The Scandinavian Sarcoma Group Skeletal Metastasis Registry: functional outcome and pain after surgery for bone metastases in the pelvis and extremities.
Background Few authors have investigated function and pain after surgical treatment of patients with bone metastases. In 1999 the Scandinavian Sarcoma Group (SSG) initiated the Skeletal Metastasis Registry as a multi-centric, prospective study to provide a scientific basis for recommendations of tre...
| Publicado en: | Acta Orthopaedica (Supplement) Vol. 80; pp. 85 - 91 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
Apr2009 Supplement 334
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105399062&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105399062 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453690 1WHY jtl: Acta Orthopaedica (Supplement) issn: 17453690 maglogo: N pubinfo: dt: Apr2009 Supplement 334 vid: 80 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 105399062 105399062 2010363057 105399062 ppf: 85 ppct: 6 formats: fmt: @attributes: type: P tig: atl: The Scandinavian Sarcoma Group Skeletal Metastasis Registry: functional outcome and pain after surgery for bone metastases in the pelvis and extremities. aug: au: Hansen BH Keller J Laitinen M Berg P Skjeldal S Trovik C Nilsson J Walloe A Kalén A Wedin R affil: Dept of Orthopedic Surgery, University Hospital, Aarhus, Denmark; bhhan@as.aaa.dk sug: subj: Bone and Bones Pathology Neoplasm Metastasis Neoplasms Complications Adult Aged Aged, 80 and Over Clinical Assessment Tools Descriptive Statistics Female Functional Status Kaplan-Meier Estimator Karnofsky Performance Status Male Middle Age Neoplasm Metastasis Surgery Orthopedic Fixation Devices Physical Mobility Postoperative Pain Prostheses and Implants Reoperation Scandinavia Survival Treatment Outcomes Human Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Background Few authors have investigated function and pain after surgical treatment of patients with bone metastases. In 1999 the Scandinavian Sarcoma Group (SSG) initiated the Skeletal Metastasis Registry as a multi-centric, prospective study to provide a scientific basis for recommendations of treatment. Patients and methods We have analyzed function and pain in 530 patients ( mean age 65 yr) operated on ( 599 operations) for non-spinal skeletal metastases at 9 SSG centres. 7% were operated for more than 1 metastasis. Carcinoma of the breast, prostate, kidney, and lung were the dominating sites for primary tumors. Results 25% of the patients died within 6 weeks after operation. 11% of the patients had complications. 6% had reoperation. In patients surviving more than 1 year the reoperation rate was 12%. 92% of the patients had no, light or moderate pain from metastasis at 6 weeks ( first control) and 6 months follow-up. Patients using opioids were reduced from 40% preoperative to 30% at 6 months after surgery. In patients with metastases in pelvis or lower extremity 79% were walking with or without crutches, 6 weeks and 88%, 6 months after surgery. More patients with metastases in proximal femur were mobile at 6 weeks and 6 months when treated with prosthetic replacement compared to internal fixation. Interpretation Palliative surgery for bone metastases improves function and reduce pain. Mobility is improved by surgery in patients with metastases in the pelvis or lower extremity. Prosthetic replacement seems to do better than internal fixation for metastases in the proximal femur. We need to analyze function and pain earlier than 6 weeks postoperative to investigate the benefit of surgery in patients with short time survival. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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