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. 2024 Jan 8;16(2):275. doi: 10.3390/cancers16020275

Table 1.

Survival estimates by patient- and tumour-related factors of 83 registered osteosarcoma patients with primary multi-systemic metastases.

Overall Survival
Patients % 1-Year 2-Year 5-Year
Rate SE Rate SE Rate SE p *
All eligible patients 83 100 0.540 0.056 0.232 0.049 0.087 0.033
Age at initial diagnosis, years
<14.8 41 49 0.455 0.079 0.278 0.071 0.111 0.052 0.960
≥14.8 42 51 0.627 0.076 0.177 0.064 0.059 0.040
Sex
Female 40 48 0.479 0.081 0.160 0.060 0.096 0.050 0.311
Male 43 52 0.597 0.076 0.304 0.074 0.083 0.046
Duration of pain until initial diagnosis
<47 days 35 50 0.460 0.087 0.246 0.075 0.140 0.063 0.773
≥47 days 35 50 0.591 0.084 0.217 0.076 0.072 0.049
No pain/unknown 13
Duration of swelling until initial diagnosis
<38 days 27 50 0.622 0.095 0.311 0.091 0.133 0.070 0.559
≥38 days 27 50 0.542 0.098 0.152 0.079 0.051 0.049
No swelling/unknown 29
Pathological fracture at initial diagnosis
No 70 89 0.537 0.060 0.248 0.053 0.099 0.038 0.402
Yes 9 11 0.292 0.173 0.146 0.135 0.000 0.000
Unknown 4
Alkaline phosphatase before start of chemotherapy
Normal 12 18 0.750 0.125 0.536 0.156 0.214 0.133 0.019
Elevated 56 82 0.456 0.068 0.152 0.049 0.057 0.032
Unknown 15
Lactate dehydrogenase before start of chemotherapy
Normal 14 22 0.929 0.069 0.314 0.129 0.079 0.075 0.078
Elevated 50 78 0.388 0.071 0.186 0.058 0.093 0.044
Unknown 19
Primary tumour site
Extremity 72 88 0.503 0.060 0.241 0.053 0.069 0.033 0.525
Trunk 10 12 0.778 0.139 0.111 0.105 0.111 0.105
Head and neck 1 1.000 1.000 1.000
Tumour size at initial diagnosis (limb only)
Small (<1/3 of the involved bone’s length) 23 42 0.595 0.104 0.250 0.095 0.062 0.059 0.364
Large (≥1/3 of the involved bone’s length) 32 58 0.488 0.090 0.199 0.076 0.079 0.053
Other site/unknown 28
Number of metastatic sites involved at initial diagnosis
Two 57 70 0.529 0.066 0.232 0.058 0.077 0.037 0.839
Three 25 30 0.438 0.103 0.246 0.093 0.123 0.077
Unknown 1
Metastatic sites involved at initial diagnosis
Lung and bone 42 74 0.468 0.078 0.133 0.055 0.027 0.026 0.005
Lung and other 13 23 0.923 0.074 0.508 0.144 0.169 0.109
Bone and other 2 4 1.000 0.500 0.354 0.500 0.354
Other and other 0 0
Three sites/unknown 26
Pulmonary metastases at initial diagnosis
No 2 2 1.000 0.500 0.354 0.500 0.354 0.428
Yes 81 98 0.529 0.056 0.225 0.049 0.075 0.032
Laterality of pulmonary metastases
Unilateral 4 5 0.750 0.217 0.500 0.250 0.000 0.000 0.637
Bilateral 71 95 0.519 0.061 0.215 0.052 0.083 0.035
None/unknown 8
Pleural effusion at initial diagnosis
No 35 80 0.441 0.085 0.173 0.069 0.069 0.047 0.010
Yes 9 20 0.222 0.139 0.000 0.000 0.000 0.000
Unknown 39
Bone metastases at initial diagnosis
No 13 16 0.923 0.074 0.508 0.144 0.169 0.109 0.010
Yes 69 84 0.473 0.061 0.182 0.049 0.073 0.034
Unknown 1
Number of bone metastases at initial diagnosis
One 14 21 0.701 0.126 0.390 0.136 0.156 0.101 0.028
At least two 53 79 0.393 0.068 0.133 0.051 0.053 0.035
None/unknown 16
Other metastases at initial diagnosis
No 42 51 0.468 0.078 0.133 0.055 0.027 0.026 0.018
Yes 41 49 0.617 0.078 0.338 0.078 0.154 0.062
Number of other metastases at initial diagnosis
One 17 43 0.765 0.103 0.499 0.128 0.166 0.105 0.476
At least two 23 58 0.525 0.109 0.239 0.093 0.143 0.077
None/unknown 43
Complete surgical resection assessed as feasible at initial diagnosis
No 45 74 0.387 0.073 0.137 0.052 0.091 0.043 0.010
Yes 16 26 0.938 0.061 0.554 0.138 0.092 0.087
Unknown 22

* p-value, log-rank test.