Evidence map›Paper›PMID 32789206›Full record

ArticleProgress in rehabilitation medicine2016

Walking Disability in Patients with Pelvic Insufficiency Fracture after Radiotherapy for Uterine Cervical Cancer.

Akira Kido, MD, Shozo Yoshida, MD, Emiko Shimoda, MD, Yukako Ishida, MD, Masatoshi Hasegawa, MD and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Progress in rehabilitation medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact, top 76% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

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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 at 1 institution in 1 country.

Akira KidoDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Shozo YoshidaDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Emiko ShimodaDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Yukako IshidaDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Masatoshi HasegawaDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Hiroshi KobayashiDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Kanya HonokiDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
MD
Hirosei HorikawaDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, Nara, Japan.
Yasuhito TanakaDepartment of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRadiotherapy is an essential component of curative or palliative therapy for patients with uterine cervical cancer. Although advances in radiotherapy have led to longer survival, survivors may consequently be at risk of pelvic insufficiency fracture (PIF). We retrospectively reviewed medical records and clinical outcomes to assess the impact of PIF on walking disability.

methodsBetween January 2002 and December 2009, 145 uterine cancer patients treated with radiotherapy in our hospital were reviewed. Among these, 15 patients (10.3%) were diagnosed with PIF. The types of fractures were identified according to the AO/OTA classification system. Medical records were examined to establish the time to first diagnosis of PIF, the type of fracture, and clinical outcomes. Disability was assessed using Barthel index mobility scores.

resultsThe median time to PIF detection was 16 months. Of the 15 patients with PIF, 14 had type B fractures (7 cases of B2 and 7 cases of B3) and 1 had a type C fracture. Among 11 patients with pelvic pain, 6 achieved pain control but 5 patients with bilateral lesions in the posterior arch or lateral compression of the sacrum developed pain that finally resulted in walking disability and a lower performance status.

conclusionsPIF causes severe motor disturbance in patients with unstable fracture types. Routine imaging checkups were useful during the 5 years after completion of radiotherapy; in nine patients the fracture progressed for longer than 1 year. In cancer rehabilitation for PIF patients, continuous assessment is essential for predicting walking disability.

Indexed as

pelvic insufficiency fractureradiotherapyuterine cervical cancerwalking disability

Identifiers

PMID32789206
PMCPMC7365175
OpenAlexW2565551666

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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.