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 |
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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 |
format | Article |
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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 < 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 < 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 & 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 < 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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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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