Table 1.
Prognostic factor analysis in 120 patients with lung cancer metastases to the spine
Prognostic factor | n* | Kaplan–Meier | Univariate COX regression | Multivariate Cox regression | |||
---|---|---|---|---|---|---|---|
Median OSΔ | p | HR (95% CI)◇ | p | HR (95% CI) ◇ | p | ||
Gender | |||||||
Female | 49 | 12 | |||||
Male | 71 | 6 | 0.1246 | 1.346 (0.910–1.991) | 0.136 | ||
Age | |||||||
≤ 66.5 years | 79 | 10 | |||||
> 66.5 years | 41 | 6 | 0.2953 | 1.226 (0.828–1.814) | 0.309 | ||
History of smoking | |||||||
With | 90 | 8 | |||||
Without | 30 | 7 | 0.6074 | 1.115 (0.727–1.712) | 0.618 | ||
Tumor marker | |||||||
Normal | 41 | 17 | |||||
Abnormal | 79 | 6 | < 0.0001 | 2.557 (1.639–3.992) | 0.000 | 2.526 (1.620–3.937) | 0.000 |
ESR | |||||||
Normal | 55 | 11 | |||||
Abnormal | 65 | 6 | 0.7543 | 1.061 (0.726–1.551) | 0.761 | ||
ALP | |||||||
Normal | 72 | 8 | |||||
Abnormal | 48 | 8 | 0.4794 | 1.147 (0.777–1.696) | 0.490 | ||
LDH | |||||||
Normal | 61 | 12 | |||||
Abnormal | 59 | 6 | 0.0815 | 1.386 (0.949–2.023) | 0.091 | ||
Albumin | |||||||
Normal | 53 | 10 | |||||
Abnormal | 67 | 6.6 | 0.6189 | 1.098 (0.752–1.605) | 0.628 | ||
Calcium ion | |||||||
Normal | 80 | 7 | |||||
Abnormal | 40 | 10 | 0.3286 | 0.822 (0.549–1.231) | 0.342 | ||
Neoplasms histologic type of lung cancer | |||||||
Adenocarcinoma | 97 | 9.5 | |||||
Others | 23 | 5 | 0.5151 | 1.165 (0.725–1.872) | 0.528 | ||
The adoption of targeted therapy | |||||||
With | 48 | 17 | |||||
Without | 72 | 5.65 | < 0.0001 | 2.231 (1.487–3.347) | 0.000 | 2.207 (1.471–3.310) | 0.000 |
The adoption of bisphosphonates | |||||||
With | 36 | 13 | |||||
Without | 84 | 6 | 0.0355 | 1.533 (1.015–2.315) | 0.042 | 0.904 (0.563–1.451) | 0.676 |
Initial diagnosis because of spinal metastasis or not | |||||||
No | 39 | 6 | |||||
Yes | 81 | 9 | 0.9079 | 0.977 (0.656–1.455) | 0.910 | ||
Adoption of adjuvant treatment (including chemotherapy or radiation therapy) | |||||||
With | 65 | 10 | |||||
Without | 55 | 7 | 0.2584 | 1.237 (0.846–1.806) | 0.272 |
*Number of patients
ΔMedian overall survival (mo)
◇Hazard ratio (95% CI)
OS, overall survival; HR, hazard ratio; CI, confidence interval; ESR, erythrocyte sedimentation rate; ALP, alkaline phosphatase; LDH, lactic dehydrogenase