Research Article

Age at Diagnosis and Breast Cancer Survival in Iran

Table 4

Relative excess risk of breast cancer death in Iranian women diagnosed in 1999–2001.

Univariate Multivariate
FactorsRER 95% CI Adjusted¥ RER (95% CI)    
(before imputation)
Adjusted RER
(after imputation)
(95% CI)

Age at presentation
 <35 1 Reference 1 1
 35–49 1.0 (0.64–1.68) 1.2 (0.46–3.13) 1.1 (0.66–1.78)
 50–64 1.0 (0.56–1.92) 1.7 (0.62–5.03) 1.1 (0.61–1.92)
 65+ 1.1(0.12–10.23)0.5(0.11–2.65)

TNM-stage
 I 1 Reference 1 1
 II 2.0 (0.50–8.04) 2.1 (0.35–29.78) 1.2 (0.42–3.74)
 III 2.4 (0.60–10.23) 3.2 (0.21–22.32)1.3 (0.41–4.02)
 IV4.3(1.10–17.63)*6.5(0.64–64.83)1.7(0.52–5.22)

Grade (imputed)(Nonimputed)(680 imputed values)
 Grade 1 1 Reference 1 1
 Grade 2 2.2 (0.66–7.31) 3.8 (0.47– 30.62) 2.1 (0.67–6.45)
 Grade 37.0(2.10–23.10)*6.6(0.49–88.39)8.4(2.63–27.16)*

Estrogens receptor
 Negative 1 Reference 1 1
 Positive/unknown0.8(0.50–1.18)0.9(0.38–2.23)0.7(0.38–1.12)

Progesterone receptor
 Negative 1 Reference 1 1
 Positive/unknown0.8(0.55–1.28)0.7(0.30–1.64)1.1(0.65–1.85)

Her-2 expression
(imputed)
(Nonimputed)(868 imputed values)
 Positive 1 Reference 1 1
 Negative0.5(1.30–2.74)*0.5 (0.24–1.00)0.4(0.25–0.57)*

¥Adjusted for all other variables in this table (full model) and place of residency.
Relative survival from patients aged 65+ is >1, corresponding to a negative excess hazard in our model, but the model does not allow for negative excess hazards.
*Statistically significant at α = 0.05.