Research Article

Survival Outcomes of Breast-Conserving Therapy versus Mastectomy in Early-Stage Breast Cancer, Including Centrally Located Breast Cancer: A SEER-Based Study

Table 3

Multivariate survival analysis of prognostic factors among BC patients.

Cox-OSCox-BCSSFine–GrayCS
HR95% CI-valueHR95% CI-valueHR-valueHR-value

Year of diagnosis< 0.001<0.001
 2000–2003 vs. 2008–20151.4271.382–1.472<0.0011.9141.832–1.999<0.0011.6071.539–1.678<0.0011.5571.491–1.625<0.001
 2004–2007 vs. 2008–20151.1961.158–1.234<0.0011.3291.272–1.389<0.0011.2261.173–1.282<0.0011.2021.150–1.258<0.001

Age, years<0.001<0.001
 64–72 vs. 18–632.3882.318–2.459<0.0011.5951.525–1.667<0.0011.3141.256–1.374<0.0011.3941.333–1.457<0.001
 73–79 vs. 18–634.8914.744–5.043<0.0012.8772.730–3.033<0.0011.6621.574–1.755<0.0011.9551.855–2.061<0.001

Race<0.001<0.001
 Black vs. white1.3781.329–1.429<0.0011.3431.279–1.411<0.0011.2911.227–1.359<0.0011.3181.255–1.384<0.001
 Others vs. white0.7110.677–0.748<0.0010.7620.712–0.815<0.0010.8000.747–0.856<0.0010.7880.737–0.843<0.001

Histology type
 ILC vs. IDC0.9060.864–0.949<0.0010.8440.2780.474

Laterality
 Right vs. Left0.9670.944–0.9900.0050.9460.915–0.9790.0020.9470.915–0.9810.0020.9460.914–0.9790.001

Grade<0.001<0.001
 II vs. I1.1801.139–1.223<0.0011.9581.820–2.107<0.0011.9431.807–2.089<0.0011.9511.813–2.100<0.001
 III/IV vs. I1.4301.374–1.488<0.0012.7192.521–2.933<0.0012.6762.480–2.888<0.0012.7032.505–2.916<0.001

T stage<0.001<0.001
 T1b vs. T1a1.2401.161–1.325<0.0011.2251.070–1.4020.0031.1751.027–1.3440.0191.1911.041–1,3630.011
 T1c vs. T1a1.5651.471–1.666<0.0012.1771.924–2.464<0.0012.0281.792–2.294<0.0012.0841.842–2.359<0.001
 T2 vs. T1a2.3062.163–2.458<0.0013.7793.339–4.278<0.0013.4703.065–3.929<0.0013.6153.193–4.092<0.001

N stage<0.001<0.001
 N1 vs. N01.4961.453–1.540<0.0011.9581.880–2.038<0.0011.9231.845–2.004<0.0011.9481.870–2.028<0.001
 N2 vs. N02.6172.494–2.746<0.0013.7423.529–3.968<0.0013.5653.352–3.792< 0.0013.7053.494–3.929<0.001
 N3 vs. N04.3404.084–4.611<0.0016.2765.854–6.729<0.0015.9855.546–6.459<0.0016.3065.882–6.760<0.001

ER
 Positive vs. negative0.8320.800–0.865<0.0010.7890.749–0.832<0.0010.7920.749–0.838<0.0010.7900.749–0.833<0.001

PR
 Positive vs. negative0.8340.806–0.862<0.0010.7160.681–0.752<0.0010.7230.687–0.761<0.0010.7170.683–0.754<0.001

Treatment
 BCT vs. mastectomy0.7640.745–0.783<0.0010.7600.734–0.787<0.0010.8070.779–0.837<0.0010.7840.757–0.812<0.001

Chemotherapy
 Yes vs. no or unknown0.7790.757–0.803<0.0010.9550.916–0.9960.0320.0630.928

HR, hazard ratio; CI, confidence interval; ILC, invasive lobular carcinoma; IDC, invasive ductal carcinoma; ER, estrogen receptor; PR, progesterone receptor; BCT, breast-conserving therapy.