Trends in the surgical treatment of pathological proximal femur fractures in the United States.

Abstract:

BACKGROUND AND OBJECTIVES:Large scale data on the treatment of pathologic proximal femur fractures (PPFFs) are lacking. The purpose of this study was to evaluate trends in patient demographics, complication rates, and relative utilization rates of various techniques associated with PPFFs. METHODS:The American College of Surgeons-National Surgical Quality Improvement Program (NSQIP) database was queried for PPFFs from 2009 to 2017. Patient demographics, 30-day complications, and utilization rates were recorded. Trends in these variables were determined over the study period. RESULTS:Most patient demographics did not change during the study period. There were no trends toward decreasing rates of major complications (P = .82), reoperations (P = .65), non-home discharges (P = .17), readmissions (P = .07), or deaths (P = .75); transfusion rates significantly decreased (P < .001). Rates of hemiarthroplasty decreased (P = .03) and rates of intramedullary nailing increased (P = .001). DISCUSSION:Despite advances in cancer therapeutics, the average PPFF patient has not significantly changed over the past decade. Similarly, most short-term outcomes after PPFF surgery have not improved, demonstrating a need for improved perioperative protocols. Finally, rates of IMN fixation are increasing while rates of HA are falling at NSQIP hospitals. Given that orthopedic oncologists favor endoprosthetic reconstruction in most cases, there may be a need for increased communication between orthopedic oncologists and other members of the orthopedic community treating PPFFs.

journal_name

J Surg Oncol

authors

Varady NH,Ameen BT,Schwab PE,Yeung CM,Chen AF

doi

10.1002/jso.25669

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

994-1007

issue

6

eissn

0022-4790

issn

1096-9098

journal_volume

120

pub_type

杂志文章,多中心研究
  • Fibrosarcoma of the mediastinum.

    abstract::Fibrosarcoma is a rare primary malignant tumor of the mediastinum. Three cases are presented with different presenting symptoms and clinical manifestations. Thoracotomy with biopsy of the mass is the only method for arriving at a definitive histologic diagnosis. ...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930120103

    authors: Barua NR,Patel AR,Takita H,Jennings EC

    更新日期:1979-01-01 00:00:00

  • Surgery promotes implantation of disseminated tumor cells, but does not increase growth of tumor cell clusters.

    abstract:INTRODUCTION:Local recurrence and peritoneal dissemination is common after intentionally curative resection of colorectal carcinoma. It is not yet clear which mechanisms stimulate post-operative intra-abdominal tumor development. Enhanced adhesion or growth of tumor cells and/or post-operative immuno suppression may in...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.20273

    authors: Raa ST,Oosterling SJ,van der Kaaij NP,van den Tol MP,Beelen RH,Meijer S,van Eijck CH,van der Sijp JR,van Egmond M,Jeekel J

    更新日期:2005-11-01 00:00:00

  • En bloc resection for cancer of the gastric cardia without thoracotomy.

    abstract::Thirty-five consecutive patients underwent en bloc resection of cardia cancer without thoracotomy. All tumors were adenocarcinoma. The operative procedure involved wide resection of the peri-hiatal diaphragm, dissection of the upper abdominal and lower mediastinal lymph nodes, and resection of the stomach including a ...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930540108

    authors: Tanigawa N,Shimomatsuya T,Horiuchi T,Masuda Y,Ihaya A,Chiba Y,Muraoka R

    更新日期:1993-09-01 00:00:00

  • A more sensitive detection of micrometastases of NSCLC in lymph nodes using the one-step nucleic acid amplification (OSNA) method.

    abstract:BACKGROUND:Detection of tumor cells in lymph nodes (LNs) removed during the treatment of pulmonary tumor by radical surgery is limited by the possibilities of standard histopathological methods. The goal of this study was to obtain more accurate pTNM status by a more sensitive detection of micrometastases in LNs. METH...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.24826

    authors: Vodicka J,Mukensnabl P,Vejvodova S,Spidlen V,Kulda V,Topolcan O,Pesta M

    更新日期:2018-02-01 00:00:00

  • Robotic trans-axillary and retro-auricular thyroid surgery.

