Table 3. Association between SLN metastases and clinicopathologic factors by univariate and multivariate analysis.
Univariate |
Multivariate |
|||||||
---|---|---|---|---|---|---|---|---|
N | % SLN positive | Odds ratio | 95% CI | P-value | Odds ratio | 95% CI | P-value | |
Age (years) | 0.98 | 0.98–0.99 | 0.002 | 0.98 | 0.97–0.99 | <0.0001 | ||
Tumour size (mm) | 1.07 | 1.06–1.09 | <0.0001 | 1.06 | 1.05–1.08 | <0.0001 | ||
Histology | <0.0001 | 0.0004 | ||||||
Ductal | 1230 | 33 | 1.00 | 1.00 | ||||
Ducto-lobular | 163 | 49 | 1.97 | 1.42–2.74 | <0.0001 | 2.16 | 1.48–3.16 | 0.0001 |
Lobular | 235 | 39 | 1.29 | 0.97–1.72 | 0.081 | 1.12 | 0.82–1.54 | 0.487 |
Others | 262 | 25 | 0.68 | 0.51–0.93 | 0.016 | 0.82 | 0.58–1.16 | 0.246 |
Grading | <0.0001 | 0.0003 | ||||||
I | 293 | 18 | 0.34 | 0.24–0.48 | <0.0001 | 0.55 | 0.32–0.81 | 0.002 |
II | 1001 | 36 | 0.89 | 0.72–1.10 | 0.275 | 1.17 | 0.93–1.48 | 0.177 |
III | 596 | 39 | 1.00 | 1.00 | ||||
Location | 0.710 | 0.310 | ||||||
Inner upper | 240 | 30 | 1.00 | 1.00 | ||||
Inner lower | 115 | 29 | 0.96 | 0.59–1.56 | 0.863 | 1.09 | 0.65–1.84 | 0.738 |
Outer upper | 1068 | 33 | 1.19 | 0.88–1.62 | 0.252 | 1.26 | 0.91–1.76 | 0.165 |
Outer lower | 290 | 38 | 1.43 | 0.99–2.06 | 0.053 | 1.49 | 1.01–2.22 | 0.044 |
Central | 177 | 40 | 1.59 | 1.06–2.40 | 0.025 | 1.39 | 0.89–2.17 | 0.151 |
Palpability | ||||||||
Palpable | 1270 | 41 | 2.78 | 2.22–3.49 | <0.0001 | 1.77 | 1.37–2.29 | <0.0001 |
Not palpable | 620 | 20 | 1.00 | 1.00 | ||||
Preop-biopsy | ||||||||
No | 842 | 30 | 1.000 | 1.00 | ||||
Yes | 1048 | 37 | 1.37 | 1.13–1.66 | 0.001 | 1.09 | 0.85–1.40 | 0.508 |
Learning period | ||||||||
No | 1476 | 34 | 0.95 | 0.76–1.20 | 0.673 | 1.13 | 0.79–1.62 | 0.509 |
Yes | 414 | 35 | 1.00 | |||||
Department | 0.003 | 0.001 | ||||||
1 | 252 | 37 | 1.00 | 1.00 | ||||
2 | 112 | 42 | 1.24 | 0.78–1.95 | 0.360 | 1.75 | 1.04–2.95 | 0.036 |
3 | 372 | 29 | 0.71 | 0.50–0.99 | 0.047 | 0.75 | 0.50–1.12 | 0.157 |
4 | 283 | 41 | 1.20 | 0.85–1.71 | 0.294 | 0.75 | 0.47–1.18 | 0.210 |
5 | 475 | 28 | 0.66 | 0.48–0.92 | 0.014 | 0.56 | 0.38–0.83 | 0.004 |
6 | 64 | 33 | 0.83 | 0.47–1.49 | 0.543 | 0.52 | 0.24–1.09 | 0.084 |
7 | 68 | 32 | 0.82 | 0.46–1.44 | 0.488 | 0.74 | 0.39–1.40 | 0.354 |
8 | 143 | 43 | 1.27 | 0.84–1.93 | 0.260 | 1.35 | 0.84–2.16 | 0.216 |
9 | 44 | 36 | 0.98 | 0.50–1.90 | 0.945 | 1.02 | 0.45–2.30 | 0.958 |
10 | 29 | 34 | 0.90 | 0.40–2.02 | 0.798 | 0.88 | 0.3–2.32 | 0.795 |
11 | 13 | 31 | 0.76 | 0.23–2.54 | 0.655 | 0.74 | 0.20–2.81 | 0.664 |
12 | 35 | 25 | 0.51 | 0.22–1.16 | 0.108 | 0.49 | 0.19–1.29 | 0.150 |
SLN technique | 0.087 | 0.175 | ||||||
Combination | 1000 | 33.5 | 1.00 | |||||
Blue dye | 501 | 38 | 1.27 | 1.01–1.59 | 0.037 | 1.20 | 0.86–1.68 | 0.287 |
Radiotracer | 389 | 32 | 0.99 | 0.77–1.28 | 0.969 | 1.35 | 0.96–1.90 | 0.083 |
SLN timing | ||||||||
1st procedure | 1750 | 35 | 1.00 | 1.00 | ||||
2nd procedure | 140 | 23 | 0.59 | 0.39–0.87 | 0.008 | 1.01 | 0.63–1.62 | 0.969 |
Study period | ||||||||
Prospective | 1354 | 34 | 1.00 | 1.00 | ||||
Retrospective | 536 | 35 | 1.06 | 0.86–1.31 | 0.574 | 0.97 | 0.70–1.38 | 0.848 |