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Phenobarbital and its Sodium Salt - IARC Monographs on the ...

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Table 1 (c<strong>on</strong>td)<br />

Country (reference) Populati<strong>on</strong>; outcome<br />

measure (size);<br />

recruitment period/<br />

follow-up period<br />

Engl<str<strong>on</strong>g>and</str<strong>on</strong>g><br />

(White et al., 1979)<br />

USA, Minnesota<br />

(Shirts et al., 1986)<br />

Epilepsy patients;<br />

SMR (1980);<br />

1931–71/1951–77<br />

Patients with seizure<br />

disorders; SIR (959);<br />

1935–79/1935–82<br />

Treatment<br />

modality<br />

Antic<strong>on</strong>vulsants<br />

(l<strong>on</strong>g term)<br />

including<br />

phenobarbital<br />

Cancer site Relative risk<br />

(95% CI)<br />

All cancers<br />

Brain<br />

All except brain<br />

Lung<br />

Liver<br />

Lymphoma <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

leukaemia<br />

Not specified All cancers<br />

Brain<br />

Length of follow-up<br />

(years)<br />

0–4<br />

5–9<br />

≥ 10<br />

All except brain<br />

Lung<br />

Medicati<strong>on</strong>:<br />

Yes<br />

No<br />

1.5<br />

4.1<br />

1.4<br />

1.4<br />

0.0<br />

1.3<br />

1.4<br />

24<br />

47<br />

12<br />

5.9<br />

1.1<br />

2.7<br />

(1.2–1.9)<br />

(1.5–8.9)<br />

(1.1–1.8)<br />

(0.9–2.1)<br />

(0.0–12)<br />

(0.5–2.1)<br />

(1.1–1.8)<br />

(14–39)<br />

Comments<br />

∼ 0.3 cases expected<br />

(26–82)<br />

(1.4–43)<br />

(0.7–21)<br />

(0.8–1.4)<br />

(1.2–5.2) Seven of nine lung<br />

Liver No cases observed cancers diagnosed during<br />

Lymphoma <str<strong>on</strong>g>and</str<strong>on</strong>g><br />

leukaemia<br />

2.9 (1.0–5.0) first 5 years of follow-up<br />

All except brain<br />

0.9<br />

1.3<br />

(0.6–1.4)<br />

(0.8–2.0)<br />

Primarily phenobarbital<br />

<str<strong>on</strong>g>and</str<strong>on</strong>g> phenytoin<br />

168<br />

<str<strong>on</strong>g>IARC</str<strong>on</strong>g> MONOGRAPHS VOLUME 79

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