    abstract::Remote access approaches for thyroid surgery using surgical incisions placed outside the neck, including the axillary, chest and the retro-auricular region have gained interest due to the social stigmatization of young females with a visible neck scar. These novel approaches have been reported to be safe and feasible ...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章,评审

    doi:10.1002/jso.23955

    authors: Mohamed HE,Kandil E

    更新日期:2015-09-01 00:00:00

  • Cancer cell-derived IL-1α promotes HGF secretion by stromal cells and enhances metastatic potential in pancreatic cancer cells.

    abstract:BACKGROUND AND OBJECTIVES:Interleukin (IL)-1α and hepatocyte growth factor (HGF) play an important role in pancreatic cancer proliferation, angiogenesis, and invasiveness. The aim of this study was to investigate the cooperative role of HGF and IL-1α in metastatic processes promoted by interactions between pancreatic c...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.21530

    authors: Xu D,Matsuo Y,Ma J,Koide S,Ochi N,Yasuda A,Funahashi H,Okada Y,Takeyama H

    更新日期:2010-10-01 00:00:00

  • Prognostic factors in node-positive carcinoma of the penis.

    abstract:BACKGROUND:Lymph node metastasis is the most important prognostic factor in patients with carcinoma of the penis. In this article, we have reviewed the outcome of the patients with pathologic node-positive carcinoma of the penis after groin dissection performed at the Cancer Institute (WIA) between 1987 and 1998. METH...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.20414

    authors: Pandey D,Mahajan V,Kannan RR

    更新日期:2006-02-01 00:00:00

  • Limb-sparing treatment with surgery and intraoperative radiotherapy (IORT) for a second local recurrence of myxoid liposarcoma in the popliteal region, after previous surgery and high-dose radiation.

    abstract::A 46-year-old man with a second local recurrence of a myxoid liposarcoma in the fossa poplitea, after surgery and high-dose external beam radiotherapy, was successfully treated by a limb-sparing procedure combining marginal excision, intraoperative radiotherapy and reconstructive surgery. After a 48-month follow-up, t...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930530116

    authors: Wijffels RT,Mehta DM,Spauwen PH,Hoekstra HJ

    更新日期:1993-05-01 00:00:00

  • Lymph node regression after neoadjuvant chemotherapy: A predictor of survival in gastric cancer.

    abstract:BACKGROUND AND OBJECTIVE:Neoadjuvant chemotherapy (nCMT) has been increasingly used in advanced gastric cancer (GC). However, the prognostic impact of tumor response remains unclear. This study aimed to evaluate if tumor response at the primary site and lymph nodes (LN) correlate with survival in GC patients after nCMT...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.25785

    authors: Pereira MA,Ramos MFKP,Dias AR,Cardili L,Ribeiro RRE,Charruf AZ,de Castria TB,Zilberstein B,Ceconello I,Avancini Ferreira Alves V,Ribeiro U Jr,de Mello ES

    更新日期:2020-04-01 00:00:00

  • Predictors of prognosis for squamous cell carcinoma of oral tongue.

    abstract:BACKGROUND AND OBJECTIVES:Certain tumor-related factors like thickness increases the risk of nodal metastasis and may affect survival in patients with oral tongue cancers. The objective of this study is to identify those tumor-related prognostic predictors that can potentially influence decision for adjuvant radiothera...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.23583

    authors: Thiagarajan S,Nair S,Nair D,Chaturvedi P,Kane SV,Agarwal JP,D'Cruz AK

    更新日期:2014-06-01 00:00:00

  • Mutational status of KIT and PDGFRA and expression of PDGFRA are not associated with prognosis after curative resection of primary gastrointestinal stromal tumors (GISTs).

