Dataset Information

Prognostic and risk factors in patients with metastatic bone disease of an upper extremity.

ABSTRACT:

Background

The aim of this study was to evaluate survival of metastatic bone disease of an upper extremity, and to identify the prognostic factors that influence survival.

Methods

Patients with metastatic bone disease of an upper extremity between 2008 and 2015 were reviewed from the database of a tertiary university hospital.

Results

Of 102 patients, 48 males and 54 females with a median age of 61 (range, 28-82 years), the humerus (64.7%), clavicle (13.7%), and scapula (12.7%) were the common sites for bone metastasis of an upper extremity. Fifty-nine (57.8%) presented with pathologic fracture. No history of cancer was found in 76.5% of patients. The mean onset of metastatic bone disease after the first diagnosis of primary cancer was 4.74 ± 14.07 months (range, 0-84 months). Lung (31.4%) was the most common primary cancer followed by liver (14.7%), breast (12.7%), thyroid (7.8%), and renal (3.9%). Eighty-two cases (80.39%) died from the disease such that the median survival was 4.08 months (95% CI 2.57-6.17). The significant risk factors were the type of primary tumor (P < 0.001, HR?=?4.44; 95% CI, 1.99-9.90) and ECOG performance status (P?=?0.021, HR = 2.11, 95% CI 1.12-3.99).

Conclusions

Patients with metastatic bone disease of an upper extremity have a limited life expectancy. The type of primary tumor and ECOG performance status were the important prognostic factors that influenced overall survival. Our data help in the management of patients, families, and doctors, so as to avoid over- or under-treatment.

SUBMITTER: Wisanuyotin T

PROVIDER: S-EPMC6303409 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Publications

Prognostic and risk factors in patients with metastatic bone disease of an upper extremity.

Wisanuyotin Taweechok T Sirichativapee Winai W Sumnanoont Chat C Paholpak Permsak P Laupattarakasem Pat P Sukhonthamarn Kamonsak K Kosuwon Weerachai W

Journal of bone oncology 20180922

<h4>Background</h4>The aim of this study was to evaluate survival of metastatic bone disease of an upper extremity, and to identify the prognostic factors that influence survival.<h4>Methods</h4>Patients with metastatic bone disease of an upper extremity between 2008 and 2015 were reviewed from the database of a tertiary university hospital.<h4>Results</h4>Of 102 patients, 48 males and 54 females with a median age of 61 (range, 28-82 years), the humerus (64.7%), clavicle (13.7%), and scapula (12 ...[more]

PMID: 30591860

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Dataset Information

Prognostic and risk factors in patients with metastatic bone disease of an upper extremity.

Background

Methods

Results

Conclusions

Publications

Prognostic and risk factors in patients with metastatic bone disease of an upper extremity.

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