Table 3 BC patients stratified by osteoporotic fracture occurrence

From: Breast cancer survivors are at an increased risk for osteoporotic fractures not explained by lower BMD: a retrospective analysis

Variable

Osteoporotic fracture (n=62)

No osteoporotic fracture (n=596)

P value

a: Baseline characteristics (n=658)

Age at BC diagnosis (mean±s.d.)

62.6±9.3

60.0±11.1

0.082a

BMI (mean±s.d.)

29.3±4.8

29.9±5.8

0.343a

BMI, N (%)

30

39 (62.9)

337 (56.5)

0.442b

 30.1–35

15 (24.2)

147 (24.7)

 

 35.1–40

7 (11.3)

73 (12.2)

 

40.1

1 (1.6)

39 (6.5)

 

HRT treatment, N (%) (n=296) per history

6 (25.0) (n=24)

71 (26.1) (n=272)

0.906b

HRT (during 2 years before BMD) according to drug purchase, N (%)

13 (21.0)

127 (21.3)

0.950b

Past/current oral contraceptives use, N (%) (n=125)

3 (25.0) (n=12)

26 (23.0) (n=113)

0.877b

b: BC grade, stage, and treatment

T stage, N (%) (n=638)

 T in situ

7 (11.9)

48 (8.3)

0.394b

 T0

0 (0)

7 (1.2)

 

 T1

39 (66.1)

331 (57.2)

 

 T2

12 (20.3)

160 (27.6)

 

 T3

0 (0)

21 (3.6)

 

 T4

0 (0)

6 (1.0)

 

 Tx

1 (1.7)

6 (1.0)

 

Stage, N (%) (n=636)

 0/I

37 (63.8)

302 (52.2)

0.038b

 II

21 (36.2)

225 (38.9)

 

 III/IV

0 (0)

51 (8.8)

 

Histology, N (%) (n=639)

 DCIS (only)

7 (11.9)

48 (8.3)

0.467b

 Invasive duct carcinoma

47 (79.7)

468 (80.7)

 

 Invasive lobular carci

2 (3.4)

41 (7.1)

 

 Other

3 (5.1)

24 (4.2)

 

Histological grade, N (%) (n=429)

 Low

6 (14.0)

106 (27.5)

0.048b

 Intermediate

25 (58.1)

154 (39.9)

 

 High

12 (27.9)

126 (32.6)

 

Immunohistochemistry, N (%)

 ER positive (n=562)

46 (86.8)

426 (83.7)

0.558b

 PR positive (n=552)

42 (80.8)

352 (70.4)

0.115b

 Her-2 (n=436)

   

0/+1

30 (76.9)

313 (78.8)

0.192b

+2 and CISH negative

0 (0)

12 (3.0)

 

+2 and CISH unknown

6 (15.4)

28 (7.1)

 

+3/CISH positive

3 (7.7)

44 (11.1)

 

 Triple negative (n=526)

1 (2.0)

28 (5.9)

0.253b

Chemotherapy (neo or adjuvant) N (%)(n=636)

15 (25.0)

260 (45.1)

0.003b

Hormonal therapy (neo or adjuvant) (n=636) N (%)

 Tamoxifen alone

31 (51.7)

198 (34.4)

0.007b

 Aromatase inhibitors alone

1 (1.7)

46 (8.0)

 

 Tamoxifen+aromatase inhibitors

20 (33.3)

206 (35.8)

 

 Other

1 (1.7)

1 (0.2)

 

Any tamoxifen treatment, N (%)

51 (85.0)

404 (70.1)

0.015b

Any aromatase inhibitors treatment, N (%)

21 (35.0)

252 (43.8)

0.193b

Radiotherapy (neo or adjuvant), N (%) (n=636)

42 (70.0)

440 (76.4)

0.272b

Trastuzumab (neo or adjuvant), N (%) (n=635)

0 (0)

16 (2.8)

0.195b

c: BMD

   

BMD, g/cm2 (mean±s.d.)

 Femoral neck

0.77±0.11

0.83±0.12

<0.001a

 Total hip

0.84±0.13

0.91±0.14

<0.001a

 Spine

0.96±0.15

1.03±0.17

0.002a

BMD T-score (mean±s.d.)

 Femoral neck

−1.72±0.94

−1.22±1.04

<0.001a

 Total hip

−1.32±1.12

−0.79±1.13

<0.001a

 Spine

−1.80±1.23

−1.23±1.42

0.002a

BMD Z-score (mean±s.d.)

 Femoral neck

−0.37±0.84

−0.05±0.93

0.010a

 Total hip

−0.16±1.03

0.18±1.02

0.013a

 Spine

−0.29±1.34

0.13±1.49

0.035a

  1. Abbreviations: BC, breast cancer; BMD, bone mineral density; BMI, body mass index; CISH, chromogenic in situ hybridization; DCIS, ductal carcinoma in situ; ER, estrogen receptor; HRT, hormone replacement therapy; PR, progesterone receptor.
  2. aStatistical analysis: Student's t-test.
  3. bStatistical analysis: χ2-test.