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Table 4 Association between mammographic measures and screen-detected breast cancer risk - Lunn and McNeil

From: The effect of volumetric breast density on the risk of screen-detected and interval breast cancers: a cohort study

 

Cases/person years

HR1 (95% CI)

HR2 (95% CI)

HRinvasive (95% CI)

Volpara density grades

 VDG1

46/46,089

ref

NA

ref

 VDG2

143/99,086

1.49 (1.07 ; 2.07)

NA

1.53 (1.07 ; 2.21)

 VDG3

89/73,207

1.43 (0.99 ; 2.05)

NA

1.41 (0.94 ; 2.10)

 VDG4

21/20,314

1.39 (0.82 ; 2.36)

NA

1.41 (0.79 ; 2.54)

P trend

 

0.147

 

0.219

Percent dense volume (in quartiles)

 Q1 (<4.8%)

63/58,411

ref

NA

ref

 Q2 (4.8–6.4%)

82/61,153

1.27 (0.91 ; 1.76)

NA

1.27 (0.89 ; 1.81)

 Q3 (6.4–9.8%)

86/60,499

1.47 (1.06 ; 2.04)

NA

1.52 (1.06 ; 2.17)

 Q4 (>9.8%)

68/58,633

1.36 (0.97 ; 1.94)

NA

1.27 (0.86 ; 1.89)

P trend

 

0.049

 

0.119

Percent dense volume (per SD increase)#

299/238,696

1.10 (0.97 ; 1.25)

NA

1.08 (0.94 ; 1.24)

Dense volume (VDG-like categories)

 C1 (<39.8 cm3)

38/45,851

ref

ref

ref

 C2 (39.9–65.2 cm3)

123/96,827

1.55 (1.08 ; 2.23)

1.52 (1.03 ; 2.23)

1.76 (1.14 ; 2.72)

 C3 (65.3–110.1 cm3)

101/74,190

1.76 (1.21 ; 2.56)

1.69 (1.11 ; 2.57)

1.99 (1.24 ; 3.17)

 C4 (>110.1 cm3)

37/21,828

2.40 (1.52 ; 3.79)

2.30 (1.39 ; 3.80)

2.03 (1.13 ; 3.67)

P trend

 

<0.001

0.002

0.014

Dense volume (in quartiles)*

 Q1 (<42.9 cm3)

48/57,909

ref

ref

ref

 Q2 (42.9–57.8 cm3)

71/59,364

1.46 (1.01 ; 2.10)

1.45 (0.99 ; 2.13)

1.62 (1.06 ; 2.48)

 Q3 (57.9–78.9 cm3)

80/60,359

1.67 (1.16 ; 2.39)

1.67 (1.13 ; 2.47)

1.86 (1.21 ; 2.87)

 Q4 (>78.9 cm3)

100/61,065

2.22 (1.57 ; 3.14)

2.24 (1.51 ; 3.31)

2.31 (1.49 ; 3.58)

P trend

 

<0.001

<0.001

<0.001

Dense volume (per SD increase)#

299/238,696

1.27 (1.14 ; 1.43)

1.27 (1.11 ; 1.45)

1.22 (1.05 ; 1.41)

  1. HR 1 Lunn and McNeil method was used for competing risk analysis, HR 2 dense volume HR’s were additionally adjusted for nondense volume (quartiles), HR invasive Cox proportional hazards analysis with only invasive breast cancers, where age was used as the underlying time scale. Dense volume HRs were adjusted for nondense volume (quartiles). P trend was determined by adding the categorical measures as a continuous measure into the model, NA Not applicable
  2. #Continuous measures were natural-logarithm-transformed to establish normal distributions