Table 4

Relative risk (all lung cancer, including clinically diagnosed)

Relative risk
Factors(Total n=22654)NumberFactors aloneAllowing case mix and districtAll factors together
*SMR = Standardised mortality ratio for chronic obstructive pulmonary disease and ischaemic heart disease.
Case mix
SexMale152291.001.001.00
Female74251.00 (0.97 to 1.03)0.97 (0.94 to 1.00)0.94 (0.91 to 0.96)
Age (y)<508001.001.001.00
50–6459331.16 (1.08 to 1.26)1.15 (1.06 to 1.24)1.10 (1.02 to 1.19)
65–7489951.43 (1.33 to 1.55)1.42 (1.31 to 1.53)1.19 (1.10 to 1.28)
75+69261.91 (1.76 to 2.06)1.75 (1.62 to 1.90)1.13 (1.04 to 1.22)
Disease extentNo known nodes/Mets136351.001.001.00
Nodal involvement8690.63 (0.59 to 0.68)0.81 (0.75 to 0.87)1.11 (1.03 to 1.20)
Metastases81501.51 (1.47 to 1.56)1.66 (1.61 to 1.71)1.57 (1.53 to 1.62)
Socioeconomic profile1–335591.001.001.00
4–7125421.03 (0.99 to 1.07)1.04 (1.00 to 1.08)1.05 (1.01 to 1.09)
8–1065251.05 (1.01 to 1.10)1.09 (1.05 to 1.14)1.07 (1.03 to 1.12)
Period1986–8875831.001.001.00
1989–9175860.94 (0.91 to 0.98)0.94 (0.91 to 0.97)0.95 (0.92 to 0.98)
1992–9474850.92 (0.89 to 0.95)0.91 (0.88 to 0.94)0.97 (0.94 to 1.00)
Category/typeSmall cell24481.001.001.00
Non-small cell125700.76 (0.72 to 0.79)0.76 (0.73 to 0.80)0.79 (0.75 to 0.82)
Clinically diagnosed76361.46 (1.39 to 1.52)1.31 (1.24 to 1.37)0.90 (0.85 to 0.94)
District factors
SMR*<1001.001.001.00
100+1.05 (1.02 to 1.08)1.07 (1.04 to 1.10)1.08 (1.05 to 1.11)
Histological confirmation rate of district<62%30791.001.001.00
62–65%68501.03 (0.98 to 1.08)1.06 (1.01 to 1.12)1.00 (0.95 to 1.05)
66–70%90180.97 (0.94 to 1.00)1.01 (0.97 to 1.05)1.11 (1.07 to 1.15)
71+%37070.91 (0.88 to 0.95)0.89 (0.85 to 0.93)0.99 (0.95 to 1.04)
Hospital factors
TreatmentNo definitive treatment114731.001.001.00
Active treatment111810.37 (0.36 to 0.38)0.41 (0.40 to 0.43)0.52 (0.50 to 0.55)
SpecialistNot specialist managed57761.001.001.00
Specialist managed (all)168840.37 (0.36 to 0.38)0.41 (0.40 to 0.43)0.65 (0.63 to 0.68)