Evidence map›Paper›PMID 41832999›Full record

ArticleJournal of surgical oncology2026

Analysis of the Relationship Between Survival and Postoperative Infection in Patients With Osteosarcoma.

Satoshi Kamio, Koichi Ogura, Kenji Sato, Tomohiro Fujiwara, Toshifumi Ozaki, Robert Nakayama, Hiroshi Koike, Yoshihiro Nishida, Makoto Endo, Yoshinori Imura and 5 more

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

15 authors.

Satoshi KamioDepartment of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan.
Koichi OguraDepartment of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan.
Kenji SatoDepartment of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan.
Tomohiro FujiwaraDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Toshifumi OzakiDepartment of Orthopaedic Surgery, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Robert NakayamaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1985-2169
Hiroshi KoikeDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID https://orcid.org/0000-0002-2997-6635
Yoshihiro NishidaDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.ORCID https://orcid.org/0000-0002-7511-6388
Makoto EndoDepartment of Orthopaedic Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-7956-2190
Yoshinori ImuraDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.ORCID https://orcid.org/0000-0002-0430-5894
Yusuke TsudaDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Tsukasa YonemotoDivision of Orthopaedic Surgery, Chiba Cancer Center, Chiba, Japan.
Takeshi MoriiDepartment of Orthopaedic Surgery, Kyorin University School of Medicine, Mitaka, Japan.
Ayumu ArakawaDepartment of Pediatric Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID https://orcid.org/0009-0007-6501-7814
Akira KawaiDepartment of Musculoskeletal Oncology and Rehabilitation, National Cancer Center Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative infections remain a critical concern in the management of osteosarcoma, particularly after limb salvage surgery. While infections are often perceived as detrimental, emerging evidence suggests that under certain circumstances, localized infections may improve survival outcomes. This study evaluated the relationship between postoperative infection and survival in Japanese patients with osteosarcoma.

methodsWe retrospectively reviewed the medical records of patients diagnosed with osteosarcoma who underwent surgery between April 1990 and October 2021 at nine institutions. Patients with trunk or pelvic lesions, distant metastases at initial diagnosis, age over 60, or infections occurring more than 1 year postoperatively were excluded.

resultsAmong 466 eligible patients, 34 (7.3%) developed postoperative infections. The 5-year overall survival rate was 84.4% in infected patients and 82.9% in non-infected patients, with no significant difference (p = 0.778). The proximal tibia was more susceptible to infection than other sites, with an odds ratio of 2.621 (p = 0.008), and larger tumors were more likely to develop infection (odds ratio, 1.093; p = 0.009).

conclusionsPostoperative infection did not improve survival in patients with osteosarcoma. Tumors in the proximal tibia and those with larger maximum diameters were more susceptible to infection.

Indexed as

Bone NeoplasmsOsteosarcomaPostoperative ComplicationsSurgical Wound InfectionAdolescentAdultAgedChildFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedPrognosisRetrospective Studiesosteosarcomapostoperative infectionsurvival

Identifiers

PMID41832999
PMCPMC13352227

What OpenQuestion holds

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Registered trials

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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.