Bone metastases and skeletal-related events: incidence and prognosis according to histological subtype of lung cancer

Future Oncol. 2019 Feb;15(5):485-494. doi: 10.2217/fon-2018-0613. Epub 2019 Jan 9.

Abstract

Aim: Estimate the incidence of bone metastases (BM) and skeletal-related events according to the histological subtype of lung cancer and its impact on patient survival.

Patients & methods: Retrospective cohort study was carried out with patients diagnosed with lung cancer. Cumulative incidence, Kaplan-Meier survival analysis and the risk of death were estimated.

Results: In non-small-cell lung cancer (NSCLC), the cumulative incidence of BM during follow-up was 23.8% at 24 months; in small-cell lung cancer, it was 18.5%. The presence of BM in patients with NSCLC was associated with an increased risk of death (hazard ratio: 1.25; 95% CI: 1.04-1.49; p = 0.013).

Conclusion: This study revealed a high incidence of BM and skeletal-related events. BM was associated with a poor prognosis in NSCLC patients.

Keywords: bone metastases; histological subtype; incidence; lung cancer; skeletal-related events.

MeSH terms

  • Adult
  • Aged
  • Bone Diseases / epidemiology*
  • Bone Diseases / etiology*
  • Bone Diseases / mortality
  • Bone Neoplasms / epidemiology*
  • Bone Neoplasms / mortality
  • Bone Neoplasms / secondary*
  • Brazil / epidemiology
  • Combined Modality Therapy
  • Female
  • Humans
  • Incidence
  • Lung Neoplasms / epidemiology*
  • Lung Neoplasms / mortality
  • Lung Neoplasms / pathology*
  • Lung Neoplasms / therapy
  • Male
  • Middle Aged
  • Neoplasm Grading
  • Neoplasm Staging
  • Prognosis
  • Retrospective Studies
  • Risk Factors