Prosthetic replacement surgery for bone tumours – cure at less cost?

Craft, A W

doi:10.1038/bjc.1991.42

Cited by 6 publications

(6 citation statements)

References 15 publications

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“…35,47 Conversely, Craft et al contended that hospitalisations, complications and revisions associated with endoprosthetic surgery would likely cost more than amputation in the long-term. 50 One study of recurrent STS found no difference in costs for amputees compared with non-amputees after 24 months. However, their study excluded prosthesis-related costs.…”

Section: Care After Initial Treatment and Recoverymentioning

confidence: 99%

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The impact of cost on quality of surgical management in non-metastatic extremity sarcoma: A cross-country narrative literature review with a systematic approach

Kuek

Schilling

Choong

2023

J Orthop Surg (Hong Kong)

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Background: Extremity sarcoma surgery entails significant costs for patients, governments and insurers. Multiple studies have described individual costs, however, the overall impact of cost on the quality of surgical care remains unclear. Objectives: A narrative review with a systematic approach was undertaken to compare the impact of cost on the quality of extremity sarcoma care across low-middle-income and high-income countries. Data Sources: MEDLINE, EMBASE, Cochrane, PsycInfo, DARE, NHS-EED, HTA. Methods: A systematic search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Inclusion criteria were: discussion of costs and the surgical management of primary extremity sarcoma. There were no restrictions on study design, publication type, date, geographic location or publication status. A data extraction table was used to identify study location, type and findings. Results: 1012 studies were retrieved and 44 met the inclusion criteria. Four additional studies were identified from the reference lists of included articles. 27 studies were published in high-income countries (HIC) including all four full health economic analyses and 20 studies were published in low-middle income countries (LMC). Within LMC, cost impeded access to diagnosis, resection and options for reconstruction. In HIC, cost varied with choice of management, particularly during the long-term postoperative period. Conclusions: Within LMC, cost impaired the provision of quality, curative care for patients with extremity sarcoma. Within HIC, while costs varied with chosen management, they were not prohibitive to the provision of quality care. Further research is required, specific to both socioeconomic contexts, to further describe the long-term cost-utility of different methods for the surgical management of extremity sarcoma.

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Section: Care After Initial Treatment and Recoverymentioning

confidence: 99%

“…25 Skeletally immature children need expandable endoprostheses and regular lengthening procedures. 35,50 Expandable endoprostheses may require lengthening procedures (minimally invasive) or may be capable of non-operative expansion (noninvasive). In the USA, one study compared the costs of expandable implants.…”

Section: Care After Initial Treatment and Recoverymentioning

confidence: 99%

The impact of cost on quality of surgical management in non-metastatic extremity sarcoma: A cross-country narrative literature review with a systematic approach

Kuek

Schilling

Choong

2023

J Orthop Surg (Hong Kong)

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“…Fizioterapeut ima ulogu educirati pacijenta o novonastaloj situaciji i njezinu utjecaju na svakodnevicu. Također, fizioterapeut i ostali članovi medicinskog tima u obzir moraju uzeti pacijentov osjet, bol, stabilnost, deformitet, snagu, funkcionalnu aktivnost i emocije 17 . Većina pacijenata nakon amputacije mora se naviknuti na nošenje proteze te je tu potrebno uzeti u obzir dug period prilagodbe.…”

Section: Fizioterapija U Onkologijiunclassified

“…Sama amputacija rezultirat će kraćim boravkom u bolnici te bržim počet-kom rehabilitacije. Pacijent će biti u mogućnosti uključiti se u razne oblike aktivnosti, doduše, uz ograničenja, ali bit će sposoban izvoditi sve one aktivnosti koje osjeća da može 17 . Svaka osoba gubitak uda doživljava na svoj način, ali svima je zajedničko da se dogodi velika promjena u kratkom vremenskom periodu, kojoj se mo-survival.…”

Section: Fizioterapija Kod Osoba S Ewingovim Sarkomomunclassified

Ewingov sarkom i fizioterapija kao dio medicinskog tretmana u rehabilitaciji onkoloških bolesnika

Gudlin¹

2015

JAHS

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“…Survival from bone sarcomas has improved, again with advances in chemotherapy, though even now possibly only half the patients with these tumours will enjoy long, disease free survival. This has happened concurrently, with the increasing success of limb reconstructive surgery,3 which is justifiable on clinical and financial grounds, though its contribution to long term quality of life is not yet certain. For several types of cancer, notably sarcomas and germ cell tumours, the current aim is to maintain the high survival rate in subgroups with a good prognosis with less toxic treatment while intensifying treatment for those with poor prognostic features.…”

mentioning

confidence: 99%

Cancer in adolescence

Stiller¹

1994

BMJ

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Prosthetic replacement surgery for bone tumours – cure at less cost?

Cited by 6 publications

References 15 publications

The impact of cost on quality of surgical management in non-metastatic extremity sarcoma: A cross-country narrative literature review with a systematic approach

The impact of cost on quality of surgical management in non-metastatic extremity sarcoma: A cross-country narrative literature review with a systematic approach

Ewingov sarkom i fizioterapija kao dio medicinskog tretmana u rehabilitaciji onkoloških bolesnika

Cancer in adolescence

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