Functional outcome after surgery in patients with bone sarcoma around the knee; results from a long‐term prospective study

Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descript...

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Veröffentlicht in:Journal of surgical oncology 2017-06, Vol.115 (8), p.1028-1032
Hauptverfasser: van Egmond‐van Dam, Janneke C., Bekkering, W. Peter, Bramer, Jos A.M., Beishuizen, Auke, Fiocco, Marta, Dijkstra, P.D. Sander
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container_end_page 1032
container_issue 8
container_start_page 1028
container_title Journal of surgical oncology
container_volume 115
creator van Egmond‐van Dam, Janneke C.
Bekkering, W. Peter
Bramer, Jos A.M.
Beishuizen, Auke
Fiocco, Marta
Dijkstra, P.D. Sander
description Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descriptive study was to evaluate the functional outcome of these patients at long‐term follow‐up of 7 years. Methods Functional outcome was assessed with the TESS, MSTS, Baecke questionnaire, and three functional performance tests: time up and down stairs (TUDS), various walking activities (VWA), and the 6‐min walking test (6MWT). Linear Mixed Model has been employed for the repeated measurements. Results Twenty patients of the original study (n = 44) participated in the current study. Fifteen limb‐salvage and five ablative surgery patients, median follow‐up 7.4 years (6.8‐8.0) (CI 95%), mean age 22.3 years (18.2‐31.6). Between 2 and 7 years after surgery, 8 limb‐salvage patients (53%) encountered surgery related complications. Questionnaires and functional performance tests showed no significant difference in functional outcome between 2 years and 7 years after surgery (P 
doi_str_mv 10.1002/jso.24618
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Peter ; Bramer, Jos A.M. ; Beishuizen, Auke ; Fiocco, Marta ; Dijkstra, P.D. Sander</creator><creatorcontrib>van Egmond‐van Dam, Janneke C. ; Bekkering, W. Peter ; Bramer, Jos A.M. ; Beishuizen, Auke ; Fiocco, Marta ; Dijkstra, P.D. Sander</creatorcontrib><description>Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descriptive study was to evaluate the functional outcome of these patients at long‐term follow‐up of 7 years. Methods Functional outcome was assessed with the TESS, MSTS, Baecke questionnaire, and three functional performance tests: time up and down stairs (TUDS), various walking activities (VWA), and the 6‐min walking test (6MWT). Linear Mixed Model has been employed for the repeated measurements. Results Twenty patients of the original study (n = 44) participated in the current study. Fifteen limb‐salvage and five ablative surgery patients, median follow‐up 7.4 years (6.8‐8.0) (CI 95%), mean age 22.3 years (18.2‐31.6). Between 2 and 7 years after surgery, 8 limb‐salvage patients (53%) encountered surgery related complications. Questionnaires and functional performance tests showed no significant difference in functional outcome between 2 years and 7 years after surgery (P &lt; 0.05). Conclusions Between 2 years and follow‐up at average 7 years after surgery no further improvements were noticed at young patients with a bone sarcoma located around the knee.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.24618</identifier><identifier>PMID: 28384378</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Bone cancer ; Bone Neoplasms - mortality ; Bone Neoplasms - pathology ; Bone Neoplasms - surgery ; Cancer surgery ; Child ; Female ; Follow-Up Studies ; follow‐up ; functional outcome ; Humans ; Knee ; Knee Joint ; Limb Salvage ; Male ; malignant bone sarcoma ; Osteosarcoma - mortality ; Osteosarcoma - pathology ; Osteosarcoma - surgery ; Prospective Studies ; Recovery of Function ; Sarcoma ; Time Factors ; Treatment Outcome ; Walking ; Young Adult ; young patients</subject><ispartof>Journal of surgical oncology, 2017-06, Vol.115 (8), p.1028-1032</ispartof><rights>2017 The Authors. Published by Wiley Periodicals, Inc.