Research Article

Bone Metastases Pattern in Newly Diagnosed Metastatic Nasopharyngeal Carcinoma: A Real-World Analysis in the SEER Database

Table 2

Multivariable Cox regression for analyzing the prognosis factors for primary NPC with bone metastases.

Subject characteristicsNo. of NPC patients with bone metastasesSurvival, median (IQR), moHR (95% CI)
OverallDead (, %)

Age
 0-24116 (54.5)24 (7.903-40.097)1 (reference)1.0
 25-497747 (61.0)18 (14.907-21.093)1.298 (0.501-3.361)0.591
 50-7412990 (69.8)13 (9.617-16.383)2.095 (0.805-5.448)0.129
 75+1815 (83.3)7 (3.425-10.575)3.896 (1.291-11.754)0.016
Gender
 Female4630 (65.2)19 (10.596-27.404)1 (reference)1.0
 Male189128 (67.7)13 (10.739-15.261)1.386 (0.885-2.171)0.153
Race
 White9664 (66.7)13 (7.163-18.837)1 (reference)1.0
 Black3222 (68.8)13 (9.317-16.683)1.260 (0.723-2.195)0.415
 Others10772 (67.3)15 (11.383-18.617)1.177 (0.805-1.723)0.400
Marital status
 Married12585 (68.0)14 (9.798-18.202)1 (reference)1.0
 Unmarried9662 (64.6)16 (12.550-19.450)0.924 (0.644-1.326)0.668
 Unknown1411 (78.6)NANANA
Insurance status
 Insured12578 (62.4)17 (13.007-20.993)1 (reference)1.0
 Uninsured9467 (71.3)13 (9.003-16.997)1.338 (0.934-1.915)0.112
 Unknown1613 (81.3)NANANA
T stage
 T033 (100)12 (0.000-24.803)1 (reference)1.0
 T13827 (71.1)16 (11.842-20.158)0.475 (0.130-1.727)0.258
 T22214 (63.6)20 (9.457-30.543)0.329 (0.084-1.286)0.110
 T33628 (77.8)15 (10.623-19.377)0.567 (0.154-2.085)0.392
 T46955 (79.7)8 (5.829-10.171)0.699 (0.194-2.518)0.584
 Unknown6630 (45.5)NANANA
N stage
 N02822 (78.6)12 (0.332-23.668)1 (reference)1.0
 N15039 (78.0)13 (9.850-16.150)1.093 (0.603-1.980)0.769
 N25742 (73.7)17 (13.379-20.621)0.919 (0.543-1.555)0.754
 N35039 (78.0)13 (6.447-19.553)1.208 (0.669-2.179)0.531
 Unknown5016 (32.0)NANANA
Liver Met
 None15291 (59.9)15 (12.02-17.980)1 (reference)1.0
 Yes7964 (81.0)13 (9.811-16.189)1.375 (0.947-1.995)0.094
 Unknown43 (75.0)NANANA
Brain Met
 None209138 (66.0)15 (12.429-17.571)1 (reference)1.0
 Yes2015 (75.0)5 (0.772-9.228)1.399 (0.771-2.540)0.270
 Unknown65 (83.3)NANANA
Lung Met
 None171110 (64.3)15 (12.048-17.952)1 (reference)1.0
 Yes5945 (76.3)13 (6.425-19.575)1.361 (0.920-2.014)0.123
 Unknown53 (60.0)NANANA
Sequence number
 One primary only212138 (65.1)15 (12.305-17.695)1 (reference)1.0
 Others2320 (87.0)7 (0.000-15.307)1.868 (1.061-3.287)0.030

All factors with unknown data were removed from the Cox and Kaplan–Meier model. NPC: nasopharyngeal carcinoma; IQR: interquartile range; mo: months; Met: metastases; Surg: surgical treatments; NA: not available.