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
Cancerjournal_title
Cancerauthors
Bunting RW,Boublik M,Blevins FT,Dame CC,Ford LA,Lavine LSdoi
10.1002/1097-0142(19920101)69:1<98::aid-cncr282069subject
Has Abstractpub_date
1992-01-01 00:00:00pages
98-102issue
1eissn
0008-543Xissn
1097-0142journal_volume
69pub_type
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