Table 2.
Overall distribution of covariates and striated by breast cancer specific mortality and other cause mortality. Multivariable adjusted relationship between time-varying surveillance mammography and death
Total | Breast cancer specific mortality | Other cause mortality | ||||||
---|---|---|---|---|---|---|---|---|
N (%) | Follow-up Person-years (per 1,000) | Cases | IR | HRa (95% CI) | Cases | IR | HRa (95% CI) | |
Overall | 1,235 | 9,015 | 120 | 13.3 | 393 | 43.6 | ||
Time-varying surveillance mammography | 5,140 | 54 | 10.5 | 0.82 (0.56, 1.19) | 185 | 36.0 | 0.95 (0.78, 1.17) | |
Age at year 6 | ||||||||
70-74 | 456 (37) | 3,804 | 41 | 10.8 | Reference | 92 | 24.2 | Reference |
75-79 | 383 (31) | 3,017 | 34 | 11.3 | 1.12 (0.71, 1.77) | 97 | 32.2 | 1.34 (1.01, 1.79) |
80+ | 396 (32) | 2,194 | 45 | 20.5 | 2.09 (1.34, 3.26) | 204 | 93.1 | 3.44 (2.66, 4.44) |
Time-varying Charlson Comorbidity Index | ||||||||
0 | 3,882 | 37 | 9.5 | Reference | 72 | 18.6 | Reference | |
1 | 3,486 | 50 | 14.3 | 1.44 (0.94, 2.22) | 172 | 49.3 | 2.35 (1.78, 3.10) | |
>1 | 1,647 | 33 | 20.0 | 1.94 (1.19, 3.15) | 149 | 90.5 | 4.27 (3.19, 5.70) | |
Tumor stage at diagnosis | ||||||||
I | 747 (60) | 5,574 | 50 | 9.0 | Reference | 250 | 44.9 | Reference |
IIA | 369 (30) | 2,613 | 43 | 16.5 | 2.13 (1.45, 3.14) | 115 | 44.0 | 1.11 (0.89, 1.38) |
IIB | 119 (9.6) | 827 | 27 | 32.6 | 28 | 33.8 | ||
Primary surgery | ||||||||
BCS | 603 (49) | 4,430 | 49 | 11.1 | 0.96 (0.65, 1.41) | 194 | 43.8 | 0.99 (0.80, 1.22) |
Mastectomy | 632 (51) | 4,585 | 71 | 15.5 | Reference | 199 | 43.4 | Reference |
Year of diagnosis | ||||||||
1990 | 218 (18) | 1,559 | 17 | 10.9 | 81 | 52.0 | ||
1991 | 213 (17) | 1,547 | 24 | 15.5 | 67 | 43.3 | ||
1992 | 263 (21) | 1,967 | 22 | 11.2 | 89 | 45.2 | ||
1993 | 285 (23) | 2,067 | 27 | 13.1 | 87 | 42.1 | ||
1994 | 256 (21) | 1,874 | 30 | 16.0 | 69 | 36.8 | ||
Race/ethnicity | ||||||||
White non-Hispanic | 1007 (82) | 7,214 | 101 | 14.0 | 317 | 44.0 | ||
Asian | 32 (2.6) | 306 | 1 | 3.3 | 9 | 29.4 | ||
African-American | 125 (10) | 943 | 12 | 12.7 | 44 | 46.7 | ||
Hispanic | 70 (5.7) | 552 | 6 | 10.9 | 23 | 41.7 | ||
Other/unknown | 1 (0.1) | 0 | 0 | - | 0 | - | ||
Charlson Comorbidity 5 year post-index | ||||||||
0 | 660 (53) | 5,336 | 60 | 11.2 | 149 | 27.9 | ||
1 | 445 (36) | 3,015 | 45 | 14.9 | 178 | 59.1 | ||
>1 | 130 (11) | 664 | 15 | 22.6 | 66 | 99.4 | ||
ER/PR status | ||||||||
ER or PR + | 936 (76) | 6,877 | 96 | 14.3 | 299 | 43.5 | ||
ER/PR- | 153 (12) | 1,123 | 16 | 14.0 | 44 | 39.2 | ||
unknown | 146 (12) | 1,015 | 8 | 7.9 | 50 | 49.3 | ||
Radiation therapy complete | ||||||||
Yes | 515 (42) | 4,004 | 37 | 9.2 | 139 | 34.7 | ||
No | 720 (58) | 5,011 | 83 | 16.6 | 254 | 50.7 | ||
Adjuvant therapy | ||||||||
Tamoxifen, chemotherapy or both | 859 (70) | 6,353 | 102 | 16.1 | 263 | 41.4 | ||
Neither | 376 (30) | 2,662 | 18 | 6.8 | 130 | 48.9 | ||
Months since last surveillance mammogram at 5 years post-diagnosis | ||||||||
Median (Min, Max) | 9.7 (0.01-60.9) | 10.0 (0.01- 60.9) | 10.5 (0.04-60.9) | |||||
Surveillance mammogram in year 4-5 following diagnosis | ||||||||
Yes | 828 (67) | 6,402 | 77 | 12.0 | 239 | 37.3 | ||
No | 407 (33) | 2,613 | 43 | 16.5 | 154 | 59.0 | ||
Number of surveillance mammograms in years 6+ following diagnosis | ||||||||
0 | 272 (22) | 1,095 | 38 | 34.7 | 138 | 126.0 | ||
1 | 171 (14) | 822 | 29 | 35.3 | 83 | 101.0 | ||
2 | 161 (13) | 992 | 22 | 22.2 | 70 | 70.6 | ||
3 | 109 (8.8) | 892 | 12 | 13.5 | 29 | 32.5 | ||
4 | 105 (8.5) | 893 | 8 | 9.0 | 27 | 30.2 | ||
5 | 79 (6.4) | 736 | 3 | 4.1 | 20 | 27.2 | ||
6 | 78 (6.3) | 795 | 3 | 3.8 | 10 | 12.6 | ||
7 | 88 (7.1) | 917 | 4 | 4.4 | 9 | 9.8 | ||
8 | 74 (6.0) | 799 | 1 | 1.3 | 6 | 7.5 | ||
9 | 73 (5.9) | 800 | 0 | - | 1 | 1.3 | ||
10 | 25 (2.0) | 299 | 0 | - | 0 | - | ||
Median (Min, Max) | 3 (0-10) | 1 (0-8) | 1 (0-9) |
Stratified by follow-up cycle and adjusted for: site, age at year 6, stage (I/IIA or IIB), primary surgery type, time-dependent Charlson comorbidity