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Table 4 REMARK profile for Huzell et al. (2015) [24]

From: Structured reporting to improve transparency of analyses in prognostic marker studies

Part a: Patients, treatment, and variables

 Patients: diagnosis of primary breast cancer 2002–2011 at Skåne University Hospital Lund, Sweden

  1045

  51

  994

Patients assessed

Patients excluded (treatment prior to surgery)

Patients included for descriptive analysis

  46

Patients additionally excluded (in situ carcinoma, 38; metastatic spread within 3 months, 8)

  948

Patients included for predictive analysis of the risk of an early breast cancer (BC) event

 Treatment and follow-up: standard care. Follow-up up to 9 years (until December 2012); median 3.03 years (IQR 1.93–5.23)

  Markers

Oral contraceptive (OC) use:

M1 = ever OC use (yes/no)

M2 = se before age 20 (yes/no)

M3 = OC use before first child (yes/no)

M4 = OC start 1974 or later (proxy for dose) (yes/no)

M5 = duration of OC use (continuous)

  Outcomes (events)

Breast cancer events (BCE) (100): distant metastasis (DM) (65)

  Variables

v1 = age, v1_c50 = age ≥ 50 (proxy for menopause), v2 = tumor sizea, v3 = gradeb, v4 = nodal involvement, v5 = hormone receptor status, v6 = BMI9, v7 = endocrine treatment

  Missing data

See Tables 1 and 2

Part b: Statistical analysis of survival outcomes

 Aim

n

Events

Outcome

Variables considered

Results/remarks

  IDA1: data screening and definitions of categories

994

NA

 

M1, M2, M3

Stat. methods. Definition of markers (categorization of OC use)

  IDA2: descriptive

994

NA

OC use categories (M1, M2, M3)

v1–6, plus 12 descriptive-only variables

Table 1 (patient characteristics), Table 2 (tumor characteristics)

  A1: multivariable

948

100

BCE

M1, M2, M3, v1-v6

Reported only in the text (no data provided), p.508 first column

  A2: univariable/multivariable subgroup v1_c50 ≥ 50

760

70

BCE

M1, M2, M3, v1–v6

For M2: Fig. 2a, Table 3. Kaplan-Meier, log-rank, and HR. M1 and M3 non-significant and reported only in the text, p.508 first column

  A3: univariable/multivariable subgroup v1_c50 < 50

188

30

BCE

M1, M2, M3, v1–v6

For M2: Fig. 2b, Table 3. Kaplan-Meier, log-rank, and HR. M1 and M3 non-significant and reported only in the text, p.508 first column

  A4: multivariable subgroup v1_c50 ≥ 50

?

?

DM

M2; v1–v6

Reported in the text, no data provided: p.508 second column

  A5: multivariable subgroup v1_c50 < 50

?

?

DM

M2; v1–v6

Log-rank and HR in text, p.508 second column

  A6: multivariable

948

100

BCE

M4; v1–v6

HR in text, p.508 second column

  A7: multivariable subgroup v1_c50 ≥ 50

760

70

BCE

M4, M5; v1–v6

HR in text, p.508 second column

  A8: multivariable subgroup v1_c50 < 50

188

30

BCE

M4, M5; v1–v6

HR in text, p.508 second column

  A9: multivariable subgroup v7 (TAM treatment), v1_c50 (age ≥ 50), v5 (ER+)

372

29

BCE

M1; v1–v7

Fig. 3a. Kaplan-Meier, log-rank, and HR—adjusted for tumor and patient characteristics and aromatase inhibitor (AI) treatment

  A10: multivariable subgroup v7 (AI treatment), v1_c50 (age ≥ 50), v5 (ER+)

277

26

BCE

M1; v1–v7

Fig. 3b. Kaplan-Meier, log-rank, and HR—adjusted for tumor and patient characteristics and tamoxifen (TAM) treatment

  1. Statistical software packages used: SPSS v.19
  2. BMI body mass index, BCE breast cancer event = local or regional recurrence, distant metastasis, or contralateral breast cancer
  3. aInvasive tumor size ≥ 21 or muscle or skin involvement (yes/no) in the multivariable model
  4. bGrades I–II vs grade III in the multivariable model
  5. 9BMI ≥ 25 kg/m2 (yes/no) in the multivariable model