    abstract:BACKGROUND:The aim of this study was to investigate if immunohistochemical expression and mutational status of KIT and PDGFRA in GISTs are associated with the clinical course and disease-free survival after curative resection of the primary tumor without adjuvant systemic therapy. METHODS:Paraffin-embedded tumor secti...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.21905

    authors: Kern A,Görgens H,Dittert DD,Krüger S,Richter KK,Schackert HK,Saeger HD,Baretton G,Pistorius S

    更新日期:2011-07-01 00:00:00

  • Quality of life in the long-term survivors after total gastrectomy for gastric carcinoma.

    abstract:BACKGROUND AND OBJECTIVES:Several studies report the health-related quality of life (HRQoL) after total gastrectomy in short term but long-term results have been less published. METHODS:One hundred and seventy two patients underwent total gastrectomy between years 1987-1999 for gastric carcinoma. In 2005, 30% of them ...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.20925

    authors: Tyrväinen T,Sand J,Sintonen H,Nordback I

    更新日期:2008-02-01 00:00:00

  • Retroperitoneal tumors: do the satellite tumors mean something?

    abstract:BACKGROUND AND OBJECTIVES:Primary retroperitoneal tumors constitute a rather uncommon disease with an incidence of 2 in 100,000. Local recurrence after surgical resection is reported between 60% and 90% at 10 yr. The aim of this study was to present the problem of satellite tumors around the main tumor mass and their p...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/(sici)1096-9098(199805)68:1<30::aid-jso7>3

    authors: Voros D,Theodorou D,Ventouri K,Prachalias A,Danias N,Gouliamos A

    更新日期:1998-05-01 00:00:00

  • Breast cancer surgery-induced immunomodulation.

    abstract:BACKGROUND AND OBJECTIVES:Surgical procedures can cause tumor cells to disseminate into the circulatory system. Although this spread of metastatic cells will be limited by immune activity, immunosuppression tends to be the main effect resulting from surgery. The objective of this study is to assess hormonal and immunol...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.21662

    authors: Boomsma MF,Garssen B,Slot E,Berbee M,Berkhof J,Meezenbroek Ede J,Slieker W,Visser A,Meijer S,Beelen RH

    更新日期:2010-11-01 00:00:00

  • Radical cystectomy in patients over 80 years old in Quebec: A population-based study of outcomes.

    abstract:OBJECTIVES:To document radical cystectomy (RC) outcomes in patients over 80 years old across Quebec during the years 2000-2009 and to examine potentially related factors. METHODS:Within Quebec health insurance medical services database, we identified patients over 80 years who underwent RC. The outcomes analyzed were ...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.23887

    authors: Zakaria AS,Santos F,Tanguay S,Kassouf W,Aprikian AG

    更新日期:2015-06-01 00:00:00

  • Growth index, assessed with Ki-67 and ssDNA labeling; a significant prognosticator for patients undergoing curative resection for hepatocellular carcinoma.

    abstract:BACKGROUND AND OBJECTIVES:The aggressiveness and greater malignant potential of cancers are characterized by several biological phenomena such as accelerated growth invasiveness, and the ability to form distant metastasis. Thus, knowledge of such biological difference may be a more accurate prognosticator for cancer pa...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.20309

    authors: Morinaga S,Ishiwa N,Noguchi Y,Yamamoto Y,Rino Y,Imada T,Takanashi Y,Akaike M,Sugimasa Y,Takemiya S

    更新日期:2005-12-15 00:00:00

  • Prostate cancer stem cells and their potential roles in metastasis.

    abstract::Most solid tumors have now been reported to contain stem cell-like cells called cancer stem cells (CSCs). These cells are endowed with high tumorigenic capacity and may be the cells that drive tumor formation, maintain tumor homeostasis, and mediate tumor metastasis. Since these self-renewing cancer cells may be the s...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章,评审

    doi:10.1002/jso.21806

    authors: Li H,Tang DG

    更新日期:2011-05-01 00:00:00

  • In vivo selection and characterization of a murine mammary tumor subline with high potential for spontaneous lymph node metastasis.

