Patient survival after resection of skeletal metastases and endoprosthetic reconstruction: a nation-wide cohort study in a single oncological institution
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19 mars 2025
À propos de cet article
Catégorie d'article: Research Article
Publié en ligne: 19 mars 2025
Pages: 450 - 456
Reçu: 28 oct. 2024
Accepté: 19 déc. 2024
DOI: https://doi.org/10.2478/raon-2025-0009
Mots clés
© 2025 Aljaz Mercun et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1.

Cox regression analysis of patient survival for the subcohort of 32 patients with metastases, stratified into histopathological groups according to the 2013-SPRING survival prediction model
B | SE | Exp(B) | 95 % CI for Exp(B) | p-value | ||
---|---|---|---|---|---|---|
Lower | Upper | |||||
Age [per year] | 0.039 | 0.037 | 1.040 | 0.967 | 1.119 | 0.293 |
Gender [male = 1] | 0.235 | 0.622 | 1.265 | 0.373 | 4.285 | 0.706 |
Slow-growing-mets (reference) | 0.022 |
|||||
Fast-growing mets | 1.859 | 0.898 | 6.419 | 1.105 | 37.294 | 0.038 |
Moderate-growing mets | 0.436 | 1.014 | 1.547 | 0.212 | 11.289 | 0.667 |
Pathological fx or > 1 mets | -0.683 | 0.725 | 0.505 | 0.122 | 2.093 | 0.346 |
C-reactive protein [mg/L] | 0.018 | 0.008 | 1.018 | 1.003 | 1.034 | 0.021 |
Leukocyte count [109/L] | 0.096 | 0.081 | 1.100 | 0.940 | 1.289 | 0.234 |
Hemoglobin [g/L] | 0.027 | 0.029 | 1.027 | 0.971 | 1.087 | 0.348 |
Thrombocyte count [109/L] | 0.000 | 0.005 | 1.000 | 0.989 | 1.011 | 0.980 |
Demographic characteristics, oncological stage and observed survival of patients stratified according to the histopathological diagnosis according to the 2013-SPRING survival prediction model
Fast-growing metastases | Moderate-growing metastases | Slow-growing metastases | Sarcomas | Non-oncological patients | |
---|---|---|---|---|---|
No. of subjects | 12 | 11 | 9 | 73 | 39 |
Mean age [years] | 63 ± 14 | 65 ± 10 | 64 ± 12 | 42 ± 21 | 53 ± 19 |
Gender [Female/Male] | 6 / 6 | 2 / 9 | 8 / 1 | 39 / 34 | 20 / 19 |
Percentage of patients with pathological fracture or > 1 metastasis | 75% | 73% | 44% | 18% | 0% |
Patients alive 2 years after the operation |
25% | 55% | 88% | 80% | 100% |
Patients alive 5 years after the operation |
10% | 30% | 83% | 69% | 97% |
Implant removed within 2 years after the operation |
0% | 9% | 13% | 9% | 11% |
Implant removed within 5 years after the operation |
10% | 10% | 17% | 18% | 19% |
Cox regression analysis of patient survival for the cohort of 144 patients with tumor endoprosthetic reconstructions, stratified into histopathological groups according to the 2013-SPRING survival prediction model
B | SE | Exp(B) | 95 % CI for Exp(B) | p-value | ||
---|---|---|---|---|---|---|
Lower | Upper | |||||
Age [per year] | 0.021 | 0.010 | 1.021 | 1.002 | 1.041 | 0.031 |
Gender [male = 1] | -0.410 | 0.304 | 0.664 | 0.366 | 1.205 | 0.178 |
Slow-growing-mets (reference) | 0.002 |
|||||
Fast-growing mets | 1.709 | 0.674 | 5.522 | 1.473 | 20.703 | 0.011 |
Moderate-growing mets | 0.853 | 0.703 | 2.347 | 0.592 | 9.308 | 0.225 |
Sarcomas | 0.831 | 0.661 | 2.296 | 0.629 | 8.378 | 0.208 |
Non-oncological patients | -1.315 | 0.964 | 0.269 | 0.041 | 1.776 | 0.173 |
Pathological fx or > 1 mets | 1.032 | 0.350 | 2.809 | 1.414 | 5.587 | 0.003 |