Functional outcome of pathologic fracture secondary to malignant disease in a rehabilitation hospital.

Abstract:

:Fifty-eight patients with 62 pathologic fractures secondary to metastatic disease were admitted to a rehabilitation hospital during a 5-year period. Thirty-four patients were discharged home, 7 were transferred to other facilities, and 17 died. The average hospital stay for the patients who went home (37 days) was only 3 days longer than for patients with nonpathologic fractures. No patient could transfer independently or ambulate at the time of admission, but 26 and 23, respectively, could do so by the time of discharge; 27 patients showed significant improvement in their ability to perform activities of daily living as measured by Kenny scores. All 11 patients who had hypercalcemia died. Eleven of 13 patients requiring parenteral narcotics died. Patients with pathologic fractures secondary to metastatic disease are excellent candidates for intensive rehabilitation programs, but hypercalcemia and administration of parenteral narcotics suggest a poor rehabilitation outcome.

journal_name

Cancer

journal_title

Cancer

authors

Bunting RW,Boublik M,Blevins FT,Dame CC,Ford LA,Lavine LS

doi

10.1002/1097-0142(19920101)69:1<98::aid-cncr282069

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

98-102

issue

1

eissn

0008-543X

issn

1097-0142

journal_volume

69

pub_type

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