Research Article

Development and Validation of Nomograms to Assess Risk Factors and Overall Survival Prediction for Lung Metastasis in Young Patients with Osteosarcoma: A SEER-Based Study

Table 1

Clinical characteristics of osteosarcoma patients.

Training set (n = 434)Validation set I (n = 184)Validation set II (n = 131)Χ2/ZP

Age, years1.5520.817
 0–843 (9.91%)14 (7.61%)12 (9.16%)
 9–16237 (54.61%)100 (54.35%)67 (51.15%)
 17–25154 (35.48%)70 (38.04%)52 (39.69%)

Race458.173<0.001
 Black77 (17.74%)28 (15.22%)0 (0.00%)
 White316 (72.81%)135 (73.37%)0 (0.00%)
 Other41 (9.45%)21 (11.41%)131 (100.00%)

Sex3.0280.220
 Female190 (43.78%)85 (46.20%)48 (36.64%)
 Male244 (56.22%)99 (53.80%)83 (63.36%)

Primary site6.5250.367
 Upper limb59 (13.59%)28 (15.22%)19 (14.50%)
 Lower limb327 (73.35%)133 (72.28%)91 (69.47%)
 Other30 (6.91%)9 (4.89%)10 (7.63%)
 Spine/pelvis18 (4.15%)14 (7.61%)11 (8.40%)

T stage2.8170.245
 T1181 (41.71%)68 (36.96%)61 (46.56%)
 T2234 (53.92%)105 (57.07%)63 (48.09%)
 T310 (2.30%)6 (3.26%)3 (2.29%)
 TX9 (2.07%)5 (2.72%)4 (3.05%)

N stage0.8950.639
 N0408 (94.01%)171 (92.93%)120 (91.60%)
 N113 (3.00%)9 (4.89%)8 (6.11%)
 NX13 (3.00%)4 (2.17%)3 (2.29%)

Tumor size, mm1.4780.830
 0–100237 (54.61%)101 (65.89%)79 (60.31%)
 101–200151 (34.79%)65 (35.33%)40 (30.53%)
 >20046 (10.60%)18 (9.78%)12 (9.16%)

Bone metastasis2.4230.298
 No418 (96.31%)176 (95.65%)122 (93.13%)
 Yes16 (3.69%)8 (4.35%)9 (6.87%)

Lung metastasis8.3680.015
 No343 (79.03%)161 (87.50%)99 (80.51%)
 Yes91 (20.97%)23 (12.50%)32 (19.49%)

Validation set I: internal validation set; validation set II: external validation set.