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. 2021 Jun 3;59:27–36. doi: 10.1016/j.breast.2021.05.014

Table 2.

Unadjusted and adjusted Hazard Ratios for overall survival in patients diagnosed with breast cancer at Chris Hani Baragwanath and Charlotte Maxeke Johannesburg Academic Hospitals between May 2015 and September 2017.

Unadjusted
Adjusted∗
Number at risk Number of deaths Hazard Ratio (95% CI) p-value Hazard Ratio (95% CI) p-value
Age at diagnosis (years) 1016 457
<50 1.00 (Reference) 1.00 (Reference)
≥50 1.10 (0.91–1.33) 0.326 1.09 (0.87–1.36) 0.450
Linear trend 1.01 (1.00–1.01) 0.067 1.01 (1.00–1.02) 0.015
HIV status 982 437
Negative 1.00 (Reference) 1.00 (Reference)
Positive 1.50 (1.22–1.85) <0.001 1.77 (1.37–2.28) <0.001
Stage at Diagnosis 1007 456
Early stage (Stage I/II) 1.00 (Reference) 1.00 (Reference)
Advanced Stage (Stage (III/IV) 3.85 (3.09–4.79) <0.001 3.71 (2.92–4.72) <0.001
Receptor Statusa
ER positive 986 449 0.68 (0.55–0.83) <0.001 0.71 (0.57–0.88) 0.002
PR positive 984 448 0.65 (0.54–0.78) <0.001 0.74 (0.60–0.90) 0.003
Her2-positive 964 439 1.16 (0.94–1.43) 0.166 0.94 (0.75–1.18) 0.601
Receptor Subtypeb 954 436
Luminal A 1.00 (Reference) 1.00 (Reference)
Luminal B 1.84 (1.32–2.58) <0.001 1.88 (1.30–2.72) 0.001
Her2-enriched 1.76 (1.06–2.93) 0.029 1.46 (0.84–2.56) 0.182
Triple negative 2.52 (1.72–3.69) <0.001 2.65 (1.75–4.01) <0.001
BMI (kg/m2) 939 411 0.99 (0.98–1.00) 0.206 0.99 (0.98–1.00) 0.178
Employment status 1002 447
Employed 1.00 (Reference) 1.00 (Reference)
Unemployed 1.13 (0.94–1.37) 0.182 1.17 (0.96–1.44) 0.129
Educationc 998 445
Primary or lower 1.00 (Reference) 1.00 (Reference)
Secondary 0.65 (0.53–0.81) <0.001 0.75 (0.59–0.95) 0.017
Tertiary 0.49 (0.34–0.73) <0.001 0.78 (0.51–1.20) 0.256

∗Adjusted for age at diagnosis (continuous), BMI (continuous), stage at diagnosis (early vs advanced), receptor subtype (luminal A vs luminal B, Her2-enriched, triple negative), employment status (employed vs unemployed) and education (primary vs secondary, tertiary). Receptor Status adjusted for age at diagnosis (continuous), BMI (continuous), stage at diagnosis (early vs late), employment status (employed vs unemployed) and education (primary vs secondary, tertiary).

a

Reference for each receptor is the receptor negative.

b

Receptor subtypes were defined by immunohistochemistry as follows: Luminal A (ER +, PR +, HER2 -, Ki 67 < 14%), Luminal B (ER +, PR +/−, HER2 -, Ki 67 > 14% or ER +, PR +/−, HER-2 +, any Ki 67), HER2-enriched (ER/PR -, HER2 +, any Ki 67) and Triple negative breast cancer (ER/PR/HER2 -, any Ki 67).

c

Primary education refers to the first 7 years of school education and secondary as the first 12 years.