Table 2.
Univariate and multivariable analysis on factors associated with disease-free survival (DFS).
| Characteristics | Class | Univariable |
Multivariable |
|||||||
|---|---|---|---|---|---|---|---|---|---|---|
| n | Ev | HR | 95% CI | p | p∗ | HR | 95% CI | p | ||
| Age at BC diagnosis (year) | [0–40) | 65 | 14 | 1 | 0.01 | 1 | – | |||
| [40–50) | 237 | 23 | 0.4 | [0.21–0.78] | 0.007 | 0.36 | 0.17, 0.74 | 0.01 | ||
| [50–60) | 276 | 34 | 0.49 | [0.26–0.91] | 0.02 | 0.49 | 0.23, 1.03 | 0.06 | ||
| 60+ | 277 | 47 | 0.73 | [0.4–1.33] | 0.3 | 0.81 | 0.37, 1.75 | 0.6 | ||
| ECOG performance status | 0 | 764 | 106 | 1 | 0.76 | |||||
| 1 | 90 | 12 | 1.1 | [0.6–1.99] | 0.76 | |||||
| Menopausal status | Premenopausal | 254 | 33 | 1 | 0.99 | |||||
| Postmenopausal | 586 | 85 | 1 | [0.67–1.5] | 0.99 | |||||
| Clinical T stage (TNM) | T0-T1 | 240 | 23 | 1 | 0.001 | 1 | – | |||
| T2 | 348 | 43 | 1.35 | [0.81–2.23] | 0.24 | 1.24 | 0.74, 2.07 | 0.42 | ||
| T3-T4 | 143 | 35 | 2.55 | [1.51–4.31] | 0.00049 | 2.32 | 1.35, 3.98 | 0.0013 | ||
| Clinical N stage (TNM) | N0 | 285 | 40 | 1 | 0.74 | |||||
| N1 | 327 | 51 | 1.25 | [0.83–1.9] | 0.28 | |||||
| N2 | 86 | 12 | 1.06 | [0.56–2.02] | 0.85 | |||||
| N3 | 32 | 5 | 1.23 | [0.49–3.12] | 0.66 | |||||
| Lymph node involvement | 1–3N+ | 266 | 20 | 1 | 0.01 | 0.02 | 1 | – | ||
| ≥4N + or ≥1N + after neoadjuvant setting | 589 | 98 | 1.78 | [1.09–2.89] | 1.7 | 1.00, 2.90 | 0.05 | |||
| SBR grade | Grade I | 65 | 5 | 1 | 0.12 | |||||
| Grade II | 520 | 69 | 1.61 | [0.65–3.98] | 0.3 | |||||
| Grade III | 249 | 42 | 2.17 | [0.86–5.5] | 0.1 | |||||
| IHC subtypes | ER+/PR- | 137 | 26 | 1 | 0.09 | |||||
| ER+/PR+ | 712 | 92 | 0.69 | [0.45–1.07] | 0.09 | |||||
| PR status | Negative | 137 | 26 | 1 | 0.09 | |||||
| Positive | 712 | 92 | 0.69 | [0.45–1.07] | 0.09 | |||||
| Pathological T stage (TNM) | pT0 or pTis | 4 | 1 | 1 | 0.04 | |||||
| pT1 | 230 | 20 | 0.18 | [0.02–1.33] | 0.09 | |||||
| pT2 | 428 | 62 | 0.3 | [0.04–2.17] | 0.23 | |||||
| pT3 | 172 | 32 | 0.4 | [0.05–2.9] | 0.36 | |||||
| pT4 | 18 | 2 | 0.22 | [0.02–2.46] | 0.22 | |||||
| Arm of treatment | Everolimus | 401 | 51 | 1 | 0.64 | |||||
| Placebo | 454 | 67 | 1.09 | [0.76–1.57] | 0.64 | |||||
| ET duration at random assignment | ≤3 years | 726 | 100 | 1 | 0.17 | |||||
| >3 years | 129 | 18 | 0.7 | [0.42–1.17] | 0.17 | |||||
| ET intake timing | morning/afternoon | 511 | 76 | 1 | 0.17 | a | ||||
| evening/nighttime | 344 | 42 | 0.77 | [0.53–1.12] | 0.17 | |||||
| ET agent | Aromatase inhibitor | 530 | 78 | 1 | 0.31 | a | ||||
| Tamoxifen | 325 | 40 | 0.82 | [0.56–1.2] | 0.31 | |||||
Abbreviations: ET, Endocrine therapy; EPclin: Endopredict score; IHC, Immunochemistry; pN, pathological nodal involvement; PR, Progesterone receptor; SBR, Scarff Bloom Richardson. Age is displayed as years old. p∗ is the p-value for the global test, and p represents the test of a given class versus the reference class.
The association between DFS and ET intake timing is modified according to ET agent, and results in these four groups are displayed in Table S4.