Research Article

Sites of Synchronous Distant Metastases, Prognosis, and Nomogram for Small Cell Lung Cancer Patients with Bone Metastasis: A Large Cohort Retrospective Study

Table 4

Univariate and multivariate Cox regression for overall survival based on treatment modalities and metastatic sites.

Groups (n)VariablesLevelnUnivariate valueMultivariate value
HR (95% CI)HR (95% CI)

Bone-only (1832)SurgeryNo1786
Yes461.123 (0.829–1.520)0.454
RadiotherapyNo1117
Yes7150.613 (0.554–0.679)≤0.010.784 (0.705–0.873)≤0.01
ChemotherapyNo485
Yes13470.239 (0.212–0.268)≤0.010.262 (0.231–0.297)≤0.01

Bone and brain (387)SurgeryNo377
Yes101.471 (0.758–2.856)0.254
RadiotherapyNo94
Yes2930.698 (0.546–0.893)≤0.01
ChemotherapyNo97
Yes2900.233 (0.178–0.304)≤0.010.233 (0.178–0.304)≤0.01

Bone and liver (2157)SurgeryNo2118
Yes390.992 (0.713–1.380)0.962
RadiotherapyNo1553
Yes6040.675 (0.611–0.745)≤0.010.794 (0.717–0.878)≤0.01
ChemotherapyNo608
Yes15490.229 (0.205–0.254)≤0.010.243 (0.218–0.271)≤0.01

Bone and lung (392)SurgeryNo383
Yes90.822 (0.420–1.610)0.567
RadiotherapyNo265
Yes1270.654 (0.523–0.817)≤0.010.777 (0.618–0.976)0.030
ChemotherapyNo119
Yes2730.345 (0.273–0.436)≤0.010.367 (0.289–0.467)≤0.01

Bone, liver, and brain (469)SurgeryNo460
Yes90.919 (0.475–1.781)0.803
RadiotherapyNo165
Yes3040.616 (0.504–0.752)≤0.010.785 (0.637–0.968)0.024
ChemotherapyNo130
Yes3390.247 (0.195–0.311)≤0.010.264 (0.208–0.336)≤0.01

Bone, lung, and brain (112)SurgeryNo108
Yes41.402 (0.513–3.830)0.510
RadiotherapyNo34
Yes780.557 (0.361–0.859)≤0.01
ChemotherapyNo32
Yes800.265 (0.168–0.419)≤0.010.210 (0.127–0.348)≤0.01

Bone, lung, and liver (682)SurgeryNo666
Yes160.952 (0.576–1.573)0.848
RadiotherapyNo522
Yes1600.751 (0.626–0.903)≤0.01
ChemotherapyNo224
Yes4580.259 (0.216–0.311)≤0.010.262 (0.218–0.314)≤0.01

Bone, lung, liver, and brain (222)SurgeryNo217
Yes51.145 (0.470–2.786)0.766
RadiotherapyNo86
Yes1360.594 (0.447–0.789)≤0.010.681 (0.508–0.914)0.011
ChemotherapyNo59
Yes1630.246 (0.175–0.345)≤0.010.261 (0.183–0.373)≤0.01