Research Article

Patterns of Perioperative Treatment and Survival of Localized, Resected, Intermediate- or High-Grade Soft Tissue Sarcoma: A 2000–2017 Netherlands Cancer Registry Database Analysis

Table 6

Estimated hazard ratio (HR) along with 95% confidence interval from a multivariable Cox regression model on the association between prognostic factors and overall survival for grades II and III resected STS in the Netherlands between 2000 and 2017.

FactorHR95% CI value

Age
Young (ref.)
Middle1.6511.471–1.854<0.001
Old3.3232.952–3.740<0.001

Sex
Female sex (ref.)
Male sex1.0971.009–1.1930.030

Year of diagnosis
2009–2017 (ref.)
2000–20081.1691.072–1.274<0.001

Location
Lower extremity (ref.)
Upper extremity0.9220.807–1.0540.234
Head and neck1.2281.074–1.4040.003
Trunk1.1831.066–1.3140.002
Heart/mediastinum/pleura2.1771.464–3.235<0.001

Subtype
UPS (ref.)
Myxofibrosarcoma0.8850.747–1.0480.157
Leiomyosarcoma1.2281.060–1.4220.006
Angiosarcoma1.6311.338–1.988<0.001
MPNST1.3281.079–1.6350.008
Synovial sarcoma0.9860.797–1.2190.895
MLS0.6130.480–0.783<0.001
Pleomorphic liposarcoma0.8130.623–1.0600.126
Dedifferentiated liposarcoma0.8050.652–0.9950.045
Liposarcoma NOS0.8640.630–1.1850.364
Rest category0.9680.839–1.1160.651

Grade
Intermediate grade II (ref.)
High grade III1.4171.264–1.589<0.001

Tumor size
≤5 cm (ref.)
>5 cm1.6311.451–1.833<0.001

Tumor depth
Superficial depth (ref.)
Deep depth1.2341.122–1.356<0.001

Perioperative RT
No (ref.)
Yes0.8100.741–0.886<0.001

Perioperative chemotherapy
No (ref.)
Yes1.1370.936–1.3810.196

Surgical margins
R0 margins (ref.)
R1/R2 margins1.4921.327–1.677<0.001

Abbreviations: HR=hazard ratio, CI=confidence interval, ref. = reference, UPS = undifferentiated pleomorphic sarcoma, MPNST = malignant peripheral nerve sheath tumor, MLS = myxoid liposarcoma, NOS = not otherwise specified, RT = radiotherapy. .