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Table 4 Fine and Gray competing risk survival analyses of boost radiotherapy and cardiovascular disease or ischemic heart disease events

From: Competing risk analysis of cardiovascular disease risk in breast cancer patients receiving a radiation boost

 

N

Competing risk events

N (%)

Competing risk models, sHR (95% CI) *

Crude

Age 25

Age 35

Age 39

Age 45

Age 55

Age 65

Age 75

Cardiovascular diseasea

        

 No boost

3343

268 (8.0)

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

 Boost

1917

345 (18.0)

0.4 (0.3–0.6)

1.5 (0.6–3.6)

1.3 (0.7–2.5)

1.2 (0.7–2.1)

1.1 (0.7–1.8)

1.0 (0.7–1.3)

0.9 (0.7–1.1)

0.7 (0.5–1.1)

Ischemic heart diseaseb

        

 No boost

3343

418 (12.5)

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

1 [Ref]

 Boost

1917

457 (23.8)

0.4 (0.2–0.7)

5.1 (1.2–22.6)

3.2 (1.04–9.8)

2.8 (1.002–7.7)

2.0 (0.9–4.4)

1.2 (0.7–2.1)

0.8 (0.5–1.3)

0.5 (0.2–1.02)

  1. * The age-specific models are corrected for competing risks, age-centered and the interaction with age-centered. Hazard ratios are calculated by centering for each age, therefore the hazard ratios are specifically for the presented ages and not for an age group. Analysis was corrected for the following confounding factors: coronary artery calcium, laterality, chemotherapy and endocrine therapy. a Competing risk: malignancies, b Competing risk: malignancies and other cardiovascular diseases. Proportion competing risk events is calculated with subgroup totals, for no boost N = 3343 and for boost N = 1917.