Evidence map›Paper›PMID 31490548›Full record

ArticleCancer2019

Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases.

Anne L Versteeg, Arjun Sahgal, Norio Kawahara, Laurence D Rhines, Daniel M Sciubba, Michael H Weber, Áron Lazary, Michael G Fehlings, James M Schuster, Michelle J Clarke and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Satisfaction with radiotherapy care among cancer patients treated in Germany-secondary analysis of a large multicenter study.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2024
    Article
  8. 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

16 authors.

Anne L VersteegDepartment of Orthopedics, University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0003-3251-9694
Arjun SahgalDepartment of Radiation Oncology, Sunnybrook Odette Cancer Centre and University of Toronto, Toronto, Ontario, Canada.
Norio KawaharaDepartment of Orthopedic Surgery, Kanazawa Medical University Hospital, Kanazawa, Japan.
Laurence D RhinesDepartment of Neurosurgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Daniel M SciubbaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Michael H WeberDivision of Surgery, McGill University and Montreal General Hospital, Montreal, Quebec, Canada.
Áron LazaryNational Center for Spinal Disorders, Buda Health Center, Budapest, Hungary.
Michael G FehlingsDivision of Neurosurgery and Spine Program, University of Toronto and Toronto Western Hospital, Toronto, Ontario, Canada.
James M SchusterDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Michelle J ClarkeDepartment of Neurosurgery, Mayo Clinic, Rochester, Minnesota.
Paul M ArnoldDepartment of Neurosurgery, University of Kansas Hospital, Kansas City, Kansas.
Stefano BorianiInstitutes for Care and Scientific Research (IRCCS) Galeazzi Orthopedic Hospital, Milan, Italy.
Chetan BettegowdaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ziya L GokaslanDepartment of Neurosurgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, and Miriam Hospital, Providence, Rhode Island.
Charles G FisherDivision of Spine Surgery, Department of Orthopaedics, University of British Columbia and Vancouver General Hospital, Vancouver, British Columbia, Canada.
AOSpine Knowledge Forum Tumor

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
AOSpineAOSpine InternationalNCI NIH HHS P30 CA016672NIH HHS P30 CA016672Orthopaedic Research and Education Foundation
6 · The paper itself

Abstract

backgroundPatient satisfaction is infrequently investigated despite its importance in assessing efficacy and patient comprehension. The purpose of this study was to investigate patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases and to evaluate how health-related quality of life (HRQOL) is related to patient satisfaction.

methodsPatients with spinal metastases treated with surgery and/or radiotherapy were enrolled in a prospective, international, observational study. Demographic, histologic, treatment, and HRQOL data were collected. HRQOL was evaluated with the Numeric Rating Scale pain score, the 3-level version of the EuroQol 5-Dimension (EQ-5D-3L) instrument, and the Spine Oncology Study Group Outcomes Questionnaire (SOSGOQ2.0). Patient satisfaction was derived from the SOSGOQ2.0 at 6, 12, and 26 weeks after treatment. Patients were classified as satisfied, neutral, or dissatisfied.

resultsTwelve weeks after treatment, 183 of the surgically treated patients (84%) were satisfied, and only 11 (5%) were dissatisfied; in contrast, 101 of the patients treated with radiotherapy alone (77%) were satisfied, and only 7 (5%) were dissatisfied. Significant improvements in pain, physical function, mental health, social function, leg function, and EQ-5D were associated with satisfaction after surgery. Satisfaction after radiotherapy was associated with significant improvements in pain, mental health, and overall SOSGOQ2.0 scores. Dissatisfaction after treatment was associated with lower baseline values for leg strength and lower social functioning scores for surgically treated patients and with lower social functioning scores and being single for patients treated with radiotherapy.

conclusionsHigh levels of satisfaction with treatment outcomes are observed after surgery and/or radiotherapy for spinal metastases. Posttreatment satisfaction is associated with significant improvements in pain and different dimensions of HRQOL.

Indexed as

AdolescentAdultAgedFemaleHumansMaleMiddle AgedPatient SatisfactionSpinal NeoplasmsTreatment OutcomeYoung Adultmetastasespatient-reported outcomesquality of liferadiotherapysatisfactionspinesurgery

Identifiers

PMID31490548
PMCPMC6900159

What OpenQuestion holds

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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.