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Report in English with a Dutch summary (KCE reports 63A)

Report in English with a Dutch summary (KCE reports 63A)

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78 Breast Cancer <strong>KCE</strong> <strong>reports</strong> 63<br />

Study ID Ref Search<br />

date<br />

Van de Steene J<br />

2004<br />

[176] NA Women <strong>with</strong> early<br />

breast cancer<br />

Fyles AW 2004 [177] NA Women <strong>with</strong> breast<br />

cancer (T1-2 N0)<br />

Population Intervention Outcomes Results Comments Study<br />

type<br />

aged >50 years<br />

Rutqvist LE 2003 [178] 2001 Women <strong>with</strong> breast<br />

cancer<br />

Radiotherapy Comparison of early <strong>with</strong> more mature data<br />

reveals that the odds ratios for overall survival<br />

rema<strong>in</strong> stable as data become more mature.<br />

The analyses of trials’ age and trials’ size, as<br />

predictors of overall survival benefit, <strong>in</strong>dicate<br />

that these factors become statistically more<br />

significant <strong>with</strong> <strong>in</strong>creas<strong>in</strong>g maturity of the trials.<br />

In the large recent trials an overall survival<br />

benefit due to radiotherapy (odds reduction) of<br />

10, 10, 12 and 13%, respectively P < 0.3; 0.2,<br />

0.005 and 0.00005 is found <strong>in</strong> the successive<br />

publications. The difference <strong>in</strong> survival benefit of<br />

radiotherapy between the group of large recent<br />

trials and group of old or small trials becomes<br />

more significant at the successive updates: 10<br />

via 9% and 12 to 13% (odds reductions), <strong>with</strong><br />

RT + Tamoxifen (n = 386) vs.<br />

Tamoxifen alone (n = 383)<br />

Disease-free survival<br />

Locoregional<br />

recurrence<br />

respectively P = 0.2; 0.2, 0.004 and 0.00005.<br />

Local relapse: HR 8.3 (95%CI 3.3 to 21.2;<br />

P

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