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. 2003 Dec;38(6 Pt 1):1385–1402. doi: 10.1111/j.1475-6773.2003.00184.x

Table 3.

Instrumental Variable and OLS Estimates of the Effectiveness of Breast Conserving Surgery Plus Irradiation on Survival Relative to Mastectomy

After Diagnosis, Effect of BCSI on Patient Survival:

Row Analysis Method Instruments Specified Number of Groups perInstrument Instrument F-Statistic 1 year 2 years 3 years 4 years
1 Unadjusted OLS None na na 0.01 0.02 0.04** 0.06**
2 Adjusted OLSa None na na −0.001 −0.003 −0.0001 0.007
3 Instrumental Variable Estimatesa BCSI Rate 2 8.57*** −0.32 −0.68 −0.57 −0.51
4 4 5.19*** −0.37** 0.54** −0.45 −0.65*
5 8 3.43*** −0.33** −0.50** −0.46* −0.52*
6 12 3.00*** −0.23** 0.41** −0.33 −0.11
7 Radiation Distance 2 21.79*** −0.21* −0.12 −0.33 −0.23
8 4 7.52*** −0.14 −0.22 −0.39 −0.38
9 8 3.30*** −0.14 −0.19 −0.35 −0.28
10 12 2.94*** −0.05 −0.14 −0.33 −0.40*
11 BCSI Rate and Radiation Distance 2 13.08*** −0.24** −0.25 −0.38* −0.30
12 4 4.99*** −0.24** −0.32* −0.39* −0.45*
13 8 2.76*** −0.24** −0.31** −0.34* −0.27
14 12 2.74*** −0.12* −0.23** −0.30** −0.15
***

Statistically significant at .99 confidence.

**

Statistically significant at .95 confidence.

*

Statistically significant at .90 confidence.

a

Models also specified binary variables for age groups (<50, 50–64, 65–69, 70–74, 75–79, 80–84, 85+), tumor sizes (<2 cm, 2–5 cm, 5+cm), positive lymph node involvement, tumor grade groups (1, 2, 3, 4, 9–unknown), tumor location groups (nipple, central portion, upper-inner quad, lower-inner quad, upper-outer quad, lower-outer quad, axillary tail, overlapping lesion, not stated), Charlson comorbidity index (0, 1, 2, 3+), residence zip code poverty percentage (#7, 7–10, 10–13, 13– 20, >20), distance from residence to nearest hospital (#2.83, 2.83–9, 9–15,>15), payer (Medicaid, Medicare, Blue Cross/Blue Shield, other private, other government, self-pay), and year of diagnosis (1989, 1990, 1991, 1992, 1993, 1994).