    abstract::A transplantable mammary adenocarcinoma, grown in Balb/c mice, with a marked enhancement in its draining lymph node metastatic ability (MM3LN), was obtained through an in vivo procedure from a variant tumor moderately metastatic to lymph nodes (MM3). Both MM3 and MM3LN presented a similar latency and tumor growth rate...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930450312

    authors: Colombo LL,Gomez DE,Puricelli L,Vidal MC,Ponzio R,Bal de Kier Joffé E

    更新日期:1990-11-01 00:00:00

  • Indications and techniques for robotic pelvic and para-aortic lymphadenectomy in gynecologic oncology.

    abstract::Robotic-assisted laparoscopy is now the most common surgical method for treatment of early-stage endometrial, cervical, and a growing number of ovarian cancers in the U.S. Para-aortic and pelvic lymphadenectomy is integral to surgical staging and subsequent treatment planning. This article reviews current staging outc...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章,评审

    doi:10.1002/jso.24005

    authors: Wisner KP,Gupta S,Ahmad S,Holloway RW

    更新日期:2015-12-01 00:00:00

  • Malignant peripheral nerve sheath tumors in children, adolescents, and young adults: Treatment results of five Cooperative Weichteilsarkom Studiengruppe (CWS) trials and one registry.

    abstract:BACKGROUND AND OBJECTIVES:Malignant peripheral nerve sheath tumors (MPNST) are aggressive soft tissue sarcomas that present as large, invasive tumors. Our aim was to assess outcomes, identify prognostic factors, and analyze treatment strategies in a prospectively collected pediatric cohort. METHODS:Patients less than ...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.26153

    authors: Meister MT,Scheer M,Hallmen E,Stegmaier S,Vokuhl C,von Kalle T,Fuchs J,Münter M,Niggli F,Ladenstein R,Kazanowska B,Ljungman G,Bielack S,Koscielniak E,Klingebiel T,Cooperative Weichteilsarkom Studiengruppe CWS.

    更新日期:2020-12-01 00:00:00

  • Gastrinomas: a historical perspective.

    abstract::The journey of gastrinomas had its beginnings in 1955 when Zollinger and Ellison published their seminal paper (Zollinger and Ellison, Ann Surg 1955; 142: 709-723). The evolution of the diagnosis and management of this syndrome has paralleled many important advances in medicine, including the development of various di...

    journal_title:Journal of surgical oncology

    pub_type: 历史文章,杂志文章,评审

    doi:10.1002/jso.21359

    authors: Yeung MJ,Pasieka JL

    更新日期:2009-10-01 00:00:00

  • Post-mastectomy radiation therapy and overall survival after neoadjuvant chemotherapy.

    abstract:BACKGROUND:The role of postmastectomy radiation therapy (PMRT) after neoadjuvant chemotherapy (NAC) and mastectomy is unclear, especially in patients that have post-treatment tumor negative axillary nodes (ypN0). METHODS:The National Cancer Data Base was used to identify women that had PMRT after NAC and mastectomy fo...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.24551

    authors: Kantor O,Pesce C,Singh P,Miller M,Tseng J,Wang CH,Winchester DJ,Yao K

    更新日期:2017-05-01 00:00:00

  • Clinical and histopathological appraisal of preoperative irradiation for adenocarcinoma of the pancreatoduodenal region.

    abstract::A retrospective review to elucidate the rationale of preoperative irradiation was made on 18 carcinomas of the head of the pancreas area. After 50 Gy/25 fractions of 10 MV X-ray was given, all 18 tumors decreased from 3.3 +/- 0.8 cm to 2.0 +/- 0.7 cm. At the surgical operation, 16 patients (89%) received pancreatic re...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930400303

    authors: Ishikawa O,Ohhigashi H,Teshima T,Chatani M,Inoue T,Tanaka S,Kitamura T,Wada A,Sasaki Y,Imaoka S

    更新日期:1989-03-01 00:00:00

  • Thyroid carcinoma metastasized to the sternum: resection of the sternum and reconstruction with acrylic resin.

