Evidence map›Paper›PMID 34393996›Full record

ArticleFrontiers in endocrinology2021

Risk Factors, Prognostic Factors, and Nomograms for Distant Metastasis in Patients With Newly Diagnosed Osteosarcoma: A Population-Based Study.

Bo Chen, Yuan Zeng, Bo Liu, Gaoxiang Lu, Zhouxia Xiang, Jiyang Chen, Yan Yu, Ziyi Zuo, Yangjun Lin, Jinfeng Ma

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bo ChenDepartment of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Yuan ZengDepartment of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Bo LiuDepartment of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Gaoxiang LuDepartment of Surgery, The People's Hospital of Yunhe, Lishui, China.
Zhouxia XiangThe First Clinical College, Wenzhou Medical University, Wenzhou, China.
Jiyang ChenThe First Clinical College, Wenzhou Medical University, Wenzhou, China.
Yan YuThe First Clinical College, Wenzhou Medical University, Wenzhou, China.
Ziyi ZuoThe First Clinical College, Wenzhou Medical University, Wenzhou, China.
Yangjun LinThe First Clinical College, Wenzhou Medical University, Wenzhou, China.
Jinfeng MaDepartment of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Osteosarcoma is the most common bone cancer, mainly occurring in children and adolescents, among which distant metastasis (DM) still leads to a poor prognosis. Although nomogram has recently been used in tumor areas, there are no studies focused on diagnostic and prognostic evaluation of DM in primary osteosarcoma patients. Methods: The data of osteosarcoma patients diagnosed between 2004 and 2015 were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Univariate and multivariate logistic regression analyses were used to identify independent risk factors for DM in osteosarcoma patients, and univariate and multivariate Cox proportional hazards regression analyses were used to determine independent prognostic factors of osteosarcoma patients with DM. We then established two novel nomograms and the results were evaluated by receiver operating characteristic (ROC) curves, calibration curves, and decision curve analysis (DCA). Result: A total of 1,657 patients with osteosarcoma were included, and 267 patients (16.11%) had DM at the time of diagnosis. The independent risk factors for DM in patients with osteosarcoma include age, grade, T stage, and N stage. The independent prognostic factors for osteosarcoma patients with DM are age, chemotherapy and surgery. The results of ROC curves, calibration, DCA, and Kaplan-Meier (K-M) survival curves in the training, validation, and expanded testing sets, confirmed that two nomograms can precisely predict occurrence and prognosis of DM in osteosarcoma patients. Conclusion: Two nomograms are expected to be effective tools for predicting the risk of DM for osteosarcoma patients and personalized prognosis prediction for patients with DM, which may benefit clinical decision-making.

Indexed as

AdolescentAdultAge FactorsBone NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm GradingNeoplasm MetastasisNeoplasm StagingNomogramsOsteosarcomaPrognosisRetrospective StudiesRisk Factorsdistant metastasisnomogramosteosarcomapredictorprognosis

Identifiers

PMID34393996
PMCPMC8362092

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.