高级检索
当前位置: 首页 > 详情页

Conditional Survival Analysis for Spinal Chondrosarcoma Patients After Surgical Resection

文献详情

资源类型:
WOS体系:
Pubmed体系:

收录情况: ◇ SCIE

单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Orthopaed Surg,1095 Jiefang Ave,Wuhan,Peoples R China [2]Sun Yat Sen Univ, Affiliated Hosp 1, Dept Orthopaed Surg, Guangzhou, Peoples R China
出处:
ISSN:

关键词: bone cancer chondrosarcoma conditional survival follow-up outcomes overall survival prognosis Surveillance Epidemiology and End Results database spine surgery

摘要:
Study Design. Retrospective analysis. Objective. To evaluate conditional survival after surgical resection for spinal chondrosarcoma patients. Summary of Background Data. Survival estimates are usually reported as survival from the time of surgery, but survival probabilities can change over time. Conditional survival, which is a measure of prognosis for patients who have survived a defined period of time, may be more clinically precise and relevant. However, data on conditional survival for spinal chondrosarcoma patients after surgical resection are still lacking. Methods. We used the Surveillance, Epidemiology, and End Results (SEER) database to identify 436 spinal chondrosarcoma patients who underwent surgical resection from 1994 and 2013. Kaplan-Meier analyses and Cox regression modeling were performed to evaluate prognostic factors associated with overall survival. Five-year conditional survival (i. e., probability of surviving an additional 5 years, given that a patient has already survived x years) was calculated as 5-CS(x) = OS(x+5)/OS(x). The effect of prognostic factors on conditional survival was also explored. Results. Four hundred thirty six patients were included in the study cohort. Overall, 1-, 3-, and 5-year overall survival were 92.8%, 79.1%, and 70.3%, respectively. Five-year conditional survival at 1, 3, and 5 years after surgery were 72.9%, 79.0%, and 87.5%. The overall survival rates were lower in cases of age more than or equal to 60 years, male patient, dedifferentiated subtype, Grade III tumor, tumor size more than or equal to 10 cm, distant metastasis, and radiotherapy. Conditional survival improved over time in each subgroup divided by age, sex, race, year of diagnosis, grade, tumor size, extent of disease (EOD), and radiotherapy. In addition, patients with the least favorable prognosis at baseline experienced the greatest increase in 5-year conditional survival over time (e.g., Grade I/II: 78.0%-89.7%, Delta 11.7% vs. Grade III: 36.5%-66.6%, Delta 30.1%; Localized/Regional: 72.9%-88.1%, Delta 15.2% vs. Distant: 43.5%-74.1%, Delta 30.6%). Conclusion. Conditional survival for spinal chondrosarcoma patients after surgical resection improves over time, especially for patients with initial high-risk characteristics. Information derived from conditional survival analysis may provide individualized approaches to surveillance and treatment of spinal chondrosarcoma.

语种:
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
出版当年[2019]版:
大类 | 3 区 医学
小类 | 2 区 骨科 3 区 临床神经病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 骨科 3 区 临床神经病学
JCR分区:
出版当年[2018]版:
Q1 ORTHOPEDICS Q2 CLINICAL NEUROLOGY
最新[2023]版:
Q1 ORTHOPEDICS Q2 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

第一作者:
第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Orthopaed Surg,1095 Jiefang Ave,Wuhan,Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:426 今日访问量:2 总访问量:410 更新日期:2025-04-01 建议使用谷歌、火狐浏览器 常见问题

版权所有:重庆聚合科技有限公司 渝ICP备12007440号-3 地址:重庆市两江新区泰山大道西段8号坤恩国际商务中心16层(401121)