The Christie hospital adjuvant tamoxifen trial - status at 10 years
1988

The Christie Hospital Tamoxifen Trial - 10 Year Results

Sample size: 961 publication Evidence: moderate

Author Information

Author(s): G. Ribeiro, R. Swindell

Primary Institution: The Christie Hospital and Holt Radium Institute

Hypothesis

Does tamoxifen improve overall and disease-free survival in operable breast cancer patients compared to irradiation menopause?

Conclusion

Tamoxifen treatment showed a trend towards better disease-free survival in premenopausal patients, but the results were not statistically significant.

Supporting Evidence

  • Tamoxifen treatment resulted in a 93% ten-year survival for premenopausal node-negative patients compared to 82% for those receiving irradiation menopause.
  • Overall survival for premenopausal patients was 63% for tamoxifen versus 56% for irradiation menopause, but not statistically significant.
  • Postmenopausal patients showed no significant difference in survival between tamoxifen and control groups.

Takeaway

This study looked at women with breast cancer who took a medicine called tamoxifen after surgery. It found that while tamoxifen might help some women live longer without cancer coming back, it didn't help everyone.

Methodology

A randomized clinical trial comparing tamoxifen treatment to irradiation menopause in premenopausal and postmenopausal women with operable breast cancer.

Limitations

The study did not include a control group receiving no treatment, and the follow-up period may not have been long enough to detect significant differences.

Participant Demographics

Patients aged 35-70 years with operable breast carcinoma; 373 premenopausal and 588 postmenopausal women.

Statistical Information

P-Value

P=0.09 for premenopausal node negative patients; P=0.07 for overall disease-free survival.

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