Research Article

Treatment-Related Prognostic Factors in Managing Osteosarcoma around the Knee with Limb Salvage Surgery: A Lesson from a Long-Term Follow-Up Study

Table 3

Summary of univariate and multivariate Cox proportional hazards models for LR. HR: hazards ratio; LRT: likelihood rate testing.

Univariate LRTMultivariate LRT
p values and HR (95%)p values and HR (95%)

Gender0.241
 femaleRef.
 male0.625(0.285-1.370)
Age at diagnosis0.544
 31-59 years oldRef.
 21-30 years old1.947(0.527-7.194)
 10-20 years old1.366(0.389-4.794)
Site0.678
 distal femurRef.
 proximal tibia0.837(0.361-1.940)
Symptom intervals0.480
 <60 daysRef.
 >=60 days1.334(0.599-2.971)
Pathologic fracture0.464
 not occurredRef.
 occurred0.046(0-171.359)
Center performing the biopsy/the tumor resection<0.0010.002
 sameRef.Ref.
 different4.601(2.082-10.169)4.099(1.649-10.192)
Previous medical history0.060 0.931
 noRef.Ref.
 yes2.561(0.960-6.835)0.951(0.308-2.942)
Initial raised ALP0.301
 noRef.
 yes1.517(0.688-3.344 )
Bone margin width0.895
 >=3 cmRef.
 >=2 cm1.084(0.325-3.624)
Neurovascular infiltration0.0070.163
 noRef.Ref.
 yes4.140(1.826-9.388)1.838(0.782-4.320)
Tumor size0.0700.152
 <10 cmRef.Ref.
 >=10 cm2.080(0.043-4.589)1.871(0.795-4.405)
Histological subtypes0.340
 osteoblasticRef.
 chondroblastic0.261(0.035-1.944)
 fibroblastic1.922(0.571-6.470)
 telengiectatic and other0.477(0.064-3.555)
Tumor necrosis0.0140.022
 >=90%Ref.Ref.
 <90%3.802(1.304-11.087)3.536(1.198-10.438)
Preoperative chemotherapy duration0.783
 8-12 weeksRef.
 >12 weeks0.694(0.234-2.063)
 <8 weeks0.818(0.275-2.432)
Preoperative interval0.336
 <14 daysRef.
 >=14 days1.469(0.670-3.220)
Postoperative interval0.761
 <=14 daysRef.
 15-21days0.934(0.288-3.034)
 >21 days1.278(0.412-3.964)