Original Research

Long-term outcomes in osteosarcoma patients in the Groote Schuur Hospital patient population: A retrospective review

Heide Hart, Jeannette D. Parkes
South African Journal of Oncology | Vol 1 | a17 | DOI: https://doi.org/10.4102/sajo.v1i0.17 | © 2017 Heide Hart, Jeannette D. Parkes | This work is licensed under CC Attribution 4.0
Submitted: 24 March 2017 | Published: 21 July 2017

About the author(s)

Heide Hart, Department of Radiation Oncology, Faculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, South Africa
Jeannette D. Parkes, Department of Radiation Oncology, Faculty of Health Sciences, University of Cape Town, Groote Schuur Hospital, South Africa


Share this article

Bookmark and Share

Abstract

Background: Predictive factors for long-term outcomes in osteosarcoma patients are still controversial. There is no literature available regarding these factors in a patient population in a developing country.
Aim and setting: To determine the outcome of treatment of osteosarcoma patients treated at Groote Schuur Hospital from 1990 to 2012 in terms of locoregional control (LRC), disease-free survival (DFS) and overall survival (OS) and to determine the value of suggested predictive factors in this population.
Patients and methods: Retrospective review of all patients diagnosed with and treated for osteosarcoma at Groote Schuur Hospital between 1990 and 2012, considering OS, DFS and LRC. This review assesses the significance of suggested predictive factors from other studies, namely, HIV status, age at diagnosis, site of primary disease, type of chemotherapy used, response to chemotherapy and type of surgery in terms of OS, DFS and LRC.
Results: Forty-three patients with histologically confirmed osteosarcoma were treated at Groote Schuur Hospital between 1990 and 2012. Median 5 year OS was 57.8%. On univariate analysis, the site of disease was the only statistically significant predictive factor for prognosis.
Conclusion: On univariate analysis, patients with axial disease have a worse predicted prognosis than those with primary disease in their extremities. The clinical behaviour and long-term outcome after treatment of these patients with osteosarcoma are similar to that seen internationally.

Keywords

predictive factors; long-term outcomes; Groote Schuur Hospital

Metrics

Total abstract views: 540
Total article views: 748


Crossref Citations

No related citations found.