Table 2.
Mastectomy (vs. BCS) N = 1,893 | |||||
---|---|---|---|---|---|
% | OR (95% CI) | ||||
Predisposing factors at the time of initial decision making | |||||
Age at diagnosis, | |||||
<65 | 64.9 | 1(referent) | |||
≥65 | 71.0 | 1.70(1.32-2.19) | |||
Educational level | |||||
high school or less | 67.2 | 1(referent) | |||
college or higher | 61.6 | 0.80(0.72-0.90) | |||
Marital status | |||||
no spouse | 66.2 | 1(referent) | |||
married | 65.2 | 0.93(0.81-1.08) | |||
Having a religion | |||||
no | 65.8 | 1(referent) | |||
yes | 65.2 | 0.99(0.86-1.14) | |||
Monthly income | |||||
<US$3000 | 68.6 | 1(referent) | |||
≥US$3000 | 61.8 | 0.69(0.63-0.77) | |||
Residential area | |||||
rural | 70.2 | 1(referent) | |||
metropolitan area | 64.7 | 0.78(0.65-0.94) | |||
Number of adults living together | |||||
<3 | 65.6 | 1(referent) | |||
≥3 | 64.5 | 0.96(0.85-1.07) | |||
Employment status | |||||
unemployed | 64.6 | 1(referent) | |||
employed | 65.2 | 1.07(0.96-1.19) | |||
Comorbidities | |||||
none | 63.6 | 1(referent) | |||
≥1 | 66.8 | 1.17(1.05-1.29) | |||
Menopausal status | |||||
premenopausal | 63.5 | 1(referent) | |||
postmenopausal | 68.0 | 1.17(1.04-1.30) | |||
Estrogen receptor | |||||
negative | 65.8 | 1(referent) | |||
positive | 62.9 | 0.88(0.80-0.98) | |||
Progesterone receptor | |||||
negative | 65.1 | 1(referent) | |||
positive | 65.5 | 1.00(0.90-1.11) | |||
Stage | |||||
0-IIa | 61.5 | 1(referent) | |||
IIb | 84.3 | 3.68(3.11-4.35) | |||
Shared decision making factors | |||||
Being patient's opinion respected in surgical treatment decision | |||||
no | 62.7 | 1(referent) | |||
yes | 73.3 | 1.48(1.24-1.76) | |||
Physician's giving information | |||||
Breast surgery option | |||||
no | 74.5 | 1(referent) | |||
yes | 63.7 | 0.59(0.49-0.71) | |||
Using radiotherapy (ref. no) | |||||
no | 67.1 | 1(referent) | |||
yes | 65.9 | 0.95(0.82-1.09) | |||
Using chemotherapy (ref. no) | |||||
no | 44.0 | 1(referent) | |||
yes | 72.0 | 3.17(2.79-3.59) | |||
Using hormone therapy (ref. no) | |||||
no | 49.1 | 1(referent) | |||
yes | 73.4 | 2.41(2.15-2.69) |
Abbreviation: BCS, breast-conserving surgery; CI, confidence interval
* All analyses weighted to account for differential selection by clinical factors of non-response.