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Table 5 Univariate and multivariate Cox analysis for PFS

From: Prognostic value of pre-treatment Naples prognostic score (NPS) in patients with osteosarcoma

Variables

Univariate analysis

Multivariate analysis

HR (95% CI)

P value

HR (95% CI)

P value

Gender

 

0.785

 

0.883

 Male

Reference

 

Reference

 

 Female

0.879 (0.568–1.457)

 

1.102 (0.487–1.569)

 

Age (years)

 

0.415

 

0.845

 < 18

Reference

 

Reference

 

 ≥ 18

1.254 (0.742–2.124)

 

1.126 (0.974–1.951)

 

Tumor location

 

0.576

 

0.451

 Extremities

Reference

 

1

 

 Non-extremities

1.375 (0.825–2.273)

 

1.255 (0.998–2.989)

 

Tumor size (cm)

 

0.021

 

0.165

 < 10.5

Reference

 

Reference

 

 ≥ 10.5

2.147 (1.126–3.589)

 

1.362 (1.079–4.532)

 

Histological type

 

0.457

 

0.752

 Well-differentiated

Reference

 

Reference

 

 Poorly differentiated

1.541 (0.856–3.124)

 

1.336 (1.0719–3.257)

 

Enneking stage

 

< 0.001

 

< 0.001

 I/II

Reference

 

Reference

 

 III

4.577 (1.036–12.539)

 

6.457 (1.324–10.987)

 

Pathological fracture

 

0.341

 

0.542

 No

Reference

 

Reference

 

 Yes

1.243 (0.756–3.493)

 

1.322 (0.893–5.786)

 

Local recurrence

 

< 0.001

 

< 0.001

 No

Reference

 

Reference

 

 Yes

5.467 (1.095–9.852)

 

6.991 (2.048–11.548)

 

Metastasis

 

< 0.001

 

< 0.001

 No

Reference

 

Reference

 

 Yes

6.678 (3.589–10.679)

 

7.895 (4.470–12.907)

 

Neoadjuvant CT

 

0.688

 

0.785

 No

Reference

 

Reference

 

 Yes

0.842 (0.413–1.759)

 

0.903 (0.378–2.235)

 

NLR

 

< 0.001

 

< 0.001

 Low (≤ 2.96)

Reference

 

Reference

 

 High (> 2.96)

4.517 (1.657–8.689)

 

4.652 (1.329–9.547)

 

LMR

 

0.003

 

0.062

 Low (≤ 4.44)

Reference

 

Reference

 

 High (> 4.44)

0.751 (0.556–1.579)

 

0.876 (0.657–1.322)

 

Albumin

 

0.046

 

0.257

 Low (< 4 mg/dL)

Reference

 

Reference

 

 High (≥ 4 mg/dL)

0.854 (0.687–2.211)

 

0.859 (0.789–1.457)

 

TC

 

0.142

 

0.457

 Low (≤ 180 mg/dL)

Reference

 

Reference

 

 High (> 180 mg/dL)

0.984 (0.568–1.788)

 

1.054 (0.891–2.014)

 

NPS Group

    

 1

Reference

 

Reference

 

 2

5.672 (1.254–10.003)

< 0.001

5.272 (1.017–11.485)

< 0.001

 3

7.841 (1.029–11.565)

< 0.001

6.783 (1.234–10.575)

< 0.001

  1. CI confidence interval, CT chemotherapy, NLR neutrophil-to-lymphocyte ratio, LMR lymphocyte-to-monocyte ratio, TC total cholesterol, NPS Naples prognostic score, PFS progression-free survival