Author Contributions: Dr Claus and Ms Petruzella
had full access to all of the data in the study and take responsibility for
the integrity of the data and the accuracy of the data analysis.
Study concept and design: Claus.
Acquisition of data: Claus, Petruzella, Matloff,
Analysis and interpretation of data: Claus.
Drafting of the manuscript: Claus.
Critical revision of the manuscript for important
intellectual content: Claus, Petruzella, Matloff, Carter.
Statistical analysis: Claus.
Obtained funding: Claus.
Administrative, technical, or material support:
Study supervision: Claus, Petruzella, Matloff,
Financial Disclosures: None reported.
Funding/Support: This work was supported by
grant DAMD-17-95-1-5006 from the US Army Medical Research and Material Command
and by grant R01-CA81393 from the National Institutes of Health.
Role of the Sponsor: The US Army and the National
Institutes of Health did not participate in the design and conduct of the
study; in the collection, analysis, and interpretation of the data; or in
the preparation, review, or approval of the manuscript.
Acknowledgment: We thank the women who participated
in this study for their time and effort as well as the institutions that allowed
access to diagnostic materials and pathology reports, including Bradley Memorial
Hospital, Bridgeport Hospital, Bristol Hospital, Charlotte Hungerford Hospital,
Danbury Hospital, Day-Kimball Hospital, Greenwich Hospital, Griffin Hospital,
Hartford Hospital, Johnson Memorial Hospital, Lawrence and Memorial Hospital,
Manchester Memorial Hospital, Middlesex Hospital, MidState Medical Center,
Milford Hospital, New Britain General Hospital, New Milford Hospital, Norwalk
Hospital, Rockville General Hospital, St Francis Hospital and Medical Center,
St Mary’s Hospital, Hospital of St Raphael, St Vincent’s Medical
Center, Sharon Hospital, Stamford Health System, University of Connecticut
Health Center/John Dempsey Hospital, Waterbury Hospital, William W. Backus
Hospital, Windham Hospital, and Yale-New Haven Hospital.