Table 5.
Risk of all-cause and breast cancer-specific mortality in association with therapies for cancer, hypertension and diabetes by age and race/ethnicity
| Hazard ratio (95% CI) of all-cause mortality* | Hazard ratio (95% CI) of breast cancer-specific mortality* | |||||
|---|---|---|---|---|---|---|
|
|
|
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| Model-1 | Model-2 | Model-3 | Model-1 | Model-2 | Model-3 | |
|
| ||||||
| Age (years) | ||||||
| 65–69 | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| 70–74 | 1.28 (1.22–1.33) | 1.23 (1.17–1.28) | 1.20 (1.15–1.26) | 1.12 (1.05–1.19) | 1.12 (1.05–1.19) | 1.22 (1.06–1.19) |
| 75–79 | 1.91 (1.83–1.99) | 1.75 (1.68–1.82) | 1.66 (1.59–1.73) | 1.45 (1.36–1.54) | 1.40 (1.32–1.50) | 1.39 (1.31–1.48) |
| 80–89 | 3.79 (3.65–3.93) | 2.81 (2.71–2.92) | 2.55 (2.45–2.65) | 5.65 (5.25–6.08) | 1.78 (1.69–1.89) | 1.73 (1.63–1.83) |
| 90 or older | 8.93 (8.50–9.37) | 4.51 (4.29–4.75) | 3.87 (3.67–4.08) | 2.48 (2.35–2.62) | 2.48 (2.29–2.68) | 2.29 (2.12–2.48) |
| Race/ethnicity | ||||||
| Whites | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) | 1.00 (reference) |
| Blacks | 1.46 (1.41–1.52) | 1.10 (1.06–1.15) | 1.01 (0.97–1.06) | 1.64 (1.55–1.74) | 1.16 (1.09–1.23) | 1.08 (1.01–1.15) |
| Asians/Pacific Islanders | 0.66 (0.62–0.71) | 0.74 (0.68–0.79) | 0.71 (0.66–0.77) | 0.70 (0.63–0.77) | 0.80 (0.71–0.90) | 0.79 (0.71–0.89) |
| Others | 0.66 (0.56–0.78) | 0.58 (0.49–0.68) | 0.56 (0.47–0.66) | 0.69 (0.53–0.88) | 0.52 (0.40–0.67) | 0.52 (0.40–0.67) |
| Chemotherapy | ||||||
| No | 1.00 (reference) | - | 1.00 (reference) | 1.00 (reference) | - | 1.00 (reference) |
| Yes | 1.02 (0.98–1.05) | - | 0.72 (0.69–0.75) | 1.72 (1.64–1.80) | - | 0.77 (0.73–0.81) |
| Radiotherapy | ||||||
| No | 1.00 (reference) | - | 1.00 (reference) | 1.00 (reference) | - | 1.00 (reference) |
| Yes | 0.36 (0.35–0.37) | - | 0.65 (0.63–0.67) | 0.35 (0.34–0.37) | - | 0.72 (0.69–0.75) |
| Hormone therapy | ||||||
| Hormone receptor (HR) negative | 1.00 (reference) | - | 1.00 (reference) | 1.00 (reference) | - | 1.00 (reference) |
| HR positive-did not receive hormone therapy | 1.63(1.57–1.69) | - | 1.33 (1.28–1.38) | 2.41 (2.28–2.53) | - | 1.57 (1.49–1.66) |
| HR positive-received hormone therapy | 0.92 (0.89–0.94) | - | 0.73 (0.70–0.75) | 0.90 (0.85–0.94) | - | 0.68 (0.65–0.71) |
| Unknown/missing | 2.81(2.70–2.92) | - | 1.49 (1.42–1.56) | 4.24 (4.00–4.48) | - | 1.69 (1.57–1.81) |
| Hypertension treatment | ||||||
| No Hypertension | 1.00 (reference) | - | 1.00 (reference) | 1.00 (reference) | - | 1.00 (reference) |
| Hypertension – no treatment | 1.44 (1.38–1.50) | - | 1.13 (0.93–1.38) | 1.12 (1.06–1.19) | - | 1.06 (0.80–1.40) |
| Hypertension – received treatment | 1.58 (1.53–1.64) | - | 1.13 (0.93–1.37) | 1.01 (0.96–1.07) | - | 0.97 (0.73–1.28) |
| Diabetes treatment | ||||||
| No diabetes | 1.00 (reference) | - | 1.00 (reference) | 1.00 (reference) | - | 1.00 (reference) |
| Diabetes – no treatment | 1.46 (1.41–1.51) | - | 0.93 (0.76–1.13) | 1.03 (0.98–1.08) | - | 0.89 (0.67–1.18) |
| Diabetes – received treatment | 2.09 (2.00–2.18) | - | 1.20 (0.99–1.46) | 1.26 (1.18–1.35) | - | 0.96 (0.73–1.26) |
Model-1 was a crude model without adjusting for other factors. Model-2 adjusted for age, marital status, health insurance, tumor stage, size, grade, year of diagnosis, SEER registries, surgery, and comorbidity score. Model-3 adjusted for chemotherapy, radiation therapy, hormone therapy, antihypertensive therapy, and antidiabetic therapy, in addition to other factors in Model-2