Can Orthopedic Oncologists Predict Functional Outcome in Patients with Sarcoma after Limb Salvage Surgery in the Lower Limb? A Nationwide Study
Joint Authors
van de Sande, Michiel A. J.
Kolk, Sjoerd
Cox, Kevin
Weerdesteyn, Vivian
Hannink, Gerjon
Bramer, Jos
Dijkstra, Sander
Jutte, Paul
Ploegmakers, Joris
Schreuder, Hendrik
Verdonschot, Nico
van der Geest, Ingrid
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2013), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-17
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Accurate predictions of functional outcome after limb salvage surgery (LSS) in the lower limb are important for several reasons, including informing the patient preoperatively and, in some cases, deciding between amputation and LSS.
This study aimed to elucidate the correlation between surgeon-predicted and patient-reported functional outcome of LSS in the Netherlands.
Twenty-three patients (between six months and ten years after surgery) and five independent orthopedic oncologists completed the Toronto Extremity Salvage Score (TESS) and the RAND-36 physical functioning subscale (RAND-36 PFS).
The orthopedic oncologists made their predictions based on case descriptions (including MRI scans) that reflected the preoperative status.
The correlation between patient-reported and surgeon-predicted functional outcome was “very poor” to “poor” on both scores ( r 2 values ranged from 0.014 to 0.354).
Patient-reported functional outcome was generally underestimated, by 8.7% on the TESS and 8.3% on the RAND-36 PFS.
The most difficult and least difficult tasks on the RAND-36 PFS were also the most difficult and least difficult to predict, respectively.
Most questions had a “poor” intersurgeon agreement.
It was difficult to accurately predict the patient-reported functional outcome of LSS.
Surgeons’ ability to predict functional scores can be improved the most by focusing on accurately predicting more demanding tasks.
American Psychological Association (APA)
Kolk, Sjoerd& Cox, Kevin& Weerdesteyn, Vivian& Hannink, Gerjon& Bramer, Jos& Dijkstra, Sander…[et al.]. 2014. Can Orthopedic Oncologists Predict Functional Outcome in Patients with Sarcoma after Limb Salvage Surgery in the Lower Limb? A Nationwide Study. Complexity،Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1047447
Modern Language Association (MLA)
Kolk, Sjoerd…[et al.]. Can Orthopedic Oncologists Predict Functional Outcome in Patients with Sarcoma after Limb Salvage Surgery in the Lower Limb? A Nationwide Study. Complexity Vol. 2014, no. 2014 (2013), pp.1-11.
https://search.emarefa.net/detail/BIM-1047447
American Medical Association (AMA)
Kolk, Sjoerd& Cox, Kevin& Weerdesteyn, Vivian& Hannink, Gerjon& Bramer, Jos& Dijkstra, Sander…[et al.]. Can Orthopedic Oncologists Predict Functional Outcome in Patients with Sarcoma after Limb Salvage Surgery in the Lower Limb? A Nationwide Study. Complexity. 2014. Vol. 2014, no. 2014, pp.1-11.
https://search.emarefa.net/detail/BIM-1047447
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047447