</rights><rights>2017 The Authors. Journal of Surgical Oncology Published by Wiley Periodicals, Inc.</rights><rights>2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4438-5e88d7637c53376ba29659f933ecf24ddd636fc875a28be7c2830ebd0d34288e3</citedby><cites>FETCH-LOGICAL-c4438-5e88d7637c53376ba29659f933ecf24ddd636fc875a28be7c2830ebd0d34288e3</cites><orcidid>0000-0001-7289-1226</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.24618$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.24618$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28384378$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Egmond‐van Dam, Janneke C.</creatorcontrib><creatorcontrib>Bekkering, W. Peter</creatorcontrib><creatorcontrib>Bramer, Jos A.M.</creatorcontrib><creatorcontrib>Beishuizen, Auke</creatorcontrib><creatorcontrib>Fiocco, Marta</creatorcontrib><creatorcontrib>Dijkstra, P.D. Sander</creatorcontrib><title>Functional outcome after surgery in patients with bone sarcoma around the knee; results from a long‐term prospective study</title><title>Journal of surgical oncology</title><addtitle>J Surg Oncol</addtitle><description>Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descriptive study was to evaluate the functional outcome of these patients at long‐term follow‐up of 7 years. Methods Functional outcome was assessed with the TESS, MSTS, Baecke questionnaire, and three functional performance tests: time up and down stairs (TUDS), various walking activities (VWA), and the 6‐min walking test (6MWT). Linear Mixed Model has been employed for the repeated measurements. Results Twenty patients of the original study (n = 44) participated in the current study. Fifteen limb‐salvage and five ablative surgery patients, median follow‐up 7.4 years (6.8‐8.0) (CI 95%), mean age 22.3 years (18.2‐31.6). Between 2 and 7 years after surgery, 8 limb‐salvage patients (53%) encountered surgery related complications. Questionnaires and functional performance tests showed no significant difference in functional outcome between 2 years and 7 years after surgery (P &lt; 0.05). Conclusions Between 2 years and follow‐up at average 7 years after surgery no further improvements were noticed at young patients with a bone sarcoma located around the knee.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bone cancer</subject><subject>Bone Neoplasms - mortality</subject><subject>Bone Neoplasms - pathology</subject><subject>Bone Neoplasms - surgery</subject><subject>Cancer surgery</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>follow‐up</subject><subject>functional outcome</subject><subject>Humans</subject><subject>Knee</subject><subject>Knee Joint</subject><subject>Limb Salvage</subject><subject>Male</subject><subject>malignant bone sarcoma</subject><subject>Osteosarcoma - mortality</subject><subject>Osteosarcoma - pathology</subject><subject>Osteosarcoma - surgery</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Sarcoma</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Walking</subject><subject>Young Adult</subject><subject>young patients</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAQxy0EotvCgRdAlrjQQ1p_JI4tpEqoonyoUg_A2XLsyW6WxA523GolDjwCz8iTYNhSARInH-Y3P8_MH6EnlJxQQtjpNoUTVgsq76EVJUpUiih5H61KjVV1q8gBOkxpSwhRStQP0QGTXNa8lSv05SJ7uwzBmxGHvNgwATb9AhGnHNcQd3jweDbLAH5J-GZYNrgLHnAysbAGmxiyd3jZAP7kAV7gCCmPBe1jmLDBY_Dr71-_FeGE5xjSDOW369K_ZLd7hB70Zkzw-PY9Qh8vXn04f1NdXr1-e_7ysrJ1zWXVgJSuFby1Deet6AxTolG94hxsz2rnnOCit7JtDJMdtLasR6BzxPGaSQn8CJ3tvXPuJnC27BLNqOc4TCbudDCD_rvih41eh2vdNFRQ0RTB81tBDJ8zpEVPQ7IwjsZDyElTKRvVlMvLgj77B92GHMt5C6UoY4JL0hbqeE_ZcpMUob8bhhL9M1NdMtW_Mi3s0z-nvyN_h1iA0z1wM4yw-79Jv3t_tVf-ADMRr1g</recordid><startdate>20170615</startdate><enddate>20170615</enddate><creator>van Egmond‐van Dam, Janneke C.</creator><creator>Bekkering, W. Peter</creator><creator>Bramer, Jos A.M.