Table 5.
Comparison of trials examining survival over time
| Author | Number with MBC* (and % with de novo Stage IV) | Time Period Examined | Source | Median Survival | DFI or DRFI in model | Survival over time |
|---|---|---|---|---|---|---|
| Chia et al5 | 2,150 (21.4%) | 1991–2001 | Population- based registry | 15–22 months# | No | Improved |
| Dabakuyo et al33 | 1459 (12%) | 1982–2005 | Population- based registry | Relative survival reported | No | Improved |
| Dawood et al16 | 2,091 (22.4%) | 1991–2007 | Single institution database | 28.6 months | No | Improved$ |
| Dawood et al6 | 15,438 (100%) | 1988–2003 | Population- based registry | 23 months | No | Improved |
| Giorodano et al4 | 834 (0%) | 1974–1994 | Single institution database | 21 months | Yes | Not Improved^ |
| Largillier et al17 | 1,038 (0%) | 1975–2005 | Single institution database | 23.1 months | Yes | Not improved |
| This analysis | 3477 (0%) | 1978–2010 | Multi- institution database | 20 months | Yes | Not improved overall |
DFI = disease-free interval; MBC=metastatic breast cancer
MBC includes both de novo Stage IV and recurrence after operable disease;
Based on time period of recurrence, 30-day/month;
HER2 status and trastuzumab use known and included in model;
In multivariate analysis adjusting for tumor size, nodes, stage, DFI, ER status and site of metastases, p-value =0.09. In an alternate, unstratified model including DFI, p=0.04.