Table 3. Survival prior to matching: prognosis factors in univariate and multivariate analyses.
OS | DDFS | ||||||||
---|---|---|---|---|---|---|---|---|---|
Univariate | Multivariate | Univariate | Multivariate | ||||||
HR [CI 95%] | p-value | HR [CI 95%] | p-value | HR [CI 95%] | p-value | HR [CI 95%] | p-value | ||
Years of diagnosis | 1981–1983 | 1 | . | 1 | . | 1 | . | 1 | . |
1984–1988 | 0.85 [0.80–0.91] | <0.0001 | 0.89 [0.70–1.13] | 0.33 | 0.89 [0.82–0.97] | 0.009 | 1.01 [0.76–1.34] | 0.95 | |
1989–1993 | 0.75 [0.71–0.81] | <0.0001 | 0.87 [0.69–1.10] | 0.25 | 0.86 [0.79–0.93] | 0.0002 | 0.97 [0.74–1.28] | 0.86 | |
1994–1998 | 0.67 [0.62–0.72] | <0.0001 | 0.77 [0.61–0.98] | 0.03 | 0.75 [0.69–0.82] | <0.0001 | 0.82 [0.62–1.08] | 0.16 | |
1999–2003 | 0.51 [0.47–0.56] | <0.0001 | 0.68 [0.51-.092] | 0.01 | 0.56 [0.51–0.62] | <0.0001 | 0.61 [0.44–0.84] | 0.0002 | |
2004–2008 | 0.38 [0.35–0.42] | <0.0001 | 0.42 [0.32–0.55] | <0.0001 | 0.41 [0.37–0.46] | <0.0001 | 0.44 [0.32–0.59] | <0.0001 | |
Age (years) | < 35 | 1.47 [1.31–1.65] | <0.0001 | 1.42 [1.00–2.02] | 0.05 | 2.01 [1.88–2.35] | <0.0001 | 1.64 [1.24–2.16] | 0.0005 |
35 to 49 | 0.86 [0.82–0.91] | <0.0001 | 1.15 [0.96–1.37] | 0.13 | 1.21 [1.14–1.27] | <0.0001 | 1.14 [1.01–1.29] | 0.03 | |
50 to 65 | 1 | . | 1 | . | 1 | . | 1 | . | |
> 65 | 2.25 [2.15–2.37] | <0.0001 | 2.06 [1.85–2.30] | <0.0001 | 1.00 [0.94–1.06] | 0.99 | 1.09 [0.9–1.25] | 0.17 | |
Menopausal status | post-menopausal | 1 | . | 1 | . | 1 | . | 1 | . |
pre-menopausal | 0.62 [0.59–0.65] | <0.0001 | 0.68 [0.57–0.80] | <0.0001 | 1.23 [1.17–1.29] | <0.0001 | . | NS | |
BMI (kg/m²) | < 18.5 | 0.96 [0.83–1.11] | 0.57 | 1.25 [1.02–1.52] | 0.03 | 0.92 [0.79–1.09] | 0.38 | 1.16 [0.93–1.45] | 0.20 |
[18.5–25[ | 1 | . | 1 | . | 1 | . | 1 | . | |
[25–30[ | 1.29 [1.20–1.39] | <0.0001 | 1.13 [1.01–1.25] | 0.03 | 1.18 [1.09–1.27] | <0.0001 | 1.09 [0.97–1.22] | 0.16 | |
≥ 30 | 1.49 [1.35–1.65] | <0.0001 | 1.22 [1.05–1.41] | 0.008 | 1.31 [1.18–1.46] | <0.0001 | 1.22 [1.04–1.43] | 0.01 | |
Histological type | Ductal | 1 | . | 1 | . | 1 | . | 1 | . |
Lobular | 1.07 [1.00–1.14] | 0.04 | . | NS | 1.08 [1.00–1.16] | 0.04 | . | NS | |
Other | 1.05 [0.99–1.10] | 0.1 | . | NS | 0.95 [0.88–1.01] | 0.11 | . | NS | |
Histological tumor size | pT1 | 1 | . | 1 | . | 1 | . | 1 | . |
pT2 | 2.17[2.06–2.28] | <0.0001 | 1.47 [1.34–1.63] | <0.0001 | 2.54 [2.39–2.70] | <0.0001 | 1.66 [1.49–1.84] | <0.0001 | |
pT3 | 3.18 [2.81–3.59] | <0.0001 | 2.26 [1.83–2.80] | <0.0001 | 3.94 [3.44–4.50] | <0.0001 | 2.20 [1.76–2.75] | <0.0001 | |
pT4 | 2.53 [1.61–3.97] | <0.0001 | 1.65 [0.73–3.73] | 0.23 | 2.93 [1.89–4.56] | <0.0001 | 2.34 [1.27–4.29] | 0.006 | |
Involved axillary nodes | 0 | 1 | . | 1 | . | 1 | . | 1 | . |
1 to 3 | 1.54 [1.47–1.63] | <0.0001 | 1.22 [1.09–1.36] | 0.0006 | 1.96 [1.85–2.08] | <0.0001 | 1.47 [1.31–1.67] | <0.0001 | |
4 to 9 | 2.94[2.76–3.13] | <0.0001 | 2.14 [1.85–2.48] | <0.0001 | 4.47 [4.18–4.78] | <0.0001 | 2.93 [2.52–3.42] | <0.0001 | |
≥ 10 | 4.81 [4.43–5.22] | <0.0001 | 3.38 [2.75–4.15] | <0.0001 | 7.75 [7.12–8.44] | <0.0001 | 5.52 [4.54–6.72] | <0.0001 | |
SBR grade | 1 | 1 | . | 1 | . | 1 | . | 1 | . |
2 | 1.56 [1.47–1.66] | <0.0001 | 1.09 [0.96–1.24] | 0.20 | 2.16 [2.00–2.33] | <0.0001 | 1.61 [1.37–1.89] | <0.0001 | |
3 | 2.41 [2.27–2.56] | <0.0001 | 1.84 [1.63–2.08] | <0.0001 | 3.69 [3.43–3.98] | <0.0001 | 2.68 [2.31–3.12] | <0.0001 | |
Hormone receptor status | Hormone receptor + | 1 | . | 1 | . | 1 | . | 1 | . |
Hormone receptor - | 1.55 [1.47–1.64] | <0.0001 | 1.34 [1.18–1.52] | <0.0001 | 1.65 [1.56–1.74] | <0.0001 | 1.26 [1.10–1.44] | 0.0007 | |
Adjuvant chemotherapy | No | 1 | . | 1 | . | 1 | . | 1 | . |
Yes | 0.89 [0.84–0.96] | <0.0001 | 0.88 [0.78–1.00] | 0.05 | 1.41 [1.34–1.49] | <0.0001 | 0.85 [0.74–0.97] | 0.01 |
OS: overall survival. DDFS: Distant disease-free survival. BMI: body mass index. pT1: pathological tumor size ≤ 2 cm. pT2: tumor > 2 cm and ≤ 5 cm. pT3: > 5 cm. pT4: extension to skin and/or chest wall. SBR: Scarff Bloom and Richardson. HR: hazard ratio. NS: not significant in multivariate analysis and therefore not included in the final multivariate model.