Table 4.
Association of breastfeeding with breast cancer recurrence and death, stratified by PAM50 intrinsic subtype*
Luminal A | Luminal B | Basal-like | HER2-E | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Recurrence† | No. events‡ | HR | (95% CI) | No. events‡ | HR | (95% CI) | No. events‡ | HR | (95% CI) | No. events‡ | HR | (95% CI) |
Breastfeeding | ||||||||||||
Never | 67 | Ref. | 61 | Ref. | 33 | Ref. | 29 | Ref. | ||||
Ever | 65 | 0.52 | (0.31 to 0.89) | 62 | 0.60 | (0.26 to 1.41) | 24 | 0.64 | (0.24 to 1.72) | 42 | 1.29 | (0.44 to 3.82) |
P interaction = .19 | ||||||||||||
Lifetime breastfeeding | ||||||||||||
Never | 67 | Ref. | 61 | Ref. | 35 | Ref. | 29 | Ref. | ||||
<6 mo | 29 | 0.67 | (0.34 to 1.30) | 21 | 0.70 | (0.24 to 2.00) | 12 | 1.34 | (0.41 to 4.37) | 15 | 1.01 | (0.26 to 3.91) |
≥6 mo | 36 | 0.43 | (0.23 to 0.79) | 41 | 0.55 | (0.21 to 1.44) | 12 | 0.39 | (0.14 to 1.07) | 27 | 1.58 | (0.51 to 4.92) |
P trend | .03 | .15 | .04 | .54 | ||||||||
P interaction = .11 | ||||||||||||
Breast cancer mortality† | ||||||||||||
Breastfeeding | ||||||||||||
Never | 53 | Ref. | 42 | Ref. | 28 | Ref. | 21 | Ref. | ||||
Ever | 47 | 0.52 | (0.29 to 0.93) | 49 | 0.61 | (0.24 to 1.56) | 20 | 0.70 | (0.18 to 2.79) | 30 | 1.29 | (0.35 to 4.77) |
P interaction = .21 | ||||||||||||
Lifetime breastfeeding | ||||||||||||
Never | 53 | Ref. | 42 | Ref. | 28 | Ref. | 21 | Ref. | ||||
<6 mo | 22 | 0.68 | (0.33 to 1.43) | 18 | 0.78 | (0.25 to 2.37) | 9 | 1.22 | (0.26 to 5.72) | 13 | 1.23 | (0.28 to 5.39) |
≥6 mo | 25 | 0.42 | (0.22 to 0.83) | 31 | 0.53 | (0.18 to 1.54) | 11 | 0.49 | (0.13 to 1.90) | 17 | 1.35 | (0.29 to 6.40) |
P trend | .08 | .12 | .17 | .92 | ||||||||
P interaction = .39 |
* n = 27 women had missing data on parity, surgery, chemotherapy, and/or radiotherapy and were thus excluded from all models.
† Adjusted for age at diagnosis, race/ethnicity, stage, chemotherapy, radiotherapy, hormonal therapy, surgery type, and parity.
‡ Not population based given case-cohort study design.