Determining Prognostic Factors of Disease-Free Survival in Breast Cancer Using Censored Quantile Regression.

Background: The analysis of disease-free survival and related factors leads to a better understanding of the patient's condition and recurrence-related characteristics and provides a basis for more appropriate treatment guidance. In this study, we aimed to investigate the role of prognostic factors...

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Publicado en:Breast Cancer: Basic & Clinical Research pp. 1 - 7
Autores principales: Yazdani, Akram, Haghighat, Shahpar
Formato: research Journal Article
Publicado: Sage Publications Inc. 6/29/2022
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Breast Cancer: Basic & Clinical Research
      issn: 11782234
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      dt: 6/29/2022
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/11782234221108058
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        atl: Determining Prognostic Factors of Disease-Free Survival in Breast Cancer Using Censored Quantile Regression.
      aug:
        au:
          Yazdani, Akram
          Haghighat, Shahpar
        affil: Department of Biostatistics and Epidemiology, School of Public Health, Kashan University of Medical Sciences, Kashan, Iran
      sug:
        subj:
          Breast Neoplasms Prognosis
          Disease-Free Survival
          Cancer Patients
          Censorship
          Regression
          Retrospective Design
          Human
          Prediction Models
          Breast Neoplasms Radiotherapy
          Breast Neoplasms Drug Therapy
          Hormone Therapy
          Recurrence Prevention and Control
          Female
          Comparative Studies
          Female
      ab: Background: The analysis of disease-free survival and related factors leads to a better understanding of the patient's condition and recurrence-related characteristics and provides a basis for more appropriate treatment guidance. In this study, we aimed to investigate the role of prognostic factors on disease-free survival in breast cancer with a quantile regression model. Methods: This retrospective study was conducted by reviewing data obtained from 2056 breast cancer patients. Age at diagnosis and education status, tumor size, lymph node ratio, tumor grade, estrogen receptor and progesterone receptor, type of surgery, use of radiotherapy, chemotherapy, and hormone therapy were the prognosis factors considered in this study. A quantile regression model was used to investigate prognostic factors of disease-free survival in breast cancer. Results: Disease recurrence was verified in 251 (13.9%) women, and 39 (0.02%) women died before experience recurrence. The 10th percentile of disease-free survival for patients with the hormone therapy was 23.85 months greater than patients who did not receive this treatment (P value <.001). In the examination of the tumor size, the 10th and 20th percentiles of disease-free survival for patients with tumor size > 5 cm were 31.06 and 27 months less than patients with the tumor size < 2 cm, respectively (P value =.006 and.021, respectively). Compared with grade 1 tumors, the 10th and 20th percentiles of disease-free survival for patients with grade 3 tumors decreased 30.11 and 38.32 months, respectively (P value <.001 and.038, respectively). The 10th and 20th percentiles of disease-free survival decreased 28.16 and 45.32 months with a 1 unit increase in lymph node ratio, respectively (P value =.032 and.032, respectively). Conclusions: Among the prognostic factors, tumor size, grade, and lymph node ratio showed a close relationship with disease-free survival in breast cancer. The findings indicated that developing public screening and educational programs through the health care system with more emphasis on low-educated women is needed among Iranian women.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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