Treatments and prognostic factors for bone and soft tissue sarcoma in non-urban areas in Japan

Background Although bone and soft tissue sarcoma is recognized as a rare cancer that originates throughout the body, few comprehensive reports regarding it have been published in Japan. Patients and methods Bone and soft tissue sarcomas were tabulated from the Cancer Registries at eight university h...

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Veröffentlicht in:International journal of clinical oncology 2024-03, Vol.29 (3), p.345-353
Hauptverfasser: Nakamura, Nobuko, Hasebe, Shinji, Yamanaka, Shintaro, Fujii, Tomomi, Fujibuchi, Taketsugu, Kitani, Teruki, Takeuchi, Kazuto, Sato, Yasushi, Shindo, Yoshitaro, Ozaki, Toshifumi, Nishisho, Toshihiro, Tabata, Masahiro, Yakushijin, Yoshihiro
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container_end_page 353
container_issue 3
container_start_page 345
container_title International journal of clinical oncology
container_volume 29
creator Nakamura, Nobuko
Hasebe, Shinji
Yamanaka, Shintaro
Fujii, Tomomi
Fujibuchi, Taketsugu
Kitani, Teruki
Takeuchi, Kazuto
Sato, Yasushi
Shindo, Yoshitaro
Ozaki, Toshifumi
Nishisho, Toshihiro
Tabata, Masahiro
Yakushijin, Yoshihiro
description Background Although bone and soft tissue sarcoma is recognized as a rare cancer that originates throughout the body, few comprehensive reports regarding it have been published in Japan. Patients and methods Bone and soft tissue sarcomas were tabulated from the Cancer Registries at eight university hospitals in the Chugoku–Shikoku region. Prognostic factors in cases were extracted in a single facility and have been analyzed. Results From 2016 to 2019, 3.4 patients with bone and soft tissue sarcomas per a general population of 100,000 were treated at eight university hospitals. The number of patients who underwent multidisciplinary treatment involving collaboration among multiple clinical departments has been increasing recently. In the analysis carried out at a single institute (Ehime University Hospital), a total of 127 patients (male/female: 54/73) with an average age of 67.0 y (median 69.5) were treated for four years, with a 5-year survival rate of 55.0%. In the analysis of prognostic factors by multivariate, disease stage and its relative treatment, renal function (creatinine), and a patient’s ability of self-judgment, and a patient’s mobility and physical capability were associated with patient prognosis regarding bone and soft tissue sarcomas. Interestingly, age did not affect the patient’s prognosis (> 70 vs ≦ 70). Conclusions Physical and social factors may affect the prognosis of patients with bone and soft tissue sarcomas, especially those living in non-urban areas.
doi_str_mv 10.1007/s10147-023-02453-4
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Patients and methods Bone and soft tissue sarcomas were tabulated from the Cancer Registries at eight university hospitals in the Chugoku–Shikoku region. Prognostic factors in cases were extracted in a single facility and have been analyzed. Results From 2016 to 2019, 3.4 patients with bone and soft tissue sarcomas per a general population of 100,000 were treated at eight university hospitals. The number of patients who underwent multidisciplinary treatment involving collaboration among multiple clinical departments has been increasing recently. In the analysis carried out at a single institute (Ehime University Hospital), a total of 127 patients (male/female: 54/73) with an average age of 67.0 y (median 69.5) were treated for four years, with a 5-year survival rate of 55.0%. In the analysis of prognostic factors by multivariate, disease stage and its relative treatment, renal function (creatinine), and a patient’s ability of self-judgment, and a patient’s mobility and physical capability were associated with patient prognosis regarding bone and soft tissue sarcomas. Interestingly, age did not affect the patient’s prognosis (&gt; 70 vs ≦ 70). Conclusions Physical and social factors may affect the prognosis of patients with bone and soft tissue sarcomas, especially those living in non-urban areas.</description><identifier>ISSN: 1341-9625</identifier><identifier>EISSN: 1437-7772</identifier><identifier>DOI: 10.1007/s10147-023-02453-4</identifier><identifier>PMID: 38155238</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Cancer Research ; Creatinine ; Hospitals ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Oncology ; Original Article ; Patients ; Prognosis ; Renal function ; Sarcoma ; Social factors ; Soft tissue sarcoma ; Surgical Oncology ; Urban areas</subject><ispartof>International journal of clinical oncology, 2024-03, Vol.29 (3), p.345-353</ispartof><rights>The Author(s) under exclusive licence to Japan Society of Clinical Oncology 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. 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Patients and methods Bone and soft tissue sarcomas were tabulated from the Cancer Registries at eight university hospitals in the Chugoku–Shikoku region. Prognostic factors in cases were extracted in a single facility and have been analyzed. Results From 2016 to 2019, 3.4 patients with bone and soft tissue sarcomas per a general population of 100,000 were treated at eight university hospitals. The number of patients who underwent multidisciplinary treatment involving collaboration among multiple clinical departments has been increasing recently. In the analysis carried out at a single institute (Ehime University Hospital), a total of 127 patients (male/female: 54/73) with an average age of 67.0 y (median 69.5) were treated for four years, with a 5-year survival rate of 55.0%. In the analysis of prognostic factors by multivariate, disease stage and its relative treatment, renal function (creatinine), and a patient’s ability of self-judgment, and a patient’s mobility and physical capability were associated with patient prognosis regarding bone and soft tissue sarcomas. Interestingly, age did not affect the patient’s prognosis (&gt; 70 vs ≦ 70). 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subjects Cancer Research
Creatinine
Hospitals
Medical prognosis
Medicine
Medicine & Public Health
Oncology
Original Article
Patients
Prognosis
Renal function
Sarcoma
Social factors
Soft tissue sarcoma
Surgical Oncology
Urban areas
title Treatments and prognostic factors for bone and soft tissue sarcoma in non-urban areas in Japan
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