Table 5.
Multivariate regression analysis factors influencing the likelihood of undergoing mastectomy compared BCT
| Parameter | Estimate (β) | OR (95% CI) | Standard error | Z value | p value |
|---|---|---|---|---|---|
| SES (per 10% stratum) | − 0.023 | 0.98 (0.97–0.98) | 0.003 | − 9.013 | < 0.001 |
| Age (years) | 0.004 | 1.00 (1.00–1.01) | 0.001 | 7.758 | < 0.001 |
| Year of surgery | − 0.073 | 0.93 (0.92–0.94) | 0.003 | − 22.659 | < 0.001 |
| Hospital volume | |||||
| Small volume | NA | 1.00 (reference) | NA | NA | NA |
| Average volume | 0.009 | 1.01 (0.96–1.06) | 0.027 | 0.323 | 0.747 |
| Large volume | − 0.111 | 0.90 (0.85–0.94) | 0.025 | − 4.415 | < 0.001 |
| Tumor grade | |||||
| Low grade | NA | 1.00 (reference) | NA | NA | NA |
| Intermediate grade | 0.190 | 1.21 (1.16–1.26) | 0.019 | 9.885 | < 0.001 |
| High grade | 0.270 | 1.31 (1.25–1.37) | 0.023 | 11.649 | < 0.001 |
| Histological subtype | |||||
| Ductal carcinoma | NA | 1.00 (reference) | NA | NA | NA |
| ILC | 0.625 | 1.87 (1.79–1.95) | 0.022 | 28.307 | < 0.001 |
| Both | 0.836 | 2.31 (2.13–2.49) | 0.039 | 21.172 | < 0.001 |
| Mucinous | 0.07 | 1.07 (0.96–1.19) | 0.055 | 1.271 | 0.204 |
| Medullary | − 0.055 | 0.95 (0.79–1.14) | 0.093 | − 0.588 | 0.556 |
| Tubular | − 0.193 | 0.82 (0.69–0.99) | 0.093 | − 2.083 | 0.037 |
| Other | 0.271 | 1.31 (1.16–1.49) | 0.064 | 4.217 | < 0.001 |
| Hormone receptor status | |||||
| Her2 receptor negative | − 0.128 | 0.88 (0.83–0.93) | 0.027 | − 4.775 | < 0.001 |
| Progesterone receptor positive | 0.019 | 1.02 (0.98–1.06) | 0.020 | 0.928 | 0.353 |
| Estrogen receptor positive | 0.002 | 1.00 (0.95–1.06) | 0.028 | 0.058 | 0.954 |
| Triple negative | 0.171 | 1.19 (1.08–1.30) | 0.047 | 3.614 | < 0.001 |
| Patient medical history | |||||
| History of disease | NA | 1.00 (reference) | NA | NA | NA |
| Non-oncological medical history | 0.258 | 1.29 (1.23–1.37) | 0.028 | 9.339 | < 0.001 |
| Oncological medical history | 1.612 | 5.01 (4.01–6.26) | 0.114 | 14.198 | < 0.001 |
| Tumor stage | |||||
| Stage I tumor | NA | 1.00 (reference) | NA | NA | NA |
| Stage II tumor | 1.231 | 3.42 (3.33–3.53) | 0.015 | 82.180 | < 0.001 |
NA not applicable, OR odds ratio, CI confidence interval, SES socioeconomic status, ILC invasive lobular carcinoma