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Table 1 Comparison of demographic and clinical characteristics between childhood leukemia patients with and without musculoskeletal involvement

From: Musculoskeletal involvement in childhood leukemia: Characteristics and survival outcomes

Factor

Total

(N=1042)

No MSK involvement

(N=961)

MSK involvement

(N=81)

P value

Median age, years (IQR)

4.9 (2.9-9.0)

4.9 (2.8-9.0)

5.9 (3.5-9.3)

0.052

Sex

   

0.787

Male

613 (58.8)

567 (59.0)

46 (56.8)

 

Female

429 (41.2)

394 (41.0)

35 (43.2)

 

Year of diagnosis

   

0.036

1979-1999

378 (36.3)

354 (36.8)

24 (29.6)

 

2000-2009

413 (39.6)

385 (40.1)

28 (34.6)

 

2010-2019

251 (24.1)

222 (23.1)

29 (35.8)

 

Morphology

   

<0.001

ALL

726 (69.7)

654 (68.1)

72 (88.9)

 

AML

316 (30.3)

307 (31.9)

9 (11.1)

 

ALL subtype

   

0.028

B-cell

401 (55.2)

351 (53.7)

50 (69.4)

 

T-cell

71 (9.8)

68 (10.4)

3 (4.2)

 

FAB classification

254 (35.0)

235 (35.9)

19 (26.4)

 

Fever

   

0.005

Yes

770 (73.9)

699 (72.7)

71 (87.7)

 

No

272 (26.1)

262 (27.3)

10 (12.3)

 

Skin bleeding

   

<0.001

Yes

444 (42.6)

425 (44.2)

19 (23.5)

 

No

598 (57.4)

536 (55.8)

62 (76.5)

 

Hepatomegaly

   

0.149

Yes

909 (87.2)

843 (87.7)

66 (81.5)

 

No

133 (12.8)

118 (12.3)

15 (18.5)

 

Splenomegaly

   

0.043

Yes

643 (61.7)

602 (62.6)

41 (50.6)

 

No

399 (38.3)

359 (37.4)

40 (49.4)

 

Lymphadenopathy

   

0.359

Yes

808 (77.5)

749 (77.9)

59 (72.8)

 

No

234 (22.5)

212 (22.1)

22 (27.2)

 

NCI risk group*

   

0.017

Standard

595 (57.4)

538 (56.0)

57 (70.4)

 

High

447 (42.9)

423 (44.0)

24 (29.6)

 

Hb, g/dL

7.0 (5.4-8.8)

7.0 (5.3-8.7)

8.0 (6.5-9.2)

0.001

WBC, ×109/L

17.1 (5.9-62.4)

18.1 (6.1-69.2)

9.0 (5.3-22.7)

<0.001

WBC, ×109/L

   

0.002

<20

557 (53.5)

500 (52)

57 (70.4)

 

≥20

485 (46.5)

461 (48)

24 (29.6)

 

Platelets, ×109/L

38.0 (18.0-80.0)

36.0 (17.0-73.0)

78.0 (43.0-168.0)

<0.001

Platelets, ×109/L

   

<0.001

<100

853 (81.9)

804 (83.7)

49 (60.5)

 

≥100

189 (18.1)

157 (16.3)

32 (39.5)

 

Blasts in peripheral blood, %

50.0 (13.0-83.0)

52.0 (14.8-85.0)

26.0 (5.0-64.0)

<0.001

Blasts in peripheral blood

   

0.044

Absence

106 (10.2)

92 (9.6)

14 (17.3)

 

Presence

935 (89.8)

868 (90.4)

67 (82.7)

 

Calcium, mg%

9.4 (8.9-9.8)

9.4 (8.9-9.8)

9.5 (9.0-10.0)

0.104

Phosphate, mg%

4.7 (3.9-5.4)

4.7 (3.9-5.4)

4.7 (4.2-5.3)

0.996

Uric acid, mg%

5.2 (3.9-6.8)

5.2 (4.0-6.9)

5.0 (3.7-6.3)

0.168

ALP, U/L

141.0 (105.0-193.0)

141.0 (106.0-193.0)

135.0(99.8-190.8)

0.725

LDH, U/L

1047.0(628.0-2171.5)

1065.0(652.0-2207.5)

831.0(532.8-1465.2)

0.013

LDH, U/L

   

0.008

<500

116 (12.9)

99 (12)

17 (23.6)

 

≥500

782 (87.1)

727 (88)

55 (76.4)

 
  1. Values are expressed as n (%), or median (IQR). ALP; alkaline phosphatase; ALL, acute leukemia; AML; acute myeloid leukemia, FAB, French-American-British classification system; Hb, hemoglobin; LDH; lactate dehydrogenase, MSK, musculoskeletal; NCI, National Cancer Institute; WBC, white blood cell
  2. *The standard NCI risk factors are age 1-10 years with WBC <50×109/L, with the remaining children classified as high NCI risk