Table 3.
Association of patient and tumor characteristics with relapse-free survival and breast cancer–specific survival among 828 hormone receptor–positive patients with complete data for covariates and who received tamoxifen as their sole adjuvant systemic therapy and among 167 patients with hormone receptor–positive tumors with complete data for all the covariates and who received both tamoxifen and chemotherapy as adjuvant systemic therapies*
| Relapse-free survival |
Breast cancer-specific survival |
|||
| Characteristic and comparison | HR (95% CI) | P value† | HR (95% CI) | P value† |
| Hormone receptor–positive patients who received only tamoxifen as adjuvant therapy | ||||
| Total group‡ | ||||
| Age at diagnosis§ | 0.99 (0.98 to 1.00) | .090 | 1.00 (0.98 to 1.02) | .95 |
| Grade (3 vs 2 or 1) | 1.33 (1.06 to 1.68) | .016 | 1.35 (1.04 to 1.75) | .023 |
| Tumor size (> 2 vs ≤ 2 cm) | 1.56 (1.23 to 1.97) | <.001 | 1.64 (1.26 to 2.13) | <.001 |
| LVI (positive vs negative) | 1.18 (0.91 to 1.51) | .21 | 1.02 (0.78 to 1.34) | .88 |
| Positive axillary lymph nodes, % of total examined | ||||
| 0–25 vs 0 | 1.91 (1.40 to 2.61) | <.001 | 1.69 (1.19 to 2.40) | .004 |
| > 25 vs 0 | 3.24 (2.38 to 4.42) | <.001 | 3.26 (2.32 to 4.57) | <.001 |
| Breast cancer subtypes | ||||
| Luminal B vs luminal A | 1.59 (1.25 to 2.03) | <.001 | 1.60 (1.22 to 2.10) | <.001 |
| Luminal/HER2+ vs luminal A | 1.56 (1.09 to 2.25) | .016 | 1.77 (1.20 to 2.62) | .004 |
| Group with lymph node–negative disease (n = 267) | ||||
| Age at diagnosis§ | 1.02 (0.99 to 1.05) | .28 | 1.03 (1.00 to 1.07) | .06 |
| Grade (3 vs 2 or 1) | 1.63 (0.96 to 2.76) | .070 | 1.25 (0.70 to 2.22) | .45 |
| Tumor size (> 2 vs ≤ 2 cm) | 1.42 (0.83 to 2.41) | .20 | 1.54 (0.85 to 2.78) | .16 |
| LVI (positive vs negative) | 0.87 (0.51 to 1.46) | .59 | 0.90 (0.51 to 1.61) | .73 |
| Breast cancer subtypes | ||||
| Luminal B vs luminal A | 2.14 (1.24 to 3.67) | .006 | 2.22 (1.22 to 4.04) | .009 |
| Luminal/HER2+ vs luminal A | 1.07 (0.36 to 3.16) | .90 | 1.04 (0.30 to 3.60) | .95 |
| Group with lymph node–positive disease‖ | ||||
| Age at diagnosis§ | 0.99 (0.97 to 1.00) | .062 | 1.00 (0.98 to 1.01) | .71 |
| Grade (3 vs 2 or 1) | 1.32 (1.02 to 1.70) | .037 | 1.46 (1.09 to 1.95) | .011 |
| Tumor size (> 2 vs ≤ 2 cm) | 1.67 (1.28 to 2.16) | <.001 | 1.75 (1.30 to 2.34) | <.001 |
| LVI (positive vs negative) | 1.33 (0.99 to 1.79) | .057 | 1.09 (0.80 to 1.51) | .56 |
| Breast cancer subtypes | ||||
| Luminal B vs luminal A | 1.50 (1.14 to 1.97) | .004 | 1.49 (1.09 to 2.03) | .013 |
| Luminal/HER2+ vs luminal A | 1.78 (1.21 to 2.62) | .004 | 2.03 (1.34 to 3.07) | <.001 |
| Hormone receptor–positive patients who received both tamoxifen and chemotherapy | ||||
| Total group¶ | ||||
| Age at diagnosis§ | 0.97 (0.94 to 1.00) | .046 | 0.98 (0.94 to 1.01) | .13 |
| Grade (3 vs 2 or 1) | 1.19 (0.70 to 2.03) | .52 | 0.94 (0.54 to 1.62) | .82 |
| Tumor size (> 2 vs ≤ 2 cm) | 1.00 (0.57 to 1.76) | 1.00 | 1.54 (0.82 to 2.90) | .18 |
| LVI (positive vs negative) | 1.05 (0.59 to 1.87) | .86 | 1.00 (0.54 to 1.84) | .99 |
| % of positive axillary lymph nodes over total examined | ||||
| 0–25 vs 0 | 1.54 (0.70 to 3.40) | .29 | 2.11 (0.83 to 5.34) | .12 |
| > 25 vs 0 | 2.04 (0.96 to 4.30) | .062 | 3.11 (1.31 to 7.39) | .010 |
| Breast cancer subtypes | ||||
| Luminal B vs luminal A | 2.03 (1.15 to 3.58) | .015 | 1.92 (1.05 to 3.52) | .034 |
| Luminal–HER2+ vs luminal A | 2.65 (1.23 to 5.71) | .013 | 3.73 (1.70 to 8.16) | .001 |
Multivariable Cox proportional hazards regression analyses were used to estimate the adjusted HRs of breast cancer subtypes. HR = hazard ratio; CI = confidence interval; LVI = lymphovascular invasion.
All Wald statistical tests were two-sided.
In the total group, data from 828 patients were available for relapse-free survival and data from 826 patients were available for breast cancer–specific survival.
Age is in years.
In this group, data from 561 patients were available for relapse-free survival and data from 559 patients were available for breast cancer–specific survival.
The total group had 167 patients with complete data for all the covariates and who received both tamoxifen and chemotherapy (doxorubicin and cyclophosphamide; fluorouracil, doxorubicin, and cyclophosphamide; or cyclophosphamide, methotrexate, and fluorouracil) as adjuvant systemic therapies. Data from all 167 patients were available for both relapse-free survival and breast cancer–specific survival.