Objective clinical measurement of physical functioning after treatment for lower extremity sarcoma – A systematic review

Furtado, Sherron; Errington, Linda; Godfrey, Alan; Rochester, Lynn; Gerrand, Craig

doi:10.1016/j.ejso.2016.10.002

Cited by 21 publications

(48 citation statements)

References 50 publications

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“…Several methods for assessing FO have been described, including subjective and objective measures 2–4. Functional outcome measures should be valid, reliable, accurate, and clinically meaningful for the population in which the measurement is made 5,6.…”

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confidence: 99%

“…Tang et al3 investigated quality-of-life studies in adult extremity sarcomas (also including upper extremities and bone sarcomas) and all quality-of-life studies. Furtado et al2 reviewed physical functioning after treatment for lower- and upper-extremity sarcoma patients, including both bone and soft tissue sarcoma (STS). Only objective measures investigating postural balance, gait, and physical activity were included.…”

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confidence: 99%

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Functional Outcome Measurement in Patients with Lower-Extremity Soft Tissue Sarcoma: A Systematic Literature Review

et al. 2019

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BackgroundThe importance of functional outcome (FO) in the treatment of patients with extremity soft tissue sarcoma (STS) has been increasingly recognized in the last three decades. This systematic review aimed to investigate how FO is measured in surgically treated lower-extremity STS patients.MethodsA systematic search of PubMed, Web of Science, and Scopus was performed based on the PRISMA guidelines. The methodologic quality of the publications was measured using the MINORS tool. The results from the included studies examining measurement types, measures, and time of FO measurement were compiled. The FO pooled mean and standard deviation were calculated as a weighted average for the groups. The validity of the applied measures is reported.ResultsThe literature search found 3461 publications, 37 of which met the inclusion criteria. The measurement types used were clinician-reported outcomes (n = 27), patient-reported outcomes (n = 20), and observer-reported outcomes (n = 2). The most frequently used measures were the Toronto Extremity Salvage Score (TESS) (n = 16) and the Musculoskeletal Tumor Society (MSTS) score 1993 (n = 12). The postoperative FO was relatively good. The pooled mean TESS and MSTS 1993 scores were respectively 83.3 and 86.2 (out of 100). Of the 10 previously reported measures, 3 provide validated FO scores. The methodologic quality of publications was generally low.ConclusionsBased on this systematic review, several different methods exist for assessing FO in patients with lower-extremity sarcoma. The most frequently used measure is a validated TESS. The postoperative FO of patients with lower-extremity STS seems to increase to the preoperative baseline level during long-term follow-up evaluation.

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Functional Outcome Measurement in Patients with Lower-Extremity Soft Tissue Sarcoma: A Systematic Literature Review

et al. 2019

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“…1). Recruited patients included those who were treated for bone (21) or soft tissue tumors (13) in the femur/thigh (19), pelvis/hip (3), tibia/leg (9), or ankle/foot (3). Twenty-seven had limb-sparing surgery and seven patients underwent amputation and median time from surgery was 79 months (minimum -maximum, 33-108 months).…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, difficulties in interpreting results can complicate rehabilitation delivery [25]. Objective functional assessments are therefore potentially useful after sarcoma treatment [19]. Simple tests of balance, gait, or other composite measures, such as the timed up and go (TUG) test, may reflect objective physical capability and fall risk [29,37,56].…”

Section: Introductionmentioning

confidence: 99%

“…Despite this, there remains a deficit of valid and reliable objective balance and gait assessments for these patients [19]. A low-cost, accelerometer-based, body-worn monitor has been able to provide valid objective balance and gait data in other patient cohorts [13,23,27,42] and could be of value for monitoring and guiding rehabilitation of sarcoma patients.…”

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confidence: 99%

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Are Accelerometer-based Functional Outcome Assessments Feasible and Valid After Treatment for Lower Extremity Sarcomas?

Furtado

Godfrey

Din

et al. 2019

Clin Orthop Relat Res

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All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research ® neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

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Determining functional outcomes after resection and reconstruction of primary soft tissue sarcoma in the lower extremity: A review of current subjective and objective measurement systems

Wiffen

Mah

2023

Journal of Surgical Oncology

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The surgical management of soft‐tissue sarcoma has evolved significantly over the last two decades due to the routine use of adjunct therapies, with an increased focus on postoperative functional outcome. The literature suffers from methodological inconsistency and use of low quality outcome measures to assess an already heterogeneous population. This article aims to review the most frequently used subjective and objective methods of functional outcome assessment and highlight the current benefits and limitations of these.

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Objective clinical measurement of physical functioning after treatment for lower extremity sarcoma – A systematic review

Cited by 21 publications

References 50 publications

Functional Outcome Measurement in Patients with Lower-Extremity Soft Tissue Sarcoma: A Systematic Literature Review

Functional Outcome Measurement in Patients with Lower-Extremity Soft Tissue Sarcoma: A Systematic Literature Review

Are Accelerometer-based Functional Outcome Assessments Feasible and Valid After Treatment for Lower Extremity Sarcomas?

Determining functional outcomes after resection and reconstruction of primary soft tissue sarcoma in the lower extremity: A review of current subjective and objective measurement systems

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