Evidence map›Paper›PMID 28266233›Full record

ArticleActa orthopaedica2017

The Scandinavian Sarcoma Group Central Register: 6,000 patients after 25 years of monitoring of referral and treatment of extremity and trunk wall soft-tissue sarcoma.

Clement Trovik, Henrik C F Bauer, Emelie Styring, Kirsten Sundby Hall, Fredrik Vult Von Steyern, Sigvard Eriksson, Ingela Johansson, Mika Sampo, Minna Laitinen, Anders Kalén and 13 more

Abstract readMulticenter Study
In one paragraph

Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Clement Trovika Department Musculo-Skeletal Tumor Service/Oncology , Haukeland University Hospital , Bergen , Norway.
Henrik C F Bauerb Department Orthopedics/Oncology Service , Karolinska Hospital , Stockholm , Sweden.
Emelie Styringc Department Orthopedics , Lund University, Skåne University Hospital , Lund , Sweden.
Kirsten Sundby Halld Department Oncology , Oslo University Hospital, Norwegian Radium Hospital , Oslo , Norway.
Fredrik Vult Von Steyernc Department Orthopedics , Lund University, Skåne University Hospital , Lund , Sweden.
Sigvard Erikssone Department Orthopedics , Sahlgrenska Hospital , Gothenburg , Sweden.
Ingela Johanssonf Department Orthopedics , Norrland University Hospital , Umeå , Sweden.
Mika Sampog Department Oncology , Helsinki University Hospital , Helsinki , Finland.
Minna Laitinenh Department Orthopedics , Tampere University Hospital , Tammerfors , Finland.
Anders Kaléni Department Orthopedics , Linköping University Hospital , Linköping , Sweden.
Halldór Jónssonj Department Orthopedics , Landspitalin , Reykjavik , Iceland.
Nina Jebsena Department Musculo-Skeletal Tumor Service/Oncology , Haukeland University Hospital , Bergen , Norway.
Mikael Erikssonk Department Oncology , Lund University Hospital , Lund , Sweden.
Erkki Tukiainenl Department Plastic Surgery , Helsinki University Hospital , Helsinki , Finland.
Najme Wallm Department Oncology , Linköping University Hospital , Linköping , Sweden.
Olga Zaikovan Department Orthopedics , Oslo University Hospital, Norwegian Radium Hospital , Oslo , Norway.
Helgi Sigurðssono Department Oncology , Landspitalin , Reykjavik , Iceland.
Tuula Lehtinenp Department Oncology , Tampere University Hospital , Tammerfors , Finland.
Bodil Bjerkehagenq Department Pathology , Oslo University Hospital, Norwegian Radium Hospital , Oslo , Norway.
Mikael Skorpilr Department Radiology, Akademiska Sjukhuset, Uppsala, and Department of Molecular Medicine and Surgery , Karolinska Institute , Stockholm , Sweden.
Geir Egil Eides Department Centre for Clinical Research , Haukeland University Hospital , Bergen , Norway.
Elisabeth Johanssonu Department Cancer Epidemiology , Lund University Hospital , Lund , Sweden.
Thor A Alvegardu Department Cancer Epidemiology , Lund University Hospital , Lund , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose - We wanted to examine the potential of the Scandinavian Sarcoma Group (SSG) Central Register, and evaluate referral and treatment practice for soft-tissue sarcomas in the extremities and trunk wall (STS) in the Nordic countries. Background - Based on incidence rates from the literature, 8,150 (7,000-9,300) cases of STS of the extremity and trunk wall should have been diagnosed in Norway, Finland, Iceland, and Sweden from 1987 through 2011. The SSG Register has 6,027 cases registered from this period, with 5,837 having complete registration of key variables. 10 centers have been reporting to the Register. The 5 centers that consistently report treat approximately 90% of the cases in their respective regions. The remaining centers have reported all the patients who were treated during certain time periods, but not for the entire 25-year period. Results - 59% of patients were referred to a sarcoma center untouched, i.e. before any attempt at open biopsy. There was an improvement from 52% during the first 5 years to 70% during the last 5 years. 50% had wide or better margins at surgery. Wide margins are now achieved less often than 20 years ago, in parallel with an increase in the use of radiotherapy. For the centers that consistently report, 97% of surviving patients are followed for more than 4 years. Metastasis-free survival (MFS) increased from 67% to 73% during the 25-year period. Interpretation - The Register is considered to be representative of extremity and trunk wall sarcoma disease in the population of Scandinavia, treated at the reporting centers. There were no clinically significant differences in treatment results at these centers.

Indexed as

AdolescentAdultAgedAged, 80 and overBiopsyChildChild, PreschoolExtremitiesFemaleHumansInfantInfant, NewbornMaleMiddle AgedNeoplasm GradingNeoplasm Recurrence, Local

Identifiers

PMID28266233
PMCPMC5434606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.