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Table 3 Influence of potential prognostic factors on bone survival in multivariate analysis

From: Survival and prognostic factors in patients with stable and unstable spinal bone metastases from solid tumors: a retrospective analysis of 915 cases

 

Stable metastases

Unstable metastases

Factor

Hazard Ratio

95 % CI

p-value

Hazard Ratio

95 % CI

p-value

Age

1.01

0.99–1.02

0.09

1.01

1.00–1.02

0.025

Gender

      

 Female

Reference

     

 Male

1.27

1.01–1.60

0.04

1.07

0.83–1.38

0.59

KPS

      

  > =80 %

Reference

     

  < 80 %

1.27

1.04–1.55

0.02

1.11

0.91–1.35

0.30

Primary site

      

 Breast cancer

Reference

     

 NSCLC

2.77

1.99–3.86

<0.0001

2.00

1.43–2.80

<0.0001

 Renal cancer

0.84

0.53–1.33

0.47

0.85

0.54–1.33

0.47

Localization of metastases

      

 Thoracic

Reference

     

 Lumbar

1.07

0.87–1.31

0.53

0.90

0.73–1.11

0.31

Number of metastases

      

 1

Reference

     

  > 1

1.16

0.95–1.41

0.13

1.35

1.11–1.65

0.003

Other distant metastases

      

 Liver yes

Reference

     

  no

0.72

0.56–0.92

0.008

0.71

0.54–0.92

0.003

 Brain yes

Reference

     

  no

0.84

0.63–1.11

0.22

0.85

0.63–1.16

0.32

 Lung yes

Reference

     

  no

1.27

0.99–1.62

0.06

1.05

0.79–1.40

0.73

 Skin yes

Reference

     

  no

1.09

0.69–1.72

0.71

0.91

0.44–1.85

0.79

Bisphosphonates

      

 yes

Reference

     

 no

1.19

0.91–1.56

0.21

1.07

0.79–1.44

0.66

Chemotherapy

      

 yes

Reference

     

 no

0.84

0.68–1.02

0.08

0.97

0.79–1.19

0.79

Orthopedic corset

      

 yes

Reference

     

 no

0.84

0.67–1.06

0.14

0.77

0.62–0.96

0.02

Radiotherapy schedule

      

  > 30 Gy

Reference

     

  < =30 Gy

1.27

0.99–1.63

0.06

1.08

0.86–1.35

0.53

  1. Data in bold p-value <0.05 are significant statistically