Retrospective Cohort Study
Copyright ©The Author(s) 2025.
World J Gastrointest Surg. Apr 27, 2025; 17(4): 100851
Published online Apr 27, 2025. doi: 10.4240/wjgs.v17.i4.100851
Table 1 Pathological characteristics of postoperative bone metastases in patients undergoing colorectal cancer surgery
Items

Cases (n = 44)
Proportion, %
Age, years54.33 ± 8.45
SexMale2454.55
Female2045.45
The primary location of the tumorColon1125.00
Rectum3375.00
Tumor diameter, cm4.02 ± 1.02
Osteopathic changesOsteolytic1943.18
Osteogenic1431.82
Mixed bone destruction1125.00
Type of bone metastasisSingle type1534.09
Multiple type2965.91
Infiltration depthT1-T21431.82
T3-T43068.18
Lymphatic metastasisYes2965.91
No1534.09
Location of bone metastasesSkull818.18
Pelvis1840.91
Trunk613.64
Four limbs511.36
Spinal column715.91
Bone metastasis organsLiver1125.00
Lung2659.09
Pancreas715.91
Table 2 Single variables affecting the occurrence of postoperative bone metastases in patients undergoing colorectal cancer surgery, n (%)
Variables

Bone metastases (n = 44)
No bone metastases (n = 56)
t/χ2
P value
Age≤ 6024 (54.55)36 (64.29)0.9740.324
> 6020 (45.45)20 (42.86)
SexMale24 (54.55)40 (71.43)3.0480.081
Female20 (45.45)16 (28.57)
The primary location of the tumorColon11 (25.00)30 (53.57)8.3150.004
Rectum33 (75.00)26 (46.43)
Tumor diameter< 5 cm31 (70.45)34 (60.71)1.0280.311
≥ 5 cm13 (29.55)22 (39.29)
Osteopathic changesOsteolytic19 (43.18)15 (26.79)2.9850.225
Osteogenic14 (31.82)22 (39.29)
Mixed bone destruction11 (25.00)19 (33.93)
Infiltration depthT1-T214 (31.82)27 (48.21)2.7380.098
T3-T430 (68.18)29 (51.79)
Postoperative chemotherapyYes11 (25.00)45 (80.36)30.644< 0.001
No33 (75.00)11 (19.64)
Combined lung metastasesYes26 (59.09)18 (32.14)7.2620.007
No18 (40.91)38 (67.86)
Concomitant liver metastasisYes11 (25.00)24 (42.86)3.4540.063
No33 (75.00)32 (57.14)
Concomitant pancreatic metastasisYes7 (15.91)11 (19.64)0.2330.630
No37 (84.09)45 (80.36)
Lymph node involvementYes29 (65.91)19 (33.93)10.0960.002
No15 (34.09)37 (66.07)
Table 3 Variable assignments
Independent variable
Assignment
The primary location of the tumor“rectum” = 1, “colon” = 0
Lymph node involvement“yes” = 1, “no” = 0
Pulmonary metastasis“yes” = 1, “no” = 0
Postoperative chemotherapy“yes” = 1, “no” = 0
Table 4 Multiple logistic regression models analyzed the risk factors affecting postoperative bone metastasis in patients undergoing colorectal cancer surgery
Factor
Partial regression coefficient
SE
Wald
OR
95%CI
P value
The primary location of the tumor was a rectal cancer1.1280.32217.5272.4561.644-3.674< 0.001
With combined lymph node involvement1.1440.31110.2142.0241.159-3.654< 0.001
Combined lung metastases1.1340.24114.3273.1242.124-5.544< 0.001
No chemotherapy was administered after surgery1.4120.22421.2363.5441.664-6.922< 0.001