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The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies
BACKGROUND: Primary spine malignancies (PSMs) are relatively rare in bone tumors. Due to their rarity, the clinical characteristics and prognostic factors are still ambiguous. In this study, we aim to identify the clinical features and proposed prediction nomograms for patients with PSMs. METHODS: P...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959809/ https://www.ncbi.nlm.nih.gov/pubmed/33732642 http://dx.doi.org/10.3389/fonc.2021.608323 |
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author | Zhou, Lei Huang, Runzhi Wei, Ziheng Meng, Tong Yin, Huabin |
author_facet | Zhou, Lei Huang, Runzhi Wei, Ziheng Meng, Tong Yin, Huabin |
author_sort | Zhou, Lei |
collection | PubMed |
description | BACKGROUND: Primary spine malignancies (PSMs) are relatively rare in bone tumors. Due to their rarity, the clinical characteristics and prognostic factors are still ambiguous. In this study, we aim to identify the clinical features and proposed prediction nomograms for patients with PSMs. METHODS: Patients diagnosed with PSMs including chordoma, osteosarcoma, chondrosarcoma, Ewing sarcoma, and malignant giant cell tumor of bone (GCTB) between 1975 and 2016 were selected from the Surveillance, Epidemiology, and End Results (SEER) database. The patient and tumor characteristics were described based on clinical information. The significant prognostic factors of overall survival (OS) and cancer-specific survival (CSS) were identified by the univariate and multivariate Cox analysis. Then, the nomograms for OS and CSS were established based on the selected predictors and their accuracy was explored by the Cox–Snell residual plot, area under the curve (AUC) of receiver operator characteristic (ROC) and calibration curve. RESULTS: The clinical information of 1,096 patients with PSMs was selected from the SEER database between 1975 and 2016. A total of 395 patients were identified with full survival and treatment data between 2004 and 2016. Chordoma is the commonest tumor with 400 cases, along 172 cases with osteosarcoma, 240 cases with chondrosarcoma, 262 cases with Ewing sarcoma and 22 cases with malignant GCTB. The univariate and multivariate analyses revealed that older age (Age > 60), distant metastasis, chemotherapy, and Surgery were independent predictors for OS and/or CSS. Based on these results, the nomograms were established with a better applicability (AUC for CSS: 0.784; AUC for OS: 0.780). CONCLUSIONS: This study provides the statistics evidence for the clinical characteristics and predictors for patients with PSMs based on a large size population. Additionally, precise prediction nomograms were also established with a well-applicability. |
format | Online Article Text |
id | pubmed-7959809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-79598092021-03-16 The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies Zhou, Lei Huang, Runzhi Wei, Ziheng Meng, Tong Yin, Huabin Front Oncol Oncology BACKGROUND: Primary spine malignancies (PSMs) are relatively rare in bone tumors. Due to their rarity, the clinical characteristics and prognostic factors are still ambiguous. In this study, we aim to identify the clinical features and proposed prediction nomograms for patients with PSMs. METHODS: Patients diagnosed with PSMs including chordoma, osteosarcoma, chondrosarcoma, Ewing sarcoma, and malignant giant cell tumor of bone (GCTB) between 1975 and 2016 were selected from the Surveillance, Epidemiology, and End Results (SEER) database. The patient and tumor characteristics were described based on clinical information. The significant prognostic factors of overall survival (OS) and cancer-specific survival (CSS) were identified by the univariate and multivariate Cox analysis. Then, the nomograms for OS and CSS were established based on the selected predictors and their accuracy was explored by the Cox–Snell residual plot, area under the curve (AUC) of receiver operator characteristic (ROC) and calibration curve. RESULTS: The clinical information of 1,096 patients with PSMs was selected from the SEER database between 1975 and 2016. A total of 395 patients were identified with full survival and treatment data between 2004 and 2016. Chordoma is the commonest tumor with 400 cases, along 172 cases with osteosarcoma, 240 cases with chondrosarcoma, 262 cases with Ewing sarcoma and 22 cases with malignant GCTB. The univariate and multivariate analyses revealed that older age (Age > 60), distant metastasis, chemotherapy, and Surgery were independent predictors for OS and/or CSS. Based on these results, the nomograms were established with a better applicability (AUC for CSS: 0.784; AUC for OS: 0.780). CONCLUSIONS: This study provides the statistics evidence for the clinical characteristics and predictors for patients with PSMs based on a large size population. Additionally, precise prediction nomograms were also established with a well-applicability. Frontiers Media S.A. 2021-02-26 /pmc/articles/PMC7959809/ /pubmed/33732642 http://dx.doi.org/10.3389/fonc.2021.608323 Text en Copyright © 2021 Zhou, Huang, Wei, Meng and Yin http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology Zhou, Lei Huang, Runzhi Wei, Ziheng Meng, Tong Yin, Huabin The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies |
title | The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies |
title_full | The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies |
title_fullStr | The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies |
title_full_unstemmed | The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies |
title_short | The Clinical Characteristics and Prediction Nomograms for Primary Spine Malignancies |
title_sort | clinical characteristics and prediction nomograms for primary spine malignancies |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7959809/ https://www.ncbi.nlm.nih.gov/pubmed/33732642 http://dx.doi.org/10.3389/fonc.2021.608323 |
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