Research Article

The Use of Radiation Therapy in Well-Differentiated Soft Tissue Sarcoma of the Extremities: An NCDB Review

Table 2

Baseline characteristics for patients with well-differentiated liposarcoma only.

VariableOverall
()
No RT
()
Adjuvant only
()
value

Patient characteristics
Age, yrs. (IQR)57 (45, 70)57 (46, 70)54 (44, 68)0.006
Female676 (47.7%)484 (47.7%)192 (47.5%)0.991
Race0.875
 White1,171 (84.2%)837 (84%)334 (84.6%)
 Black 160 (11.5%)117 (11.7%) 43 (10.9%)
 Other 60 (4.3%) 42 (4.2%) 18 (4.6%)
Charlson Comorbidity Score0.791
 0—none836 (88.2%)600 (88%)236 (88.7%)
 1—one point 97 (10.2%) 72 (10.6%) 25 (9.4%)
 2—two or more points 15 (1.6%) 10 (1.5%) 5 (1.9%)
Education above median820 (61.2%)576 (60.4%)244 (63.2%)0.367
Income above median922 (68.8%)647 (67.8%)275 (71.2%)0.246
Distance to cancer center (IQR)14.2 (5.8, 39.5)15.5 (6.2, 44.5)11 (5.3, 26.8)0.867
Treatment facility0.021
 Community Cancer Program 74 (5.3%) 47 (4.8%) 27 (6.8%)
 Comprehensive Community Cancer Program534 (38.5%)364 (36.8%)170 (42.6%)
 Academic/Research Program780 (56.2%)578 (58.4%)202 (50.6%)
Uninsured43 (3.1%)30 (3.1%)13 (3.3%)0.956

Tumor characteristics
Limb location0.856
 Upper limb and shoulder 212 (15%)150 (14.8%) 62 (15.3%)
 Lower limb and hip1,206 (85%)864 (85.2%)342 (84.7%)
Tumor size (mm)130 (70, 200)133 (70, 200)121 (71.5, 185)0.009
Tumor size0.002
 5 cm197 (15.7%)149 (16.9%) 48 (12.8%)
 5–9.9 cm262 (20.9%)173 (19.7%) 89 (23.7%)
 10.0–19.9 cm457 (36.4%)300 (34.1%)157 (41.9%)
 >20.0 cm339 (27%)258 (29.3%) 81 (21.6%)
Histology0.999
 Liposarcoma1,418 (100%)1,014 (100%) 404 (100%)

Treatment specifics
Surgery type0.439
 Local excision461 (32.5%)337 (33.2%)124 (30.7%)
 Radical resection938 (66.1%)661 (65.2%)277 (68.6%)
 Limb amputation 18 (1.3%) 15 (1.5%) 3 (0.7%)0.31
 Major amputation 1 (0.1%) 1 (0.1%) 0 (0%)
Days to definitive surgery (IQR)0 (0, 27)0 (0, 24)9 (0, 34.5)0.393

Selection of adjuvant RT by surgical margin
Surgical margins0.014
 Negative946 (74.9%)684 (76.7%)262 (70.6%)
 Positive margin, microscopic182 (14.4%)112 (12.6%) 70 (18.9%)
 Positive margin, macroscopic135 (10.7%) 96 (10.8%) 39 (10.5%)
30-day readmission25 (2.7%)21 (3.2%) 4 (1.6%)0.257
Hospital LOS (IQR)1 (0, 3)1 (0, 3)1 (0, 3)0.452