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Table 3 Risk ratios of ER-positive and ER-negative contralateral breast cancer associated with different aspects of tamoxifen use

From: Systemic therapy for breast cancer and risk of subsequent contralateral breast cancer in the WECARE Study

Use of tamoxifen

CBC cases

UBC controls

RRa (95 % CI)

P value

N (%)

N (%)

ER-positive CBCb

    

  Never

525 (63)

692 (62)

1.0 (referent)

 

  Ever

303 (37)

421 (38)

0.75 (0.58–0.96)

 

 Duration of tamoxifen use

    

  Never

525 (63)

692 (62)

1.0 (referent)

 

  <54 months

142 (17)

198 (18)

0.84 (0.61–1.15)

 

  ≥54 months

117 (14)

149 (13)

0.80 (0.57–1.12)

 

  Unknownc

44 (5)

74 (7)

  

  Test for trend

   

0.2

  Overall P value

   

0.3

 Time since last use at reference date

    

  Never

525 (63)

692 (62)

1.0 (referent)

 

  Current use, duration <54 months

56 (7)

83 (7)

0.82 (0.52–1.30)

 

  Current use, duration ≥54 months

20 (2)

41 (4)

0.38 (0.20–0.72)

 

  Past use, <37 months since last use

68 (8)

97 (9)

0.72 (0.47–1.12)

 

  Past use, ≥37 months since last use

116 (14)

131 (12)

1.07 (0.74–1.56)

 

  Unknownc

43 (5)

69 (6)

  

  Overall P value

   

0.02

ER-negative CBCb

    

  Never

282 (78)

318 (64)

1.0 (referent)

 

  Ever

79 (22)

180 (36)

0.92 (0.59–1.44)

 

 Duration of tamoxifen use

    

  Never

282 (78)

318 (64)

1.0 (referent)

 

  <54 months

39 (11)

87 (17)

1.03 (0.58–1.82)

 

  ≥54 months

29 (8)

58 (12)

0.93 (0.50–1.74)

 

  Unknownc

11 (3)

35 (7)

  

  Test for trend

   

0.9

  Overall P value

   

1.0

 Time since last use at reference date

    

  Never

282 (78)

318 (64)

1.0 (referent)

 

  Current use, duration <54 months

18 (5)

35 (7)

1.54 (0.68–3.47)

 

  Current use, duration ≥54 months

5 (1)

14 (3)

0.76 (0.25–2.37)

 

  Past use, <37 months since last use

21 (6)

45 (9)

1.12 (0.55–2.27)

 

  Past use, ≥37 months since last use

25 (7)

55 (11)

0.66 (0.31–1.42)

 

  Unknownc

10 (3)

31 (6)

  

  Overall P value

   

0.6

  1. CBC contralateral breast cancer, CI confidence intervals, ER estrogen receptor, RR risk ratio, UBC unilateral breast cancer
  2. aAdjusted for age at first breast cancer diagnosis (continuous), first-degree family history of breast cancer (yes, no, unknown), histology (lobular, other, unknown), stage (local, regional, unknown) and ER/progesterone receptor status (positive for either, negative, unknown) at first diagnosis, radiation (yes, no), chemotherapy (yes, no), and other endocrine therapy (yes, no)
  3. bThese models are subset models (two separate models for ER-positive CBC and ER-negative CBC). ER status for CBC was missing for 332 cases
  4. cUnknown not included in model