Skip to main content

Table 1 Associations between the clinical and laboratory characteristics of the patients and SMAD as indicated by the chi-square test or Fisher’s exact test

From: Development and external validation of nomograms to predict the risk of skeletal metastasis at the time of diagnosis and skeletal metastasis-free survival in nasopharyngeal carcinoma

Characteristic

Number (%)

Training cohort

 

P-value

Validation cohort Number (%)

  

SMAD

  
  

Absent

Present

  

Age, years

   

0.379

 

  < 45

1404 (52.3%)

1311 (93.4%)

93 (6.6%)

 

679 (51.1%)

  ≥ 45

1281 (47.7%)

1185 (92.5%)

96 (7.5%)

 

650 (48.9%)

Sex

   

0.025

 

 Male

2131 (79.4%)

1969 (92.4%)

162 (7.6%)

 

986 (74.2%)

 Female

554 (20.6%)

527 (95.1%)

27 (4.9%)

 

343 (25.8%)

Smoking Status

   

0.055

 

 Absent

1708 (63.3%)

1600 (93.7%)

108 (6.3%)

 

795 (59.8%)

 Present

977 (36.4%)

896 (91.7%)

81 (8.3%)

 

534 (40.2%)

Drinking Status

   

0.873

 

 Absent

2382 (88.7%)

2215 (93.0%)

167 (7.0%)

 

1117 (84.0%)

 Present

303 (11.3%)

281 (92.7%)

22 (7.3%)

 

212 (16.0%)

Family history

   

0.566

 

 Absent

1926 (71.7%)

1787 (92.8%)

139 (7.2%)

 

967 (72.8%)

 Present

759 (28.3%)

709 (93.4%)

50 (6.6%)

 

362 (27.2%)

Calcium, mmol/L

   

0.932

 

  < 2.4

1370 (51.0%)

1273 (92.9%)

97 (7.1%)

 

501 (37.7%)

  ≥ 2.4

1315 (49.0%)

1223 (93.0%)

92 (7.0%)

 

828 (62.3%)

Phosphorus, mmol/L

   

0.587

 

  < 1.15

1398 (52.1%)

1296 (92.7%)

102 (7.3%)

 

676 (50.9%)

  ≥ 1.15

1287 (47.9%)

1200 (93.2%)

87 (6.8%)

 

653 (49.1%)

Magnesium, mmol/L

   

0.308

 

  < 0.93

1410 (52.2%)

1304 (92.5%)

106 (7.5%)

 

919 (69.1%)

  ≥ 0.93

1275 (47.5%)

1192 (93.5%)

83 (6.5%)

 

410 (30.9%)

CRP, mg/L

   

< 0.001

 

  < 1.91

1345 (50.1%)

1283 (95.4%)

62 (4.6%)

 

722 (54.3%)

  ≥ 1.91

1340 (49.9%)

1213 (90.5%)

127 (9.5%)

 

607 (45.7%)

WBCs, ×109

   

0.137

 

  < 6.9

1376 (51.2%)

1289 (93.7%)

87 (6.3%)

 

677 (50.9%)

  ≥ 6.9

1309 (48.8%)

1207 (92.2%)

102 (7.8%)

 

652 (49.1%)

Neutrophils, ×109

   

0.001

 

  < 4.2

1356 (50.5%)

1283 (94.6%)

73 (5.4%)

 

691 (52.0%)

  ≥ 4.2

1329 (49.5%)

1213 (91.3%)

116 (8.7%)

 

638 (48.0%)

HGB, g/L

     

  < 145

1379 (51.4%)

1264 (91.7%)

115 (8.3%)

0.007

758 (57.0%)

  ≥ 145

1306 (48.6%)

1232 (94.3%)

74 (5.7%)

 

571 (43.0%)

Platelets, ×109

   

0.013

 

  < 229

1343 (50.0%)

1265 (94.2%)

78 (5.8%)

 

638 (48.0%)

  ≥ 229

1342 (50.0%)

1231 (91.7%)

111 (8.3%)

 

691 (52.0%)

ALT, U/L

   

0.392

 

  < 22.2

1345 (50.1%)

1256 (93.4%)

89 (6.6%)

 

725 (54.6%)

  ≥ 22.2

1340 (49.9%)

1240 (92.5%)

100 (7.5%)

 

604 (45.4%)

AST, U/L

   

0.092

 

  < 21

1366 (50.9)

1281 (93.8%)

85 (6.2%)

 

675 (50.8%)

  ≥ 21

1319 (49.1%)

1215 (92.1%)

104 (7.9%)

 

654 (49.2%)

ALP, U/L

   

< 0.001

 

  < 70

1357 (50.5%)

1304 (96.1%)

53 (3.9%)

 

744 (56.0%)

  ≥ 70

1328 (49.5%)

1192 (89.8%)

136 (10.2%)

 

585 (44.0%)

LDH, U/L

   

< 0.001

 

  < 172.2

1344 (50.1%)

1287 (95.8%)

57 (4.2%)

 

706 (53.1%)

  ≥ 172.2

1341 (49.9%)

1209 (90.2%)

132 (9.8%)

 

623 (46.9%)

ALB, g/L

   

0.003

 

  < 44.9

1351 (50.3%)

