Table 3. Population 1, 10-year disease-free, locoregional recurrence-free, distant metastasis-free and overall survival for different time intervals between surgery and radiation therapy in breast cancer patients, stratified for use of adjuvant systemic therapy.
Entire cohort (n=2759) |
No adjuvant treatment (n=1761) |
Adjuvant treatment (n=998) |
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---|---|---|---|---|---|---|
Crude | Multivariablea | Crude | Multivariableb | Crude | Multivariablec | |
Time interval | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) |
Primary outcome: 10-year DFS | ||||||
<42 days | 1 | 1 | 1 | 1 | 1 | 1 |
42–55 days | 0.77 (0.64–0.93) | 0.78 (0.64–0.95) | 0.79 (0.63–1.01) | 0.81 (0.64–1.03) | 0.73 (0.53–0.99) | 0.71 (0.52–0.98) |
P=0.006 | P=0.011 | P=0.055 | P=0.086 | P=0.042 | P=0.035 | |
>55 days | 0.72 (0.57–0.90) | 0.71 (0.56–0.90) | 0.75 (0.56–0.99) | 0.76 (0.57–1.02) | 0.66 (0.45–0.98) | 0.63 (0.41–0.95) |
P=0.004 | P=0.005 | P=0.044 | P=0.064 | P=0.041 | P=0.029 | |
Secondary outcome: 10-year LRRFS | ||||||
<42 days | 1 | 1 | 1 | 1 | 1 | 1 |
42–55 days | 0.69 (0.48–0.97) | 0.72 (0.50–1.03) | 0.74 (0.49–1.13) | 0.77 (0.50–1.17) | 0.54 (0.27–1.05) | 0.55 (0.28–1.10) |
P=0.035 | P=0.072 | P=0.163 | P=0.221 | P=0.069 | P=0.092 | |
>55 days | 0.80 (0.54–1.20) | 0.90 (0.59–1.37) | 0.88 (0.55–1.41) | 0.97 (0.60–1.57) | 0.63 (0.28–1.40) | 0.68 (0.29–1.57) |
P=0.282 | P=0.620 | P=0.605 | P=0.904 | P=0.255 | P=0.363 | |
Secondary outcome: 10-year DMFS | ||||||
<42 days | 1 | 1 | 1 | 1 | 1 | 1 |
42–55 days | 0.87 (0.67–1.12) | 0.89 (0.68–1.16) | 1.05 (0.72–1.52) | 1.08 (0.74–1.59) | 0.75 (0.52–1.07) | 0.69 (0.47–1.00) |
P=0.288 | P=0.393 | P=0.817 | P=0.681 | P=0.107 | P=0.047 | |
>55 days | 0.66 (0.47–0.92) | 0.64 (0.45–0.92) | 0.69 (0.42–1.14) | 0.71 (0.43–1.19) | 0.67 (0.42–1.06) | 0.59 (0.36–0.96) |
P=0.015 | P=0.014 | P=0.147 | P=0.197 | P=0.085 | P=0.034 | |
Secondary outcome: 10-year OS | ||||||
<42 days | 1 | 1 | 1 | 1 | 1 | 1 |
42–55 days | 1.17 (0.97–1.41) | 1.20 (0.98–1.45) | 1.42 (1.10–1.82) | 1.51 (1.17–1.96) | 0.91 (0.68–1.21) | 0.83 (0.61–1.12) |
P=0.110 | P=0.071 | P=0.007 | P=0.002 | P=0.504 | P=0.219 | |
>55 days | 1.24 (1.00–1.54) | 1.21 (0.96–1.52) | 1.44 (1.08–1.91) | 1.57 (1.17–2.11) | 1.05 (0.75–1.47) | 0.87 (0.61–1.25) |
P=0.051 | P=0.107 | P=0.013 | P=0.003 | P=0.777 | P=0.466 |
Abbreviations: CI=confidence interval; DFS=disease-free survival; DMFS=distant metastasis-free survival; HR=hazards ratio; LRRFS=locoregional recurrence-free survival; OS=overall survival.
P-values depicted in bold are considered as statistically significant (P<0.05).
Corrected for age, hospital volume, region, histological tumour type, differentiation grade, exact tumour size (mm), exact number of positive lymph nodes, residual tumour left after the operation, adjuvant systemic therapy.
Corrected for hospital volume, region, histological tumour type, exact tumour size (mm), exact number of positive lymph nodes.
Corrected for age, region, differentiation grade, exact number of positive lymph nodes, hormone receptor status, type of adjuvant systemic therapy.