 300–39912.098.98–16.294.963.52–6.98
 400–49919.2413.22–28.005.693.63–8.90
 greater than or equal to50029.8320.99–42.409.596.36–14.47
No. of PUVA treatments during first 5 y of study    
 < 1001a  1a  
 100–1992.702.24–3.251.771.44–2.17
 greater than or equal to2005.474.31–6.932.251.72–2.94
Period    
 1975–801a  1ai> 
 1981–852.171.64–2.882.511.89–3.34
 1986–904.013.05–5.284.483.42–5.86
 1991–957.515.70–9.9010.307.99–13.28
 1996–200011.098.34–14.7311.939.24–15.41

a Base stratum.

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