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Muhammad Riza
niversitas Lambung Mangkurat
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Journal : paediatrica indonesiana

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Survival and prognostic factors in pediatric osteosarcoma: A 5-year single-center experience in Central Java, Indonesia Riza, Muhammad; Salimo, Harsono; Wasita, Brian; Idulhaq, Mujaddid; Saputra, Rhyan Darma; Widyaningsih, Vitri; Soestrisno, Soestrisno; Zahidah, Fairuz; Wayanshakty, Janur
Paediatrica Indonesiana Vol. 64 No. 1 (2024): January 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.1.2024.10-6

Abstract

Background The advent of chemotherapy with multimodal treatment has improved the survival rate of osteosarcoma. However, the survival rate of patients with osteosarcoma in low- and middle-income countries (LMICs) remains lower than in high-income countries (HICs). Objective To assess prognostic factors associated with survival rate of pediatric patients with osteosarcoma in Moewardi Hospital, Surakarta. Methods This retrospective study was performed in pediatric osteosarcoma patients at Moewardi Hospital, Surakarta from 2018 to 2022. We described patients’ clinical presentations and assessed prognostic factors. Survival rate was calculated using Kaplan–Meier survival analysis. Prognostic factors were analyzed using univariate and multivariate Cox regression methods. Results Of the 82 patients included in the study, 40 (48.8%) were male and 42 (51.2%) were female. Most subjects (75.6%) were diagnosed with osteosarcoma at the age of >10 years, 45 patients (54.9%) had primary tumors in the femur, and 16 patients (19.5%) had limb salvage surgery. The mean event-free survival duration was 13.6 (95%CI 9.7 to 17.5) months. The mean duration of overall survival was 22.7 (95%CI 17.3 to 28.1) months, with a 44.1% survival probability. Type of surgery was a significant prognostic factor (P=0.018), with limb salvage having better survival probability (93.3%) than amputation (19.8%). Conclusion The overall survival rate of osteosarcoma patients at our center is still lower than in other regional centers. Limb salvage surgery was a significant prognostic factor for survival, while gender, location of primary tumor, histological subtype, and metastasis at the time of diagnosis were not.
Co-Authors Abdus Salam, Abdus Adesta, Erry Y. T. Afkar, M.Khadafi Agung Harsoyo, Agung Ahmad, Hidayat Ahmad, Lukman Akbar Saputra, Fauzi Annang Giri Moelyo Anugrah Aditya Budiarsa, Anugrah Anwar, Iwan P Any Nurhasanah Ari Legowo Arifin, Muhammad Anugrah Awaliyah, Kurnia Ayuningtyas, Dewi Sitoresmi Azmi, Farhan Alfarizi Bambang Pratowo Bambang Soebagyo Bangko, Ulan Sundari Bernawis, Lamona I. Boediman, Manasye Micel boy, la Brian Wasita Dedyerianto, Dedyerianto Dessy Damayanti, Dessy Dian Agus Ruchliyadi Dicky Wirianto Dini Safitri Zahara Elistasari, Endra Yustin Erry Yulian Triblas Adesta Evalda, Putri Fahriansah, Fahriansah Febriana, Annisa Halistin, Halistin Hari Wahyu Nugroho Haris Murwadi Harmoko, Muh. Harsono Salimo Hendra Wardhana Henry Aspan Husnia Auliyatul Umma, Husnia Auliyatul Idris Mandang Idris Mandang, Idris Idulhaq, Mujaddid Ikrar Pramudya, Ikrar Ilma Anisa Imilda Indra Surya, Indra Irwan Ramadhan Ritonga Isnandar Slamet, Isnandar Kawuryan, Diah Lintang Kunarto Kunarto Lilik Wijayanti Maidawati, Anisa MARDIANA Maria Ulfah Muhamad, Zein Muhammad Zalnur Muhida, Rifki Mujahidah, Fatimah Fitriani Mulyana Munadiati Mustaid Yusuf Mustakim Mustakim Mutmainnah Mutmainnah Najwan Al-Ghifari Nanda Khoirunisa Nugroho, Angeline Duana Yashintia Prasetyadi Mawardi Prasetyorini, Budi Eko Putri, Mutiara Rachmat Putrimingtyas, Deta Qori Fajar Hermawan Rahmawati, Risma Dwi Rahmiati Ramadhan, Qeis Riansyah, Firman Riyanto, Handoko Riza Muhida Riza Zarzani, T. Safitri, Nur Saputra, Rhyan Darma Saputro, Harjono Silahuddin Silahuddin Soestrisno, Soestrisno Sri Martuti Suminah Syibran Mulasi Tatipatta, willem M. Tia Tanjung, Tia Triblas Adesta, Erry Yulian Valentina Lakhsmi Prabandari Vidya, Pridania Vitri Widyaningsih Wasono, Wasono Wayanshakty, Janur Wiyani, Riski Indah Yusuf, Mustaid Zahidah, Fairuz Zetsaona Sihotang