Table 2.
Summary table comparing cohort characteristics and results regarding age stratification in the present study and TAILORx.
The recent TAILORx [1; 2; 3] | The present study | |
---|---|---|
Research category | Prospective trial | Retrospective research |
Main analysis set | 9,719 eligible patients with follow–up information | 49,539 eligible patients with follow–up information |
Clinicopathological feature | HR+/ HER2–/ N0 | HR+/ HER2–/ N0 |
Registration time | April 2006 – October 2010 | January 2010 – December 2015 |
RS distribution | 0–10 17% (1619/9719) | 0–10 22.5% (11164/49539) |
11–25 69% (6711/9719) | 11–25 64.1% (31731/49539) | |
26–100 14% (1389/9719) | 26–100 13.4% (6644/49539) | |
Summary of the results regarding to age stratification | A low proportion of distant recurrence at 9 years with endocrine therapy alone if the RS was 0–15, irrespective of age | The mean RS were different among five age groups (≤35, 36–50, 51–65, 66–80, and > 80 years of age) |
Age > 50 with a RS of 0–25, and ≤ 50 with a RS of 0–15, endocrine therapy was non-inferior to chemoendocrine therapy | The most common age group was 51–65 years, followed by 36–50 years, 66–80 years, ≤35 years, and > 80 years | |
Age ≤ 50, chemotherapy was associated with some benefit for women who had a RS of 16–25 | The percentage of low–risk RS (0–10) patients increased with age | |
Age ≤ 50 with high clinical risk and RS (11–25) who received endocrine therapy alone, and those RS (26–100) who received chemoendocrine therapy, the distant recurrence rate at 9 years exceeded 10% | The percentage of intermediate–risk RS (11–25) patients decreased with age except for the group of 36–50 years, which has the highest rate of intermediate risk RS | |
Age ≤ 50 and RS (11–25), endocrine therapy was noninferior to chemoendocrine therapy at 9 years if clinical risk was low; while chemotherapy was associated with benefit if clinical risk was high | The group aged ≤ 35 years has the greatest rate of high–risk RS | |
Age > 50, endocrine therapy was noninferior to chemoendocrine therapy in the cohort with a RS of 11–25, regardless of clinical risk category | The proportion of receiving chemotherapy decreases with age in all RS risk categories | |
Age ≤ 50, distant recurrence rate at 9 years were very low among women with a RS of 0–10, irrespective of clinical–risk category | Age ≤ 35 with RS of 26–100 had the highest chemotherapy receipt rate, while age > 80 with RS of 0–10 had the lowest chemotherapy receipt rate | |
The chemotherapy benefit was most evident at 45 years of age in premenopausal women and waned at younger and older ages and with menopause | Overall survival was benefited by chemotherapy only in the age group of 66–80 years of age with intermediate- and high-risk RS | |
There were significant interactions between chemotherapy treatment and age (≤50 vs. 51 to 65 vs. >65 years) for invasive disease–free survival (P = 0.03) and for freedom from recurrence of breast cancer at a distant or local–regional site (P = 0.02) but not at a distant site (P = 0.12) | Age > 80, the chemotherapy seemed to do more harm than good | |