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Table 3 Prognostic factors for local control

From: Impact of high dose radiotherapy for breast tumor in locoregionally uncontrolled stage IV breast cancer: a need for a risk-stratified approach

Local control

 

Univariable analysis

Multivariable analysis

  

HR

95% CI

P-value

HR

95% CI

P-value

Age

(< 45 vs. ≥ 45 years)

1.07

0.58–1.96

0.832

   

Subtype

(HR positive vs. HER2 positive)

1.79

0.95–3.37

0.070

   
 

(HR positive vs. TN)

1.08

0.56–2.07

0.825

   

Treatment year

(continuous)

0.94

0.88–1.02

0.126

   

Treatment era

(2010–2015 vs. 2016–2021)

0.63

0.37–1.07

0.089

   

Previous systemic treatment

(≤ 2 vs. > 2 lines)

2.81

1.64–4.81

 < .001

2.84

1.50–5.36

0.001

Interval from diagnosis to PRT

(≤ 1 vs. > 1 year)

1.68

0.99–2.85

0.055

   

Number of metastatic lesions

(≤ 5 vs. > 5 lesions)

1.64

0.59–4.54

0.340

   

Disease status

(de novo stage IV vs. recurrent stage IV)

1.83

0.90–3.70

0.094

0.80

0.34–1.89

0.612

 

(de novo stage IV vs. progressive Stage IV)

2.64

1.11–6.31

0.028

1.55

0.60–4.03

0.366

Disease burden outside breast

(SD vs. PD/mixed response)

2.47

1.33–4.58

0.004

2.20

1.15–4.20

0.009

Reason for breast PRT

(Symptomatic vs. asymptomatic)

1.47

0.83–2.61

0.184

   

Concurrent treatment

(No vs. hormonal therapy)

0.71

0.35–1.46

0.354

   
 

(No vs. anti-HER2 therapy)

0.83

0.31–2.22

0.712

   
 

(No vs. cytotoxic chemotherapy)

1.35

0.71–2.54

0.357

   

Gross tumor volume

(Continuous, per 100 cc)

1.01

0.97–1.05

0.606

   

Gross tumor volume

(< 1260 vs. ≥ 1260 cm3)

1.63

0.89–2.98

0.114

1.62

0.86–3.05

0.136

PRT dose, EQD2

(< 63 vs. ≥ 63 Gy)

0.40

0.20–0.82

0.012

0.42

0.20–0.88

0.017

PRT modality

(3D-CRT vs. IMRT/proton therapy)

0.76

0.44–1.31

0.332

   
  1. HR Hormone receptor, HER2 Human epidermal growth factor receptor 2, TN Triple-negative, SD Stable disease, PD Progressive disease, PRT Palliative radiation therapy, EQD2 Equivalent dose in 2 Gy fractions (α/β = 3.5); 3D-CRT, 3 dimensional-conformal radiation therapy, IMRT Intensity-modulated radiation therapy