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Table 4 Multivariable regression odds ratios for chemotherapy recommendation following ODX testing

From: Patient and physician factors associated with Oncotype DX and adjuvant chemotherapy utilization for breast cancer patients in New Hampshire, 2010–2016

Variable

Odds Ratio (95% CI)

P-Value

Year of Diagnosis

 2010

Ref

Ref

 2011

0.87 (0.48–1.60)

0.66

 2012

0.65 (0.34–1.24)

0.18

 2013

0.73 (0.39–1.36)

0.31

 2014

0.66 (0.36–1.19)

0.16

 2015

0.44 (0.24–0.82)

< 0.01**

 2016

0.51 (0.27–0.96)

0.04*

Patient Age at Diagnosis (Years)

 < 50

Ref

Ref

 50–59

0.73 (0.48–1.10)

0.13

 60–69

0.39 (0.25–0.61)

< 0.01**

 > 69

0.35 (0.18–0.66)

< 0.01**

Grade

 I

Ref

Ref

 II

1.73 (1.16–2.59)

< 0.01**

 III/IV

3.55 (2.17–5.83)

< 0.01**

 Unknown

2.61 (0.34–20.30)

0.35

LN Status

 Negative

Ref

Ref

 Positive

3.54 (2.29–5.46)

< 0.01**

 Unknown

1.26 (0.39–4.08)

0.69

Tumor Size (mm)

 0.1–19

Ref

Ref

 20–39

1.51 (0.94–2.45)

0.08

 > 40

4.36 (1.98–9.62)

< 0.01**

 Unknown

1.03 (0.18–6.05)

0.98

Clinical Stage

 1

Ref

Ref

 2

1.50 (0.90–2.50)

0.11

 3 / 4

2.72 (0.86–8.65)

0.08

MD Clinical Experience (Years)

 < 10

Ref

Ref

 10–19

1.89 (0.74–4.81)

0.17

 20–29

4.05 (1.57–10.43)

< 0.01**

 > 29

4.48 (1.68–11.95)

< 0.01**

MD Gender

 Female

Ref

Ref

 Male

0.50 (0.34–0.74)

< 0.01**

Patient Volume

1.01 (1.01–1.03)

0.04*

Average Patient Age

 < 65 Years

Ref

Ref

 > 65 Years

0.72 (0.34–1.56)

0.40

ODX RS Classification

 Low

Ref

Ref

 Intermediate

12.30 (8.70–17.38)

< 0.01**

 High

233.08 (95.40–569.42)

< 0.01**

  1. * significant at the 0.05 level
  2. ** significant at the 0.01 level