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Table 5 Multivariable regression odds ratios for receiving chemotherapy stratified by low and intermediate ODX RS

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)

Low RS

P-Value

Odds Ratio (95% CI) Intermediate RS

P-Value

Year of Diagnosis

 2010

Ref

Ref

Ref

Ref

 2011

0.68 (0.21–2.17)

0.50

1.17 (0.45–3.04)

0.75

 2012

0.48 (0.14–1.72)

0.25

2.23 (0.82–6.06)

0.11

 2013

0.34 (0.10–1.17)

0.08

1.10 (0.41–2.95)

0.84

 2014

0.40 (0.12–1.39)

0.14

0.67 (0.26–1.72)

0.40

 2015

0.21 (0.05–0.86)

0.03*

1.07 (0.41–2.76)

0.89

 2016

0.25 (0.06–0.94)

0.04*

1.10 (0.39–3.10)

0.85

Patient Age at Diagnosis (Years)

 < 50

Ref

Ref

Ref

Ref

 50–59

0.67 (0.30–1.50)

0.32

0.59 (0.31–1.13)

0.11

 60–69

0.17 (0.06–0.49)

< 0.01**

0.29 (0.14–0.59)

< 0.01**

 > 69

0.08 (0.02–0.45)

< 0.01**

0.10 (0.03–0.33)

< 0.01**

Grade

 I

Ref

Ref

Ref

Ref

 II

1.48 (0.58–3.73)

0.40

2.00 (1.06–3.80)

0.03*

 III/IV

7.80 (2.62–23.27)

< 0.01**

2.37 (1.10–5.11)

0.02*

 Unknown

0.00 (0.00-Inf)

0.99

0.00 (0.00-Inf)

0.99

LN Status

 Negative

Ref

Ref

Ref

Ref

 Positive

5.84 (2.61–13.05)

< 0.01**

1.93 (0.92–4.05)

0.08

 Unknown

2.91 (0.25–34.27)

0.38

0.50 (0.04–6.96)

0.60

Tumor Size (mm)

 0.1–19

Ref

Ref

Ref

Ref

 20–39

0.96 (0.38–2.41)

0.93

1.26 (0.55–2.88)

0.58

 > 40

8.16 (2.37–28.06)

< 0.01**

0.94 (0.19–4.62)

0.94

 Unknown

0.00 (0.00-Inf)

0.99

0.79 (0.07–9.12)

0.85

Clinical Stage

 1

Ref

Ref

Ref

Ref

 2

2.96 (1.10–7.98)

0.03*

2.59 (1.04–6.47)

0.04*

 3 / 4

6.22 (1.18–32.74)

0.03*

0.36 (0.01–9.58)

0.53

MD Clinical Experience (Years)

 < 10

Ref

Ref

Ref

Ref

 10–19

2.56 (0.26–25.28)

0.41

0.75 (0.21–2.64)

0.65

 20–29

4.31 (0.44–41.94)

0.20

1.61 (0.44–5.88)

0.46

 > 29

7.71 (0.75–79.43)

0.08

2.02 (0.55–7.48)

0.28

MD Gender

 Female

Ref

Ref

Ref

Ref

 Male

0.39 (0.17–0.88)

0.02*

0.73 (0.42–1.27)

0.26

Patient Volume

0.98 (0.95–1.00)

0.08

1.01 (0.99–1.02)

0.40

Average Patient Age

 < 65 Years

Ref

Ref

Ref

Ref

 > 65 Years

0.59 (0.13–2.74)

0.50

0.76 (0.23–2.53)

0.65

ODX RS

0.98 (0.96–1.00)

0.15

1.33 (1.22–1.44)

< 0.01**

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