Table 1.
Study | Treatment | n | Mean age (years) | Stage | Nodal status | ER status | PgR status | Mean DFI before HT (months) | Estrogen alone (%) | Mean duration of HT (months) | Mean follow-up after HT (months) | Recurrences (n) | Deaths, all cause (n) | Deaths, primary tumor (n) |
Randomized trials | ||||||||||||||
Marsden et al. (2000; n = 100) [20] | HT | 51a | 58b | NR | NR | NR | NR | 40b | NR | 6 | NR | 2 | NR | NR |
No HT | 49a | 55b | NR | NR | NR | NR | 36b | NR | 1 | NR | NR | |||
Holmberg et al. (2004; n = 345) [9] | HT | 174 | 55.5 | NR | 25.9% (38) positive | 86 positivec | NR | 31.2b | NR | 24 | 25.2b | 26 | 5 | 3 |
No HT | 171 | 55.0 | NR | 21.4% (31) positive | 73 positivec | NR | 32.4b | 25.2b | 7 | 4 | 4 | |||
Observational studies | ||||||||||||||
Ursic-Vrscaj and Bebar (1999; n = 63) [27] | HT | 21d | 47b | 1 G1 10 G2 7 G3 |
14 negative, 7 positive | 5 positive, 16 negative | 8 positive, 13 negative | 62 | 4.8 | 28 | 38g | 4 | 0g | 0 |
No HT | 42d | 48.2 | 7 G1 17 G2 11 G3 |
28 negative 14 positive | 18 positive, 22 negative | 22 positive, 18 negative | NR | 38g | 5 | 1g | 1 | |||
DiSaia et al. (2000; n = 487) [22] | HT | 125 | 55.7 | 17 DCIS 52 stage I 27 stage II 10 stage III 1 stage IV |
NR | NR | NR | 46b | 28 | 22b | 92.1g | NR | 4g | NR |
No HT | 362 | 55.9 | NR | NR | NR | NR | NR | 90.6g | NR | 57g | NR | |||
O'Meara et al. (2001; n = 869) [36] | HT | 174d | 63.6e | 91 stage I 51 stage II 20 stage I/II 10 stage III 2 stage II/III |
128 negative, 31 positive | 84 positive, 39 negative | 71 positive, 45 negative | 47.7e | 79 | 15b | 44.4b,f | 16 | 17 | 5 |
No HT | 695d | 63.6e | 403 stage I 246 stage II 3 stage I/II 42 stage III 1 stage II/III |
470 negative, 175 positive | 409 positive, 137 negative | 311 positive, 206 negative | 47.7e | 44.4b,f | 101 | 115 | 59 | |||
Beckmann et al. (2001; n = 185) [24] | HT | 64 | NA | 37 T1 19 T2 8 T3/4 |
44 negative, 20 positive | 31 positive, 33 negative | 34 positive, 30 negative | 0 | NA | 33b | 37b | 6 | 4 | NR |
No HT | 121 | NA | 62 T1 42 T2 17 T3/4 |
76 negative, 45 positive | 48 positive, 73 negative | 48 positive, 73 negative | 0 | 42b | 17 | 15 | NR | |||
Marttunnen et al. (2001; n = 131) [26] | HT | 88 | 53.4 | 3 DCIS 67 T1 17 T2 1 T3 |
72 negative, 10 positive | 57 positive, 15 negative | 54 positiveg, 13 negativeg | 50.4 | 38.6 | 30 | 30 | 7 | 2 | 2 |
No HT | 43 | 52.8 | 1 DCIS 29 T1 11 T2 2 T3 |
30 negative, 13 positive | 29 positive, 9 negative | 30 positiveg, 7 negativeg | 50.4 | 31.2 | 5 | 3 | 3 | |||
Durna et al. (2002; n = 1122) [23] | HT | 286 | 56.8b | 180 stage I 64 stage II 22 stage III/IV |
NA | NR | NR | 12b | 5.9 | 21b | 69.6b | 44 | 16 | 13 |
No HT | 836 | 64.7b | 470 stage I 191 stage II 120 stage III/IV |
NA | NR | NR | NR | 61.2b | 247 | 199 | 122 | |||
Vassilopoulou-Sellin et al. (2002; n = 299) [21] | HT | 56h | 56b | 9 <1 cm 30 1–2.5 cm 15 >2.5 cm |
35 negative, 13 1–3, 6 >3 | 37 negative | NR | 105.6 | 100 | 30 >5 years, 20 2–5 years, 6 2 years | 71 | 2 | 1 | 0 |
No HT | 243h | 53b | 38 <1 cm 134 1–2.5 cm 67 >2.5 cm |
133 negative, 70 1–3, 33 >3 | 164 negative | NR | 99.6 | NR | 33 | 2 | 1 | |||
Decker et al. (2003; n = 554) [25] | HT | 277 | 57.4b | 84 DCIS 124 stage I 47 stage IIA 19 stage IIB 3 stage IIIA |
NR | 100 positive, 54 negative | 63 positive, 46 negative | 43.3 | 48.7 | 44.4 | 49.7 | 30 | 7 | 5 |
No HT | 277 | 59.0b | 84 DCIS 124 stage I 47 stage IIA 19 stage IIB 3 stage IIIA |
NR | 121 positive, 35 negative | 73 positive, 42 negative | NR | 45.6 | 35 | 17 | 9 | |||
Summary | ||||||||||||||
Randomized trials | HT | 225 | 56.07 | 38 positive | 86 positive | 33.19 | 19.92 | 25.20 | 28 | 5 | 3 | |||
No HT | 220 | 55.00 | 31 positive | 73 positive | 33.20 | 25.20 | 8 | 4 | 4 | |||||
Observational studies | HT | 1091 | 56.98 | 293 negative, 87 positive | 277 positive, 194 negative | 230 positive, 147 negative | 37.70 | 40.4 | 28.02 | 57.46 | 109 | 51 | 25 | |
No HT | 2619 | 60.87 | 737 negative, 350 positive | 625 positive, 440 negative | 484 positive, 346 negative | 54.01 | 57.02 | 443 | 409 | 195 | ||||
All combined | HT | 1316 | 56.82 | 293 negative, 125 positive | 363 positive, 194 negative | 230 positive, 147 negative | 36.93 | 40.4 | 26.58 | 53.03 | 137 | 56 | 28 | |
No HT | 2839 | 60.39 | 737 negative, 381 positive | 698 positive, 440 negative | 484 positive, 346 negative | 50.55 | 54.88 | 451 | 413 | 199 |
aExcluding stage III/IV patients. bMedian value. cRefers to hormone receptor status; specific data concerning estrogen receptor (ER) and progesterone receptor (PgR) status were not reported. dExcluding patients with ductal carcinoma in situ (DCIS). eWeighted mean. fFor recurrence only; follow-up for mortality was 55.2 months. gPersonal communication. hExcluding DCIS, stages III and IV, and ER-positive patients. DFI, disease-free interval; HT, hormone therapy; NA, not able to calculate; NR, not reported.