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Table 2 Association between mammographic measures and breast cancer risk

From: The effect of volumetric breast density on the risk of screen-detected and interval breast cancers: a cohort study

 

Cases/person years

HR1 (95% CI)

HR2 (95% CI)

HRinvasive (95% CI)

Volpara density grades

 VDG1

58/46,089

ref

NA

ref

 VDG2

215/99,086

1.78 (1.33 ; 2.38)

NA

1.89 (1.38 ; 2.58)

 VDG3

189/73,207

2.38 (1.76 ; 3.20)

NA

2.53 (1.83 ; 3.49)

 VDG4

61/20,314

3.14 (2.17 ; 4.55)

NA

3.54 (2.39 ; 5.24)

P trend

 

<0.001

 

<0.001

Percent dense volume (in quartiles)

 Q1 (<4.8%)

79/58,411

ref

NA

ref

 Q2 (4.8–6.4%)

127/61,153

1.57 (1.19 ; 2.08)

NA

1.61 (1.19 ; 2.18)

 Q3 (6.4–9.8%)

161/60,499

2.17 (1.65 ; 2.84)

NA

2.33 (1.74 ; 3.11)

 Q4 (>9.8%)

156/58,633

2.42 (1.83 ; 3.20)

NA

2.52 (1.87 ; 3.40)

P trend

 

<0.001

 

<0.001

Percent dense volume (per SD increase)#

523/238,696

1.36 (1.25 ; 1.48)

NA

1.38 (1.26 ; 1.51)

Dense volume (VDG-like categories)

 C1 (<39.8 cm3)

69/45,851

ref

ref

ref

 C2 (39.9– 65.2 cm3)

197/96,827

1.37 (1.04 ; 1.80)

1.53 (1.15 ; 2.05)

1.69 (1.24 ; 2.30)

 C3 (65.3– 110.1 cm3)

176/74,190

1.66 (1.26 ; 2.20)

2.06 (1.52 ; 2.80)

2.27 (1.63 ; 3.14)

 C4 (>110.1 cm3)

81/21,828

2.79 (2.02 ; 3.86)

3.55 (2.49 ; 5.05)

3.66 (2.50 ; 5.36)

P trend

 

<0.001

<0.001

<0.001

Dense volume (in quartiles)

 Q1 (<42.9 cm3)

91/57,909

ref

ref

ref

 Q2 (42.9–7.8 cm3)

113/59,364

1.22 (0.93 ; 1.61)

1.35 (1.01 ; 1.80)

1.47 (1.08 ; 1.99)

 Q3 (57.9–78.9 cm3)

136/60,359

1.48 (1.13 ; 1.93)

1.77 (1.33 ; 2.35)

1.92 (1.42 ; 2.60)

 Q4 (>78.9 cm3)

183/61,065

2.08 (1.61 ; 2.68)

2.60 (1.96 ; 3.45)

2.71 (2.01 ; 3.67)

P trend

 

<0.001

<0.001

<0.001

Dense volume (per SD increase)#

523/238,696

1.34 (1.23 ; 1.46)

1.45 (1.32 ; 1.60)

1.45 (1.32 ; 1.60)

  1. HR 1 Cox proportional hazards analysis where age was used as the underlying time scale, HR 2 dense volume HR’s are adjusted for nondense volume (quartiles), HR invasive Cox proportional hazards analysis with only invasive breast cancers, where age was used as the underlying time scale. Dense volume HRs were adjusted for nondense volume (quartiles), NA Not applicable
  2. P trend was determined by adding the categorical measures as a continuous measure into the model
  3. #Continuous measures were natural-logarithm-transformed to establish normal distributions