Table 2. Factors associated with non-persistence (defined as a gap of 90 days) at 5 years of follow-up among women on hormonal therapy with or without metastases, in EGB database, according to multivariate Cox analysis.
|
All cohort
N=600 |
Subcohort of women without metastases
N=564 |
|||
|---|---|---|---|---|
| Adjusted hazard ratio (95% CI) | P-value | Adjusted hazard ratio (95% CI) | P-value | |
| Age – years | 0.436 | 0.255 | ||
| (50–69) vs <50 | 0.84 (0.59–1.19) | 0.75 (0.52–1.10) | ||
| ⩾70 vs <50 | 0.99 (0.66–1.50) | 0.92 (0.61–1.40) | ||
| Hormonal therapya | 0.002 | 0.005 | ||
| Tamoxifen vs AI | 1.61 (1.20–2.17) | 1.54 (1.14–2.11) | ||
|
Number of switchesa | ||||
| 1 vs 0 | 3.10 (2.20–4.36) | 3.49 (2.45–4.96) | ||
| ⩾2 vs 0 or 1 | 2.48 (1.39–4.44) | 2.65 (1.48–4.76) | ||
|
In the 12-month period before inclusion | ||||
| Affiliation to CMU-c | 0.639 | 0.959 | ||
| Yes vs No | 1.18 (0.60–2.32) | 1.02 (0.50–2.09) | ||
| Breast cancer ALD | <0.001 | <0.001 | ||
| Yes vs No | 0.21 (0.13–0.32) | 0.20 (0.12–0.31) | ||
| Breast cancer chemotherapy | 0.007 | <0.001 | ||
| Yes vs No | 0.65 (0.48–0.89) | 0.56 (0.40–0.79) | ||
| Breast cancer metastases | <0.001 | — | — | |
| 1 vs 0 | 3.07 (1.73–5.46) | |||
| ⩾2 vs 0 | 4.25 (2.06–8.78) | |||
Abbreviations: AI=aromatase inhibitors; ALD=registration with one of the 30 major long-standing diseases (Affection Longue Durée), CI=confidence interval; CMU-c=full healthcare coverage for patients with low income (Couverture Médicale Universelle); EGB=Echantillon Généraliste de Bénéficiaires.
Time-dependent variables.