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. 2023 Sep 11;29(9):2268–2277. doi: 10.1038/s41591-023-02514-1

Table 4.

Multivariable Cox proportional hazard regression analyses for subsequent breast cancer in female 5-year childhood cancer survivors whose treatment history did not include chest radiotherapy nor alkylating agent chemotherapy (primary cancer diagnosis year 1946–2012)a

Total (n) % No. of SBC (n) % HRb 95% CI
Cumulative doxorubicin dose (mg m²)
0 5,880 90.5 61 71.8 1.0 Ref.
<300c 305 4.7 7 8.2 2.35 0.96–5.71
300–399 131 2.0 5 5.9 2.67 1.08–6.59
≥400 136 2.1 8 9.4 3.58 1.66–7.71
Unknown 47 0.7 4 4.7
Daunorubicin
No 6,020 92.6 81 95.3 1.0 Ref.
Yes 479 7.4 4 4.7 1.43 0.48–4.24
Epirubicin
No 6,362 97.9 84 98.8 1.0 Ref.
Yes 137 2.1 1 1.2 3.46 0.41–29.10

aIn total, 6,499 female 5-year survivors did not receive chest radiotherapy nor alkylating agent chemotherapy, among whom 85 developed SBC during follow-up.

bModels were further adjusted for pelvic radiotherapy ≥5 Gy (yes/no) and age at primary childhood cancer diagnosis (categorical variable).

cThe cumulative doxorubicin dose (mg m−2) categories <100 (0 case/46 survivors), 100–199 (1 case/129 survivors) and 200–299 (6 cases/130 survivors) were collapsed due to low numbers of SBC cases.