Evidence map›Paper›PMID 34680274›Full record

ArticleCancers2021

Amputation for Extremity Sarcoma: Indications and Outcomes.

Maya Kirilova, Alexander Klein, Lars H Lindner, Silke Nachbichler, Thomas Knösel, Christof Birkenmaier, Andrea Baur-Melnyk, Hans Roland Dürr

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  9. 3D Bioprinting in Limb Salvage Surgery.Journal of functional biomaterials · 2024
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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

8 authors at 1 institution in 1 country.

Maya KirilovaMusculoskeletal Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.
Alexander KleinMusculoskeletal Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.ORCID 0000-0002-5562-9872
Lars H LindnerSarKUM, Center of Bone and Soft Tissue Tumors, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.ORCID 0000-0003-3708-8264
Silke NachbichlerSarKUM, Center of Bone and Soft Tissue Tumors, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.
Thomas KnöselSarKUM, Center of Bone and Soft Tissue Tumors, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.ORCID 0000-0002-1822-0197
Christof BirkenmaierMusculoskeletal Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.ORCID 0000-0003-1632-3616
Andrea Baur-MelnykSarKUM, Center of Bone and Soft Tissue Tumors, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.
Hans Roland DürrMusculoskeletal Oncology, Department of Orthopaedics and Trauma Surgery, University Hospital, Ludwig-Maximilians-University Munich, D-81377 Munich, Germany.ORCID 0000-0002-1347-1173
Ludwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcomas are rare, malignant tumors of soft tissues or bone. Limb salvage surgery (LSS) is the standard treatment, but amputation is still an option, especially in local recurrence or complications after LSS.

methodsWe retrospectively reviewed indications and oncological outcomes in patients who underwent an amputation. Two groups with either primary amputations (

resultsFive-year LRFS was 84% with 17 (16%) patients developing local recurrence, of which 16 (13%) occurred in group I. Forty-two (28%) patients developed metastatic disease and overall survival at five years was 44%. Overall survival (OS) was the same in both groups. In those group II patients who had a secondary amputation due to LR or insufficient margins after LSS (

conclusionsThis study indicates the worse oncological outcomes with respect to OS of sarcoma patients requiring an amputation as compared to LSS. Patients with primary amputation or those who had a secondary amputation after failed LSS for whatever reason showed the same oncological results.

Indexed as

amputationlocal recurrenceprognosissarcomasurgerysurvival

Identifiers

PMID34680274
PMCPMC8533806
OpenAlexW3207834190

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.