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. 2009 May 20;101(10):736–750. doi: 10.1093/jnci/djp082

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.