Table 3

Risk prediction model for breast cancer with and without estradiol (loge)

No estradiol model

Parameter
Beta
SE
P value
Increment
RR
95% CI

Intercept
-10.8





Duration of premenopause, years
0.102
0.009
<0.001
1
1.11
1.09, 1.13
(Age at first birth minus age at menarche) × parousa
0.0035
0.0051
0.49
10
1.04
0.94, 1.14
Birth indexa
-0.0030
0.0007
<0.001
102
0.74
0.64, 0.85
Duration of postmenopause (natural menopause)
0.049
0.006
<0.001
1
1.05
1.04, 1.06
Duration of postmenopause (bilateral oophorectomy)
0.039
0.008
<0.001
1
1.04
1.02, 1.06
Benign breast disease
0.288
0.656
0.66
1
1.33
0.37, 4.82
Benign breast disease × age at menarche
0.091
0.027
0.001
1
1.10
1.04, 1.15
Benign breast disease × duration premenopause
-0.018
0.012
0.14
1
0.98
0.96, 1.01
Benign breast disease × duration postmenopause
-0.029
0.008
<0.001
1
0.97
0.96, 0.99
Duration of estrogen use
0.032
0.008
<0.001
10
1.38
1.18, 1.61
Duration of estrogen plus progestin use
0.068
0.013
<0.001
10
1.97
1.53, 2.55
Duration of other PMH use
0.032
0.011
0.006
10
1.38
1.11, 1.71
Current PMH use
0.109
0.079
0.17
1
1.12
0.96, 1.30
Past PMH use
-0.022
0.073
0.76
1
0.98
0.85, 1.13
Average BMI premenopause or postmenopause while on PMH × (duration premenopause + duration postmenopause while on PMH)
-0.0011
0.0003
<0.001
370b
0.67
0.54, 0.83
Average BMI postmenopause while not on PMH × (duration postmenopause while not on PMH)
0.0038
0.0006
<0.001
200c
2.14
1.69, 2.71
Height × (duration premenopause + duration postmenopause while on PMH)
0.00072
0.00037
0.052
222d
1.17
1.00, 1.38
Height × (duration postmenopause while not on PMH)
-1 × 10-5
0.0015
0.99
120e
1.00
0.70, 1.42
Cumulative alcohol consumption before menopause, grams
0.00034
0.00009
<0.001
384f
1.14
1.06, 1.22
Cumulative alcohol consumption after menopause while on PMH
-0.00036
0.00041
0.39
120g
0.96
0.87, 1.05
Cumulative alcohol consumption postmenopause while not on PMH
0.00008
0.00031
0.80
240h
1.02
0.88, 1.18
Family history of breast cancer
0.447
0.065
<0.001
1
1.56
1.38, 1.78







Model including loge estradioli

Parameter
Beta
SE
P value
Increment
RR
95% CI

Intercept
-11.9





Duration of premenopause, years
0.101
0.01
<0.001
1
1.11
1.08, 1.13
(Age at first birth minus age at menarche) × parousa
0.0035
0.0055
<0.001
10
1.04
0.93, 1.15
Birth index
-0.0020
0.0008
0.02
102
0.82
0.69, 0.96
Duration of postmenopause (natural menopause)
0.056
0.007
<0.001
1
1.06
1.04, 1.07
Duration of postmenopause (bilateral oophorectomy)
0.045
0.009
<0.001
1
1.05
1.03, 1.06
Benign breast disease
0.287
0.719
0.69
1
1.33
0.33, 5.45
Benign breast disease × age at menarche
0.091
0.029
0.002
1
1.10
1.03, 1.16
Benign breast disease × duration premenopause
-0.018
0.014
0.18
1
0.98
0.96, 1.01
Benign breast disease × duration postmenopause
-0.029
0.008
0.001
1
0.97
0.96, 0.99
Duration of estrogen use
0.032
0.009
<0.001
10
1.38
1.15, 1.64
Duration of estrogen plus progestin use
0.068
0.014
<0.001
10
1.97
1.50, 2.60
Duration of other PMH use
0.032
0.013
0.012
10
1.38
1.07, 1.78
Current PMH use
0.110
0.087
0.21
1
1.12
0.94, 1.32
Past PMH use
-0.022
0.080
0.78
1
0.98
0.84, 1.14
Average BMI premenopause or postmenopause while on PMH × (duration premenopause + duration postmenopause while on PMH)
-0.0011
0.0003
<0.001
370b
0.67
0.54, 0.83
Average BMI postmenopause while not on PMH × (duration postmenopause while not on PMH)
0.0023
0.0007
0.002
200c
1.58
1.20, 2.08
Height × (duration premenopause + duration postmenopause while on PMH)
0.00072
0.00041
0.072
222d
1.17
0.98, 1.40
Height × (duration postmenopause while not on PMH)
0
0.0016
1
120e
1.00
0.69, 1.46
Cumulative alcohol consumption before menopause, grams
0.00034
0.0001
0.001
384f
1.14
1.06, 1.23
Cumulative alcohol consumption after menopause while on PMH
-0.00036
0.00045
0.43
120g
0.96
0.86, 1.06
Cumulative alcohol consumption postmenopause while not on PMH
0.00008
0.00034
0.81
240h
1.02
0.87, 1.20
Family history of breast cancer
0.446
0.072
<0.001
1
1.56
1.36, 1.80
Loge estradiol
0.477
0.092
<0.001
1
1.61
1.35, 1.93

a0 for nulliparous women.

bComparing BMI = 20 versus BMI = 30 for 37 premenopausal years (age at menarche = 13, age at menopause = 50).

cComparing BMI = 20 versus BMI = 30 for 20 postmenopausal years (age at menopause = 50, age = 70).

dComparing height = 61 inches versus height = 67 inches for 37 premenopausal years (age at menarche = 13, age at menopause = 50).

eComparing height = 61 inches versus height = 67 inches for 20 postmenopausal years (age at menopause = 50, age = 70).

fComparing 1 drink per day (12 g) versus no intake for 32 premenopausal years (from age 18 to age 50).

gComparing 1 drink per day (12 g) versus no intake for 10 years of PMH use.

hComparing 1 drink per day (12 g) versus no intake for 20 postmenopausal years (age at menopause = 50, age = 70).

iBased on an average of five imputations.

BMI, body mass index; CI, confidence interval; PMH, postmenopausal hormone; RR, relative risk; SE, standard error.

Rosner et al. Breast Cancer Research 2008 10:R55   doi:10.1186/bcr2110