Quality of Life of Patients With Sarcoma After Conservative Surgery or Amputation of Limbs

Silva, Rogerio Santos; Guilhem, Dirce; Batista, Katia Torres; Tabet, Livia Penna

doi:10.1590/1413-785220192705219143

Cited by 12 publications

(13 citation statements)

References 25 publications

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“…In the perception of quality of life, only constipation was higher in amputees than in those undergoing conservative surgery. According to data by Silva et al, ( 10 there are no publications so far in patients with sarcoma, which may justify such findings. Wickham 24 in a review study concluded that constipation is common in cancer patients and its frequency is high in those with advanced disease and using opiate drugs to treat pain.…”

Section: Discussionmentioning

confidence: 90%

“…The scientific production on quality of life of patients with sarcoma is small. Silva et al ( 10 ) in an integrative review on quality of life in sarcoma patients undergoing different types of surgery (amputation versus conservative) found only ten studies in the main databases (LILACS, SciELO, Pepsic, EMBASE and PubMed). No Brazilian studies had been published.…”

Section: Discussionmentioning

confidence: 99%

“…In the present study, amputation surgery was more common. Silva et al, ( 10 in their integrative review, observed that the number of patients undergoing amputation was similar to conservative surgery; however, in the last publications, there was a tendency to prioritize conservative surgery when possible. ( 12 ), ( 21 …”

Section: Discussionmentioning

confidence: 99%

“…In our study, only two participants presented symptoms of severe depression in the conservative surgery group, and were already being treated with specialists. In the review by Silva et al, ( 10 among the ten studies found, only two investigated the association of psychological aspects using specific instruments. Ottaviani et al, ( 3 in a study with osteosarcoma survivors, did not observe differences related to psychological or depressive aspects between groups (amputated and non-amputated).…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life in Adults With Sarcomas Under Conservative Surgery or Amputation

Silva

Tabet²,

Batista³

et al. 2020

Acta ortop. bras.

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Objective: To understand the perception of quality of life, functionality, and psychological aspects of adults with lower limb sarcoma who underwent conservative surgery or amputation. Methods: Sociodemographic data were collected, and the following questionnaires were used: EORTC QLQ - C30 for quality of life, the Functional Assessment System (MSTS) for functionality and the Beck Depression Inventory (BDI) for depression symptoms. Results: The sample consisted of 45 young adults with sarcoma, divided into two groups: amputation (29) and conservative surgery (16). Most were male, single and students. Average family income before and after the disease did not differ, but those that were employed had a better perception of general quality of life, as well as those with higher family income after the disease. Regarding the type of surgery, there was a predominance of amputation; osteosarcoma was the most common histological type and the most affected region was the femur. All participants participated in social, cultural, sporting or religious activities. MSTS and Beck scale values did not differ between procedures. Conclusion: Given the scarcity of studies on the subject at the national level, further investigations are suggested to explore aspects related to quality of life for patients with sarcomas. Level of Evidence III, Retrospective comparative study.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Quality of Life in Adults With Sarcomas Under Conservative Surgery or Amputation

Silva

Tabet²,

Batista³

et al. 2020

Acta ortop. bras.

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“…Functional impairment in a postoperative state occurs according to the degree of resected tissue. Thus, appropriate rehabilitation is required to achieve good activities of daily living (ADL) and quality of life outcomes [2,3].…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation of periscapular malignant soft-tissue tumors after partial scapulectomy, wide resection and split-thickness skin grafting: A case report

Fujimoto¹,

Tamiya²

2021

Phys Ther Rehabil

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Background: Wide resection of malignant bone and soft-tissue tumors of the extremities may impair the functions of the affected limbs. Partial scaplectomy affects shoulder movements, resulting in disabilities that interfere with activities of daily living. Methods: Rehabilitation treatment of a man in his 70s with periscapular malignant soft-tissue tumors subjected to extensive resection with partial scapular resection and split-thickness skin grafting was conducted. Postoperative rehabilitation included early mobilization, range of motion exercises, strength training of the residual muscles, and activities of daily living training. Rehabilitation assessments of physical function, patient-based outcomes, and quality of life were performed preoperatively and at 1, 3, 6 months and 1 year postoperatively. Results: Preoperative function of the affected limb was determined to be 86.7% using the Musculoskeletal Tumor Society Rating Scale score (MSTS), 97.4% using the Toronto Extremity Salvage Score (TESS), and mildly limited in shoulder elevation. The patient was discharged from the hospital approximately 1 month postoperatively. Postoperative shoulder elevation was less than half of the preoperative level, with MSTS in the 30-40% range and TESS in the 60-70% range. Postoperatively, the patient could perform activities of daily living independently, but only with the use of compensatory movements and devices distal to the elbow. Conclusions: After wide tumor resection with loss of skeletal and muscular structures around the shoulder joint including the scapula, postoperative rehabilitation may require maintenance of shoulder immobilization with the residual muscles and efficient use of modified movements distal to the elbow to achieve better function in real-life situations.

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Uncovering the gaps: A systematic mixed studies review of quality of life measures in extremity soft tissue sarcoma

Hassani

Mate

Turcotte

et al. 2023

Journal of Surgical Oncology

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Quality of Life of Patients With Sarcoma After Conservative Surgery or Amputation of Limbs

Cited by 12 publications

References 25 publications

Quality of Life in Adults With Sarcomas Under Conservative Surgery or Amputation

Quality of Life in Adults With Sarcomas Under Conservative Surgery or Amputation

Rehabilitation of periscapular malignant soft-tissue tumors after partial scapulectomy, wide resection and split-thickness skin grafting: A case report

Uncovering the gaps: A systematic mixed studies review of quality of life measures in extremity soft tissue sarcoma

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