Evidence map›Paper›PMID 36578650›Full record

ArticleJournal of bone oncology2023

Bone sarcoma follow-up; a nationwide analysis of oncological events after initial treatment.

Louren M Goedhart, Vincent K Y Ho, Joris J W Ploegmakers, Ingrid C M van der Geest, Michiel A J van de Sande, Jos A Bramer, Martin Stevens, Paul C Jutte

Abstract read
In one paragraph

Article in Journal of bone oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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  5. Article
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

8 authors.

Louren M GoedhartDepartment of Orthopaedics, University of Groningen, University Medical Center Groningen, The Netherlands.
Vincent K Y HoNetherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.
Joris J W PloegmakersDepartment of Orthopaedics, University of Groningen, University Medical Center Groningen, The Netherlands.
Ingrid C M van der GeestDepartment of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands.
Michiel A J van de SandeDepartment of Orthopaedics, Leiden University Medical Center, The Netherlands.
Jos A BramerDepartment of Orthopaedics, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Martin StevensDepartment of Orthopaedics, University of Groningen, University Medical Center Groningen, The Netherlands.
Paul C JutteDepartment of Orthopaedics, University of Groningen, University Medical Center Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Follow-up strategies for high-grade bone sarcomas have been optimized to facilitate early detection of local recurrence and distant metastasis. The ideology is that early detection enables early treatment presuming better survival. However, the clinical value for each individual patient remains questionable. This study aims to evaluate oncological events after initial treatment in order to assess current follow-up strategies for high-grade bone sarcomas in the Netherlands. Patients and Methods: A retrospective cohort study was conducted based on a national registry. All cases were retrieved from the Netherlands Cancer Registry. Our study consisted of 393 patients treated between 2007 and 2011 with complete follow-up data. Baseline characteristics were analysed for all entities. Local recurrence and distant metastasis was analysed along with overall survival for high-grade chondrosarcoma, high-grade osteosarcoma, Ewing sarcoma and chordoma. Results: Median follow-up was 8,3 years for high-grade chondrosarcoma, 4,9 for high-grade osteosarcoma, 3,8 for Ewing sarcoma and 7,5 for chordoma. Median time to local recurrence and distant metastasis was 1,2 years for high-grade osteosarcoma and 1,5 years for Ewing sarcoma. For high-grade osteosarcoma with localized disease at presentation, 0.09 new distant metastatic events per patient per year were seen after five years of follow-up with 11,1 patients needed to follow-up for any event. Five-year overall survival was 60,0% for high-grade chondrosarcoma, 50,0% for high-grade osteosarcoma, 45,3% for Ewing sarcoma and 71,4% for chordoma. Conclusions: This nationwide study shows a plateau in local recurrences and distant metastatic events after four years of treatment for patients with high-grade osteosarcoma and Ewing sarcoma. Due to a lack of reliable evidence however, we were not able to provide additional guidance on follow-up intervals and duration. Collaborative research with larger groups is needed in order to provide a solid scientific recommendation for follow-up in the heterogenous patient population with bone sarcoma.

Indexed as

ACT, Atypical Cartilaginous TumourChondrosarcomaDFI, Disease-Free IntervalEwing sarcomaFollow-upNCR, Netherlands Cancer RegistryNOS, Not Otherwise SpecifiedOsteosarcomaPALGA, Dutch Pathology Network

Identifiers

PMID36578650
PMCPMC9791116

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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.