</creator><creator>Beishuizen, Auke</creator><creator>Fiocco, Marta</creator><creator>Dijkstra, P.D. Sander</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7289-1226</orcidid></search><sort><creationdate>20170615</creationdate><title>Functional outcome after surgery in patients with bone sarcoma around the knee; results from a long‐term prospective study</title><author>van Egmond‐van Dam, Janneke C. ; Bekkering, W. Peter ; Bramer, Jos A.M. ; Beishuizen, Auke ; Fiocco, Marta ; Dijkstra, P.D. Sander</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4438-5e88d7637c53376ba29659f933ecf24ddd636fc875a28be7c2830ebd0d34288e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bone cancer</topic><topic>Bone Neoplasms - mortality</topic><topic>Bone Neoplasms - pathology</topic><topic>Bone Neoplasms - surgery</topic><topic>Cancer surgery</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>follow‐up</topic><topic>functional outcome</topic><topic>Humans</topic><topic>Knee</topic><topic>Knee Joint</topic><topic>Limb Salvage</topic><topic>Male</topic><topic>malignant bone sarcoma</topic><topic>Osteosarcoma - mortality</topic><topic>Osteosarcoma - pathology</topic><topic>Osteosarcoma - surgery</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Sarcoma</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Walking</topic><topic>Young Adult</topic><topic>young patients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Egmond‐van Dam, Janneke C.</creatorcontrib><creatorcontrib>Bekkering, W. Peter</creatorcontrib><creatorcontrib>Bramer, Jos A.M.</creatorcontrib><creatorcontrib>Beishuizen, Auke</creatorcontrib><creatorcontrib>Fiocco, Marta</creatorcontrib><creatorcontrib>Dijkstra, P.D. Sander</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Egmond‐van Dam, Janneke C.</au><au>Bekkering, W. Peter</au><au>Bramer, Jos A.M.</au><au>Beishuizen, Auke</au><au>Fiocco, Marta</au><au>Dijkstra, P.D. Sander</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Functional outcome after surgery in patients with bone sarcoma around the knee; results from a long‐term prospective study</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J Surg Oncol</addtitle><date>2017-06-15</date><risdate>2017</risdate><volume>115</volume><issue>8</issue><spage>1028</spage><epage>1032</epage><pages>1028-1032</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descriptive study was to evaluate the functional outcome of these patients at long‐term follow‐up of 7 years. Methods Functional outcome was assessed with the TESS, MSTS, Baecke questionnaire, and three functional performance tests: time up and down stairs (TUDS), various walking activities (VWA), and the 6‐min walking test (6MWT). Linear Mixed Model has been employed for the repeated measurements. Results Twenty patients of the original study (n = 44) participated in the current study. Fifteen limb‐salvage and five ablative surgery patients, median follow‐up 7.4 years (6.8‐8.0) (CI 95%), mean age 22.3 years (18.2‐31.6). Between 2 and 7 years after surgery, 8 limb‐salvage patients (53%) encountered surgery related complications. Questionnaires and functional performance tests showed no significant difference in functional outcome between 2 years and 7 years after surgery (P &lt; 0.05). Conclusions Between 2 years and follow‐up at average 7 years after surgery no further improvements were noticed at young patients with a bone sarcoma located around the knee.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28384378</pmid><doi>10.1002/jso.24618</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-7289-1226</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Bone cancer
Bone Neoplasms - mortality
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Cancer surgery
Child
Female
Follow-Up Studies
follow‐up
functional outcome
Humans
Knee
Knee Joint
Limb Salvage
Male
malignant bone sarcoma
Osteosarcoma - mortality
Osteosarcoma - pathology
Osteosarcoma - surgery
Prospective Studies
Recovery of Function
Sarcoma
Time Factors
Treatment Outcome
Walking
Young Adult
young patients
title Functional outcome after surgery in patients with bone sarcoma around the knee; results from a long‐term prospective study
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