Research Article

Prognostic Factors and Treatment Results of High-Grade Osteosarcoma in Norway: A Scope Beyond the “Classical” Patient

Table 2

Relative risk analysis among nonclassical osteosarcoma (OS) patients; primary metastatic disease, nonextremity localisation, and age >40 years.

Nonclassical OSPrimary metastatic diseaseNonextremity localisationAge >40 years
RRa (95% CIb)RRa (95% CIb)RRa (95% CIb)RRa (95% CIb)

Axial versus extremity
 Extremity6110591
 Axial231.0 (0.7–1.5)0.953115683.4 (2.5–4.6)<0.001
Primary metastatic disease
 No0891941
 Yes84231.0 (0.7–1.5)0.857311.4 (0.9–2.1)0.102
Age
 ≤40 years5314710
 >40 years311.3 (0.9–1.8)0.109683.1 (2.4–4.1)<0.001127
Tumour size
 ≤10 cm 1181511481
 >10 cm 1.1 (0.9–1.4)0.436381.6 (1.3–2.0)<0.001260.7 (0.5–1.0)0.026421.0 (0.8–1.3)0.870
Duration of symptoms
 ≤3 months 1431351411
 >3 months1.5 (1.2–1.8)<0.001340.9 (0.7–1.2)0.632611.6 (1.3–1.9)<0.001651.5 (1.2–1.8)<0.001
Pathologic fracture
 No168111111021
 Yes1.3 (0.8–2.0)0.364161.5 (0.9–2.4)0.12440.2 (0.1–0.5)0.001251.7 (1.1–2.8)0.025
ALP
 Normal1181341341
 Elevated1.9 (1.4–2.4)<0.001461.9 (1.5–2.4)<0.001431.4 (1.1–1.8)0.017471.5 (1.1–1.9)0.003
LDH
 Normal1211431411
 Elevated1.3 (1.0–1.6)0.098411.7 (1.4–2.2)<0.001310.9 (0.7–1.3)0.667371.1 (0.8–1.5)0.473
Histology
 Osteoblastic1441481511
 Chondroblastic1.0 (0.9–1.1)0.62281.1 (1.0–1.3)0.124200.9 (0.7–1.0)0.135180.9 (0.8–1.1)0.404
 Fibroblastic1.0 (0.9–1.1)0.81681.0 (0.9–1.2)0.61091.0 (0.9–1.2)0.656131.0 (0.8–1.1)0.530
 Other0.9 (0.8–1.1)0.423231.1 (0.9–1.4)0.270380.9 (0.8–1.2)0.476440.9 (0.7–1.1)0.220

Relative risk, bconfidence interval, value, and dnumber of patients.