Evidence map›Paper›PMID 30229217›Full record

ArticleJB & JS open access2017

Percutaneous Palliative Surgery for Femoral Neck Metastasis Using Hollow Perforated Screw Fixation and Bone Cement.

Yong-Il Kim, Hyun Guy Kang, Jung Min Lee, June Hyuk Kim, Seok-Ki Kim, Han Soo Kim

Open access · goldAbstract read
In one paragraph

Article in JB & JS open access, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. Review
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

6 authors at 3 institutions in 1 country.

Yong-Il KimDepartment of Nuclear Medicine, CHA Bundang Medical Center, CHA University, Seongnam, South Korea.
Hyun Guy KangOrthopaedic Oncology Clinic (H.G.K. and J.H.K.) and Department of Nuclear Medicine (S.-k.K.), National Cancer Center, Gyeonggido, South Korea.
Jung Min LeeDepartments of Nuclear Medicine (J.M.L.) and Orthopaedic Surgery (H.S.K.), Seoul National University Hospital, Seoul, South Korea.
June Hyuk KimOrthopaedic Oncology Clinic (H.G.K. and J.H.K.) and Department of Nuclear Medicine (S.-k.K.), National Cancer Center, Gyeonggido, South Korea.
Seok-Ki KimOrthopaedic Oncology Clinic (H.G.K. and J.H.K.) and Department of Nuclear Medicine (S.-k.K.), National Cancer Center, Gyeonggido, South Korea.
Han Soo KimDepartments of Nuclear Medicine (J.M.L.) and Orthopaedic Surgery (H.S.K.), Seoul National University Hospital, Seoul, South Korea.
National Cancer Center · KRSeoul National University Hospital · KRCHA University Bundang Medical Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe introduced a new surgical method of percutaneous hollow perforated screw (HPS) fixation with concomitant bone-cement injection for the treatment of femoral neck metastasis and evaluated its efficacy for the palliative treatment of patients with advanced cancer.

methodsThe study included 87 patients (39 men and 48 women; mean age [and standard deviation], 64.2 ± 10.2 years; mean body mass index, 24.3 ± 3.2 kg/m

resultsThe majority of procedures were performed with local (3 patients) or spinal (72 patients) anesthesia (total, 75 patients; 86.2%). The mean operative time was 35.9 minutes, and the mean operative blood loss was 97.0 mL. The VAS score for pain improved significantly, from 6.8 ± 2.8 preoperatively to 2.8 ± 2.3 and 2.9 ± 2.8 at 1 and 6 weeks postoperatively (p < 0.001). At 6 weeks postoperatively, 63 (80.8%) of 78 patients were able to walk (with either normal or limping gait, a cane or crutch, or a walker). The prevalence of major local complications (cement leakage into the hip joint, fixation failure) was 10.5% (10 of 95), but major systemic complications (distant cement embolism) were not found.

conclusionsPercutaneous HPS fixation and cementoplasty for the treatment of femoral neck metastasis is a minimally invasive technique that provides effective pain relief and early stabilization. This technique seems to be useful for patients with advanced cancer for whom open surgery would be hazardous. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Identifiers

PMID30229217
PMCPMC6132475
OpenAlexW2614560931

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.