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Table 3 Adjusteda odds ratio of re-excision estimatesb for stage I, II and III breast cancer patients whose initial surgery was BCS

From: Re-excision and survival following breast conserving surgery in early stage breast cancer patients: a population-based study

 

Adjusted1 Odds Ratios of Re-excision (95% CI)

 

Stage I

Stage II

Stage III

Total Patients

3476

1840

343

Age at Diagnosis

P < 0.001

P = 0.43

P = 0.32

  < 50

1.00

1.00

1.00

 50-59

0.68 (0.54, 0.87)

1.07 (0.80, 1.41)

1.06 (0.57, 1.97)

 60-69

0.58 (0.44, 0.75)

1.09 (0.80, 1.49)

0.84 (0.39, 1.80)

 70-79

0.56 (0.42, 0.76)

0.85 (0.56, 1.29)

0.68 (0.24, 1.90)

 80+

0.35 (0.21, 0.60)

0.67 (0.37, 1.20)

0.21 (0.04, 1.22)

Geography of Surgery

P = 0.004

P = 0.04

P = 0.09

 Calgary

1.00

1.00

1.00

 Edmonton

1.74 (1.18, 2.57)

1.64 (1.09, 2.45)

2.14 (1.07, 4.29)

 Central

2.26 (1.27, 4.03)

1.62 (0.86, 3.05)

4.13 (1.07, 15.9)

 South

1.74 (1.00, 3.04)

1.55 (0.87, 2.75)

2.13 (0.77, 5.89)

 North

2.89 (1.47, 5.68)

2.58 (1.34, 4.97)

3.79 (0.94, 15.3)

Surgeon Volume

P = 0.80

P = 0.95

P = 0.16

 Very High (60+)

1.00

1.00

1.00

 High (20-59)

0.96 (0.63, 1.45)

0.99 (0.65, 1.51)

1.40 (0.69, 2.83)

 Medium (13-19)

0.96 (0.58, 1.60)

1.16 (0.67, 2.00)

1.88 (0.71, 5.01)

 Low (5-12)

0.83 (0.42, 1.66)

1.22 (0.59, 2.50)

0.24 (0.04, 1.55)

 Very Low (< 5)

0.51 (0.16, 1.62)

1.26 (0.45, 3.54)

1.62 (0.18, 14.2)

Year of Diagnosis

P = 0.42

P = 0.18

P = 0.27

 2002-2005

1.00

1.00

1.00

 2006-2009

1.08 (0.89, 1.32)

0.85 (0.67, 1.07)

0.74 (0.43, 1.26)

Tumor Size

 

P < 0.001

P < 0.001

 T0/T1

1.00

1.00

1.00

 T2

–

1.39 (1.04, 1.86)

1.40 (0.15, 12.8)

 T3

–

6.33 (2.82, 14.2)

1.33 (0.12, 14.2)

 T4

–

–

1.83 (0.17, 19.9)

Nodal Status

 

P < 0.001

P = 0.75

 N0

1.00

1.00

1.00

 N1

–

1.74 (1.30, 2.33)

1.40 (0.15, 12.8)

 N2

–

–

1.33 (0.12, 14.2)

 N3

–

–

1.83 (0.17, 19.9)

RE Parameter Estimates (SDs)

 Hospital

0 (−)

0 (−)

0.15 (0.00, 9.09)

 Surgeon

0.43 (0.30, 0.62)

0.39 (0.25, 0.61)

0 (−)

  1. Abbreviations: BCS breast conserving surgery, CI confidence interval, RE random effects, SD standard deviation
  2. aAdjusted for the variables in the table
  3. bMulti-level logistic regression with hospitals and surgeons as crossed random effects