Cost-utility of osteoarticular allograft versus endoprosthetic reconstruction for primary bone sarcoma of the knee: A markov analysis

2017 ◽  
Vol 115 (3) ◽  
pp. 257-265 ◽  
Author(s):  
Robert J. Wilson ◽  
Lina M. Sulieman ◽  
Jacob P. VanHouten ◽  
Jennifer L. Halpern ◽  
Herbert S. Schwartz ◽  
...  
2018 ◽  
Vol 100-B (5) ◽  
pp. 652-661 ◽  
Author(s):  
J. M. Lawrenz ◽  
J. F. Styron ◽  
M. Parry ◽  
R. J. Grimer ◽  
N. W. Mesko

Aims The primary aim of this study was to determine the effect of the duration of symptoms (DOS) prior to diagnosis on the overall survival in patients with a primary bone sarcoma. Patients and Methods In a retrospective analysis of a sarcoma database at a single institution between 1990 and 2014, we identified 1446 patients with non-metastatic and 346 with metastatic bone sarcoma. Low-grade types of tumour were excluded. Our data included the demographics of the patients, the characteristics of the tumour, and the survival outcome of patients. Cox proportional hazards analysis and Kaplan–Meier survival analysis were performed, and the survivorship of the non-metastatic and metastatic cohorts were compared. Results In the non-metastatic cohort, a longer DOS was associated with a slightly more favourable survival (hazard ratio (HR) 0.996, 95% confidence interval (CI) 0.994 to 0.998, p < 0.001). In all types of tumour, there was no difference in survival between patients with a DOS of greater than four months and those with a DOS of less than four months (p = 0.566). There was no correlation between the year of diagnosis and survival (p = 0.741). A diagnosis of chondrosarcoma (HR 0.636, 95% CI 0.474 to 0.854, p = 0.003) had the strongest positive effect on survival, while location in the axial skeleton (HR 1.76, 95% CI 1.36 to 2.29, p < 0.001) had the strongest negative effect on survival. Larger size of tumour (HR 1.05, 95% CI 1.03 to 1.06, p < 0.001) and increased age of the patient (HR 1.02, 95% CI 1.01 to 1.03, p < 0.001) had a slightly negative effect on survival. Metastatic and non-metastatic cohorts had similar median DOS (16 weeks, p = 0.277), although the median survival (15.5 months vs 41 months) and rates of survival at one year (69% vs 89%) and five years (20% vs 59%) were significantly shorter in the metastatic cohort. Conclusion A longer DOS prior to diagnosis is not associated with a poorer overall survival in patients with a primary bone sarcoma. Location in the axial skeleton remains the strongest predictor of a worse prognosis. This may be helpful in counselling patients referred for evaluation on a delayed basis. Cite this article: Bone Joint J 2018;100-B:652–61.


1998 ◽  
Vol 5 (5) ◽  
pp. 423-436 ◽  
Author(s):  
S. John Ham ◽  
Heimen Schraffordt Koops ◽  
René P. H. Veth ◽  
Jim R. van Horn ◽  
Willemina M. Molenaar ◽  
...  

2012 ◽  
Vol 106 (3) ◽  
pp. 273-279 ◽  
Author(s):  
Shinji Miwa ◽  
Junichi Taki ◽  
Norio Yamamoto ◽  
Toshiharu Shirai ◽  
Hideji Nishida ◽  
...  

2011 ◽  
Vol 37 (6) ◽  
pp. 532-536 ◽  
Author(s):  
C.R. Chandrasekar ◽  
R.J. Grimer ◽  
S.R. Carter ◽  
R.M. Tillman ◽  
A.T. Abudu ◽  
...  

2011 ◽  
Vol 57 (1) ◽  
pp. 1-4 ◽  
Author(s):  
A D Duckworth ◽  
I Beggs ◽  
D M Salter ◽  
J T Patton ◽  
D E Porter

2017 ◽  
Vol 11 (1) ◽  
pp. 479-485 ◽  
Author(s):  
Harpreet S. Bawa ◽  
Drew D. Moore ◽  
Juan C. Pelayo ◽  
Nicole Cipriani ◽  
Grace Mak ◽  
...  

Background: Chondrosarcomas are a heterogeneous group of malignant neoplasms that arise from bones, cartilage or other soft tissues that produce cartilage and are commonly seen in the middle decades of life. Despite being the most common primary bone sarcoma in adults, chondrosacromas are rare in pediatric patients. Case Report: We report the case of a six-year-old child with a painless enlarging sternal mass of which biopsy was consistent with low-grade surface chondrosarcoma. This is the first reported case of a chest wall chondrosarcoma in a young child. This unusual location in a young patient presented challenges to treatment. Resection of the manubrium was performed by a multidisciplinary team of orthopaedic oncology and pediatric general surgery. The patient underwent a wide resection of the sternal mass from an anterior approach performed by the orthopaedic oncology team using an oscillating saw under video-assisted thoracoscopic surgery to ensure adequate mass resection without injury to nearby structures. The patient was followed with quarterly physical exams and radiographs for 18 months postoperatively and did not have any pain or evidence of recurrence. Conclusion: Clinicians should consider utilizing multidisciplinary approaches to treat patients with chondrosarcomas of the chest wall.


1942 ◽  
Vol Original Series, Volume 23 (4) ◽  
pp. 387-412
Author(s):  
R. Eker ◽  
E. Poppe

2011 ◽  
Vol 29 (15_suppl) ◽  
pp. 10035-10035
Author(s):  
S. Miwa ◽  
T. Shirai ◽  
J. Taki ◽  
N. Yamamoto ◽  
H. Nishida ◽  
...  

1994 ◽  
Vol 190 (1) ◽  
pp. 51-60 ◽  
Author(s):  
J. Lamovec ◽  
A. Zidar ◽  
M. Brako ◽  
Rastko Golouh

Sign in / Sign up

Export Citation Format

Share Document