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. 2021 Apr 2;113(10):1352–1359. doi: 10.1093/jnci/djab065

Table 2.

Menstrual resumption rate by treatment group

Outcomes EC-wP
EP-wP
Estimated differencea,
% (95% CI)
P b
No./total % (95% CI) No./total % (95% CI)
Menstrual resumption at 12 moc
 Intention-to-treat analysis 126/261 48.3 (42.2 to 54.3) 164/260 63.1 (57.2 to 68.9) 14.8 (6.4 to 23.2) <.001d
 Sensitivity analysis 126/233 54.1 (47.7 to 60.5) 164/237 69.2 (63.3 to 75.1) 15.1 (6.4 to 23.8) <.001e
Pregnancy outcomes
 Considered pregnancy at enrollment 34/113 30.1 (21.6 to 38.5) 33/115 28.7 (20.4 to 37.0) −1.4 (−13.2 to 10.4) .82
 Attempted pregnancy within 48 mo 11/113 9.7 (4.3 to 15.2) 19/115 17.4 (10.5 to 24.3) 7.7 (−1.2 to 16.5) .09
 Achieved pregnancy within 48-month 3/113 2.7 (0 to 5.6) 11/115 9.6 (4.2 to 14.9) 6.9 (0.7 to 13.0) .03

aThe estimated treatment difference was calculated, and the between-group difference was tested by the stratified Miettinen and Nurminen method. CI = confidence interval; EC-wP = epirubicin/cyclophosphamide followed by weekly paclitaxel; EP-wP = epirubicin/paclitaxel followed by weekly paclitaxel.

bP values were based on χ2 test and were 2-sided, if not specified.

cResumption time is calculated from the last dose of adjuvant chemotherapy. In the intention-to-treat analysis, patients with no results of menstrual resumption, because of loss to follow-up, early intervention of ovarian suppression, or any recurrence event if it occurred first, were treated as nonresumed. The cases with no results of menstrual resumption were excluded in the sensitivity analysis.

dThe rate of menstrual resumption at 12 months after chemotherapy is the coprimary endpoint, and the statistical significance level is .01. The P value was based on the stratified Miettinen and Nurminen method and was 2-sided.

eIn the sensitivity analysis, comparisons of the resumption rate between groups used the stratified Mantel-Haenszel testand the P value was 2-sided.