Table 3.
Multivariable Cox proportional hazards model for factors influencing the risk of osteoporotic fracture among post-menopausal women treated for breast cancer in Ontario, Canada from 2005 to 2012 (N = 12,077).
| Characteristics | Units | HR | 95% CI | P-value |
|---|---|---|---|---|
| Endocrine therapy | AI vs. Tamoxifen | 1.09 | 0.96–1.23 | 0.18 |
| Age | Per Year | 1.07 | 1.06–1.08 | <.0001 |
| Charlson comorbidity index | High vs. Low | 1.18 | 1.06–1.31 | 0.002 |
| History of osteoporosis or osteoporotic fracture | Yes vs. No | 1.42 | 1.24–1.62 | <0.001 |
| Previous use of steroids | Yes vs. No | 1.30 | 1.06–1.60 | 0.012 |
| Previous use of bisphosphonate | Yes vs. No | 1.19 | 1.05–1.35 | 0.006 |
| Previous use of chemotherapy | Yes vs. No | 0.89 | 0.72–1.10 | 0.27 |
| Duration of endocrine therapya | Per Year | 0.97 | 0.91–1.02 | 0.20 |
AI: Aromatase inhibitor, HR: hazard ratio, CI: confidence interval.
Charlson comorbidity index: High (≥2) vs. Low (0–1 or no hospitalization).
Patients censored at death, end of follow-up (March 2017) and upon a switch of endocrine therapy (aromatase inhibitor to tamoxifen or vice versa).
Time-dependent co-variate.