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Table 3 Relative risks associated with recurrence score among ER-positive patients, stratified by treatment with tamoxifen

From: A population-based study of tumor gene expression and risk of breast cancer death among lymph node-negative patients

Score

Cases

Controls

RR1

(95% CI)

P value

Tamoxifen treated (55 cases and 150 controls)

Recurrence Score

       

   Continuous2

55

(100%)

150

(100%)

7.6

(2.6–21.9)

<0.0001

   Pre-specified categories

       

Low risk (<18)

16

(29%)

95

(63%)

1.0

reference

 

Intermediate risk (18–30)

22

(40%)

35

(23%)

4.0

(1.8–8.8)

 

High risk (≥31)

17

(31%)

20

(13%)

6.2

(2.4–15.8)

 

   Quartiles3

      

0.0004

1st (0–8.25)

5

(9%)

38

(25%)

1.0

reference

 

2nd (8.26–14.43)

6

(11%)

37

(25%)

1.0

(0.3–3.7)

 

3rd (14.44–20.95)

15

(27%)

38

(25%)

2.9

(1.0–8.9)

 

4th (20.96–78.78)

53

(53%)

37

(25%)

5.8

(2.0–16.6)

 

Tamoxifen untreated (110 cases and 251 controls)

Recurrence Score

       

   Continuous2

110

(100%)

251

(100%)

4.1

(2.1–8.1)

<0.0001

   Pre-specified categories

      

<0.0001

Low risk (<18)

40

(36%)

160

(64%)

1.0

reference

 

Intermediate risk (18–30)

32

(29%)

47

(19%)

2.7

(1.5–5.0)

 

High risk (≥31)

38

(35%)

44

(18%)

3.3

(1.8–5.9)

 

   Quartiles4

      

<0.0001

1st (0–7.53)

11

(10%)

63

(25%)

1.0

reference

 

2nd (7.54–14.25)

19

(17%)

64

(25%)

1.5

(0.7–3.4)

 

3rd (14.26–21.86)

23

(28%)

62

(25%)

2.1

(0.9–4.9)

 

4th (21.87–85.82)

57

(52%)

62

(25%)

5.3

(2.5-1.3)

 
  1. 1Conditional logistic regression models include Recurrence Score variables only. 2Relative risks for Recurrence Score calculated with regard to an increment of 50 units (chosen to be consistent with and comparable with previous studies). 3Quartiles based on distribution among controls treated with tamoxifen. 4Quartiles based on distribution among controls not treated with tamoxifen. CI, confidence interval; ER, estrogen receptor; RR, relative risk.