Research Article
Pasteurized Autograft-Prosthesis Composite Reconstruction May Not Be a Viable Primary Procedure for Large Skeletal Defects after Resection of Sarcoma
Table 3
Associations between clinical variables and pasteurized bone-prosthesis composite survival.
| Variables | Univariate | Multivariate | 20 y EFSR | value | RR | 95% CI | value |
| Age | | | | | | ≤14, >40 | 56.9 ± 11.2 | 0.47 | ND | ND | ND | 15–40 | 40.9 ± 9.4 | Gender | | | | | | Female | 66.0 ± 8.9 | 0.01 | 1 | | | Male | 31.1 ± 10.5 | 2.047 | 1.05–4.00 | 0.021 | Initial tumor volume | | | | | | ≤200 ml | 40.7 ± 12.9 | 0.002 | 1 | | | >200 ml | 44.3 ± 9.4 | 3.550 | 1.90–6.63 | 0.001 | Location | | | | | | Femur, humerus | 67.1 ± 6.3 | 0.003 | 1 | | | Pelvis, tibia | 0 | 1.951 | 1.07–3.55 | 0.029 | Pasteurization length | | | | | | >10 cm | 52.5 ± 6.8 | 0.02 | 1 | | | ≤10 cm | 18.6 ± 14.3 | 2.785 | 1.47–5.29 | 0.002 | Mode of fixation | | | | | | Cemented | 37.0 ± 11.9 | 0.05 | 1 | | | Noncemented | 33.3 ± 12.1 | 1.579 | 0.77–3.25 | 0.215 | Use of chemotherapy | | | | | | Chemotherapy | 38.2 ± 12.1 | 0.94 | ND | ND | ND | Operation only | 35.0 ± 16.5 | Total | 42.6 ± 9.2 | | | | |
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10 y EFSR = 10-year event-free survival rate; RR = relative risk; CI = confidence interval; ND = not done.
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