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Patient survival after resection of skeletal metastases and endoprosthetic reconstruction: a nation-wide cohort study in a single oncological institution Cover

Patient survival after resection of skeletal metastases and endoprosthetic reconstruction: a nation-wide cohort study in a single oncological institution

Open Access
|Mar 2025

Figures & Tables

Figure 1.

The Kaplan-Meier estimated mean survival time after surgical resection.
The Kaplan-Meier estimated mean survival time after surgical resection.

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

BSEExp(B)95 % CI for Exp(B)p-value
LowerUpper
Age [per year]0.0390.0371.0400.9671.1190.293
Gender [male = 1]0.2350.6221.2650.3734.2850.706
Slow-growing-mets (reference) 0.022*
Fast-growing mets1.8590.8986.4191.10537.2940.038*
Moderate-growing mets0.4361.0141.5470.21211.2890.667
Pathological fx or > 1 mets-0.6830.7250.5050.1222.0930.346
C-reactive protein [mg/L]0.0180.0081.0181.0031.0340.021*
Leukocyte count [109/L]0.0960.0811.1000.9401.2890.234
Hemoglobin [g/L]0.0270.0291.0270.9711.0870.348
Thrombocyte count [109/L]0.0000.0051.0000.9891.0110.980

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 metastasesModerate-growing metastasesSlow-growing metastasesSarcomasNon-oncological patients
No. of subjects121197339
Mean age [years]63 ± 1465 ± 1064 ± 1242 ± 2153 ± 19
Gender [Female/Male]6 / 62 / 98 / 139 / 3420 / 19
Percentage of patients with pathological fracture or > 1 metastasis75%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

BSEExp(B)95 % CI for Exp(B)p-value
LowerUpper
Age [per year]0.0210.0101.0211.0021.0410.031*
Gender [male = 1]-0.4100.3040.6640.3661.2050.178
Slow-growing-mets (reference) 0.002*
Fast-growing mets1.7090.6745.5221.47320.7030.011*
Moderate-growing mets0.8530.7032.3470.5929.3080.225
Sarcomas0.8310.6612.2960.6298.3780.208
Non-oncological patients-1.3150.9640.2690.0411.7760.173
Pathological fx or > 1 mets1.0320.3502.8091.4145.5870.003*
DOI: https://doi.org/10.2478/raon-2025-0009 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 450 - 456
Submitted on: Oct 28, 2024
Accepted on: Dec 19, 2024
Published on: Mar 19, 2025
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Aljaz Mercun, David Martincic, Blaz Mavcic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.