    abstract::Recently we resected and reconstructed the sternum in two female patients with thyroid carcinoma metastatic to the sternum. Histological diagnosis of the metastatic lesion was follicular carcinoma in the first case and papillary carcinoma in the second case. Reconstruction of the sternum was accomplished by using an a...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930600413

    authors: Ozaki O,Kitagawa W,Koshiishi H,Sugino K,Mimura T,Ito K

    更新日期:1995-12-01 00:00:00

  • Three synchronous bilateral lung tumors: a case report.

    abstract::Two synchronous primary lung carcinomas presenting bilaterally are rare. Their presentation, predisposing factors, and treatment are similar to those of single lung carcinomas. The authors present the first reported case known to them of three synchronous primary lung carcinomas involving both lungs. These tumors fulf...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930340408

    authors: Paul SM,Bacharach B

    更新日期:1987-04-01 00:00:00

  • Unusual presentation of carcinoma of the vermiform appendix: a report of two cases.

    abstract::Two unusual presentations of perforated mucoid adenocarcinoma of the appendix are described. One patient presented with a large periappendicular abscess that extended into the gluteal region, the other with a retroperitoneal abscess and abscesses in the right flank and groin. Recognition of the source of the abscess m...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930250409

    authors: Waizbard E,Michowitz M,Baratz M,Papo J,Stavorovsky M

    更新日期:1984-04-01 00:00:00

  • Brain, the last fortress of sarcoma: similar dismal outcome but discrepancy of timing of brain metastasis in bone and soft tissue sarcoma.

    abstract:BACKGROUND AND OBJECTIVE:Brain metastasis is a rare but dismal event in sarcomas. However, the pattern of occurrence and the prognostic factors associated with post-brain metastasis survival (PBMS) are not yet well-characterized. METHODS:Sarcoma patients treated at one institute within 10-year period were retrospectiv...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.22011

    authors: Chou YS,Liu CY,Chen WM,Chen TH,Chen PC,Wu HT,Shiau CY,Wu YC,Liu CL,Chao TC,Tzeng CH,Wong TT,Yen CC

    更新日期:2011-12-01 00:00:00

  • Technique for placement of a totally implantable venous access device.

    abstract::A totally implantable venous access system is described which greatly improved the ability to gain long-term venous access in selected patients. The external jugular approach has been demonstrated to be a safe and simple technique. The only major problem associated with the implantable venous access system was the dev...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930370413

    authors: Kondi ES,Pietrafitta JJ,Barriola JA

    更新日期:1988-04-01 00:00:00

  • Ossified skeletal muscle angioma: report of two cases.

    abstract::Ossifying skeletal muscle angiomas are relatively rare occurrences. The preoperative diagnosis is exceedingly difficult, although ossification may be reflected radiologically as a "Swiss cheese" appearance. Two patients are described whose skeletal muscle angiomas contained osseous tissue. The osseus tissue varied fro...

    journal_title:Journal of surgical oncology

    pub_type: 杂志文章

    doi:10.1002/jso.2930250110

    authors: Hoag GN,Murphy MM,Major PA

    更新日期:1984-01-01 00:00:00

  • A single blinded randomized controlled trial comparing semi-mechanical with hand-sewn cervical anastomosis after esophagectomy for cancer (SHARE-study).

    abstract:OBJECTIVE:The aim was to compare leak rate between hand-sewn end-to-end anastomosis (ETE) and semi-mechanical anastomosis (SMA) after esophagectomy with gastric tube reconstruction. BACKGROUND DATA:The optimal surgical technique for creation of an anastomosis in the neck after esophagectomy is unclear. METHODS:Patien...

    journal_title:Journal of surgical oncology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/jso.26209

    authors: Nederlof N,Tilanus HW,de Vringer T,van Lanschot JJB,Willemsen SP,Hop WCJ,Wijnhoven BPL

    更新日期:2020-12-01 00:00:00