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Table 3 Odds ratios for breast cancer according to cumulative SSRI dose during exposure time windows

From: A population-based case-control study of Selective Serotonin Reuptake Inhibitors (SSRIs) and breast cancer: The impact of duration of use, cumulative dose and latency

Exposure time window a

Total SSRI dosage b

(mg)

Cases (n = 1,701)

Controls (n = 17,017)

Unadjusted OR c

(95% CI)

Adjusted OR d

(95% CI)

  

n

(%)

n

(%)

  

≥2 years

No use e (reference)

1,442

(84.8)

14,415

(84.7)

1.00

1.00

 

1 to 27, 750 mg

222

(13.1)

2,198

(12.9)

1.01 (0.87, 1.17)

1.01 (0.87, 1.17)

 

≥27, 750 mg

37

(2.2)

404

(2.4)

0.92 (0.65, 1.29)

0.91 (0.64, 1.28)

2 to 7 years

No use e (reference)

1,512

(88.9)

15,122

(88.9)

1.00

1.00

 

1 to 25, 365 mg

161

(9.5)

1,594

(9.4)

1.01 (0.85, 1.20)

1.01 (0.85, 1.20)

 

≥25, 365 mg

28

(1.7)

301

(1.8)

0.93 (0.63, 1.38)

0.92 (0.62, 1.36)

>7 years

No use e (reference)

1,558

(91.6)

15,475

(90.9)

1.00

1.00

 

1 to 20, 340 mg

118

(6.9)

1,303

(7.7)

0.90 (0.74, 1.09)

0.90 (0.74, 1.09)

 

≥20, 340 mg

25

(1.5)

239

(1.4)

1.04 (0.69, 1.57)

1.02 (0.67, 1.55)

  1. OR = odds ratio; CI = confidence interval
  2. a Prior to index date.
  3. b Combined dosage calculated using fluoxetine-equivalent dosages according to the World Health Organization's defined daily doses (DDD) methodology.
  4. c Matched on age in five-year age groups but unadjusted for the influence of other risk factors.
  5. d Adjusted for age at index (years), marital status, income support status, residence status, and use of oral contraceptives and/or use of hormone therapy.
  6. e 'No use' (reference category) refers to women with no SSRI prescriptions dispensed during the specified time period evaluated.
  7. Note: Percentages may not add up to 100% due to rounding.