The Scandinavian Sarcoma Group skeletal metastasis register -: Survival after surgery for bone metastases in the pelvis and extremities

The Scandinavian Sarcoma Group skeletal metastasis register -: Survival after surgery for bone metastases in the pelvis and extremities
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DOI:
10.1080/00016470410001708270
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发表时间:
2004-04-01
期刊:
ACTA ORTHOPAEDICA SCANDINAVICA
影响因子:
--
通讯作者:
Wedin, R
Wedin, R
中科院分区:
其他
文献类型:
--
作者:
Hansen, BH;Keller, J;Wedin, R

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近年来,越来越多的注意力已经转向改善姑息治疗的癌症患者骨转移。手术治疗的目的是消除疼痛并维持功能,以提高生活质量。目前的手术治疗建议主要基于单个机构的回顾性研究(Yazawa等,1990; Bono等,1991; Yamashita等,1993; Smith等,1997; Dürr等,1998和2002; Wedin等,1999),但这些患者系列通常较小,且收集时间较长。由于发病率和治疗方法的不同,大多数研究涉及脊柱骨转移或四肢骨转移。自1986年以来,SSG一直保持肉瘤登记,并于1999年开始进行骨转移登记,对长骨和骨盆骨转移手术患者进行前瞻性登记。在这第一份报告中,我们分析了可能影响生存的预后因素,在一组患者手术治疗的9个SSG中心(表1)。
During recent years, more attention has been directed towards improving palliative care for cancer patients with skeletal metastases. The aim of surgical treatment is to remove pain and maintain function for improved quality of life. Current operative treatment recommendations are mainly based on retrospective studies of single institutions (Yazawa et al. 1990, Bono et al. 1991, Yamashita et al. 1993, Smith et al. 1997, Dürr et al. 1998 and 2002, Wedin et al. 1999), but these patient series are often small and collected during a long period of time. Most studies deal with either bone metastasis in the spine or bone metastasis in the extremities due to differences in morbidity and treatment. SSG has since 1986 maintained a sarcoma register and in 1999 the Skeletal Metastasis Register was started with prospective registration of patients operated for skeletal metastases in the long bones and pelvis. In this first report we analyse possible prognostic factors affecting survival in a group of patients surgically treated in 9 SSG centres (Table 1).