1236 (91.5%)

115 (8.5%)

 

576 (43.3%)

  ≥ 44.9

1334 (49.7%)

1260 (94.5%)

74 (5.5%)

 

753 (56.7%)

GLB, g/L

   

0.507

 

  < 30.5

1341 (49.9%)

1251 (93.3%)

90 (6.7%)

 

793 (59.7%)

  ≥ 30.5

1344 (50.1%)

1245 (92.6%)

99 (7.4%)

 

536 (40.3%)

Cholesterol, mmol/L

   

0.054

 

  < 5.12

1353 (50.4%)

1245 (92.0%)

108 (8.0%)

 

576 (43.3%)

  ≥ 5.2

1332 (49.6%)

1251 (93.9%)

81 (6.1%)

 

753 (56.7%)

T lymphocytes, ×109

   

0.289

 

  < 1.8

1392 (51.8%)

1287 (92.5%)

105 (7.5%)

 

622 (46.8%)

  ≥ 1.8

1293 (48.2%)

1209 (93.5%)

84 (6.5%)

 

707 (53.2%)

Monocytes, ×109

   

0.005

 

  < 0.4

1385 (51.6%)

1306 (94.3%)

79 (5.7%)

 

462 (34.8%)

  ≥ 0.4

1300 (48.4%)

1190 (91.5%)

110 (8.5%)

 

867 (65.2%)

Pathology

   

0.852

 

 Undifferentiated

2592 (96.5%)

2410 (93.0%)

182 (7.0%)

 

1300 (97.8%)

 Differentiated

93 (3.5%)

86 (92.5%)

7 (7.5%)

 

29 (2.2%)

Cranial nerve injury

   

0.730

 

 Absent

2498 (93.0%)

2321 (92.9%)

177 (7.1%)

 

1234 (92.9%)

 Present

187 (7.0%)

175 (93.6%)

12 (6.4%)

 

95 (7.1%)

EBV-DNA, copies/ml

   

< 0.001

 

  < 1000

1130 (42.1%)

1092 (96.6%)

38 (3.4%)

 

526 (39.6%)

 1000–9999

585 (21.8%)

555 (94.9%)

30 (5.1%)

 

265 (19.9%)

 10,000–99,999

599 (22.3%)

555 (92.7%)

44 (23.3%)

 

325 (24.5%)

 100,000–999,999

290 (10.8%)

245 (84.5%)

45 (15.5%)

 

156 (11.7%)

  ≥ 1,000,000

81 (3.0%)

49 (60.5%)

32 (39.5%)

 

57 (4.3%)

T category

   

0.804

 

 1

167 (6.2%)

158 (94.6%)

37 (5.4%)

 

81 (6.1%)

 2

525 (19.6%)

488 (93.0%)

37 (7.0%)

 

328 (24.7%)

 3

1374 (51.2%)

1278 (93.0%)

96 (7.0%)

 

630 (47.4%)

 4

619 (23.1%)

572 (92.4%)

47 (7.6%)

 

290 (21.8%)

N category

   

< 0.001

 

 0

319 (11.9%)

312 (97.8%)

7 (2.2%)

 

250 (18.8%)

 1

921 (34.3%)

887 (96.3%)

34 (3.7%)

 

449 (33.8%)

 2

775 (28.9%)

697 (89.9%)

78 (10.1%)

 

370 (27.8%)

 3

549 (20.4%)

494 (90.0%)

55 (10.0%)

 

243 (18.3%)

 4

121 (4.5%)

106 (87.6%)

15 (12.4%)

 

17 (1.3%)

Radiotherapy technique

   

0.451

 

 IMRT +3DCRT

1341(49.9%)

1252 (93.4%)

89 (6.6%)

 

705(65.9%)

 CRT

1344(51.1%)

1244 (92.6%)

100 (7.4%)

 

624(34.1%)

Treatment method

   

P < 0.001

 

 Radiotherapy

505(18.8%)

481 (95.2%)

24 (4.8%)

 

318 (24.1%)

 CCRT

1136 (42.3%)

1086 (95.6%)

50(4.4%)

 

425 (32.2%)

 Neo + radiotherapy

483 (18.0%)

419 (86.7%)

64 (13.3%)

 

265 (20.1%)

 Neo + CCRT

561(20.9%)

510 (90.9%)

51(9.1%)

 

311 (23.5%)

SMAD

     

 Absent

2496 (93.0%)

   

1231 (92.6%)

 Present

189 (7%)

   

98 (7.4%)

  1. Abbreviations: SMAD skeletal metastasis at time of diagnosis, WBCs white blood cells, HGB hemoglobin, GLB globulin, ALB albumin, ALT alanine transaminase, AST aspartate transaminase, ALP alkaline phosphatase, LDH lactate dehydrogenase, CRP C-reactive protein, GGT gamma glutamyl transpeptidase, EBV-DNA Epstein-Barr virus DNA, Undifferentiated undifferentiated non-keratinizing carcinoma, Differentiated differentiated carcinoma, CRT conventional radiotherapy, IMRT intensity modulated radiation therapy, 3D–CRT three dimensional conformal radiation therapy, RT radiotherapy, CCRT concurrent radiotherapy, Neo neoadjuvant chemotherapy