Evidence map›Paper›PMID 38287219›Full record

ArticleOrthopaedic surgery2024

Comparison of En Bloc Resection and Intralesional Excision for Re-resection of Giant Cell Tumors of the Spine.

Hua Zhou, Yanchao Tang, Panpan Hu, Shuheng Zhai, Xiaoguang Liu, Zhongjun Liu, Feng Wei

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.5field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 1 institution in 1 country.

Hua ZhouDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Yanchao TangDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Panpan HuDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Shuheng ZhaiDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Xiaoguang LiuDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-5663-5238
Zhongjun LiuDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.
Feng WeiDepartment of Orthopaedics, Peking University Third Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-8140-0361
Peking University · CN

Funding

Key Clinical Projects of Peking University Third Hospital BYSYZHKC2020114
6 · The paper itself

Abstract

objectiveRe-resection of spinal giant cell tumors is an exceedingly difficult procedure. Moreover, the prognosis of patients with en bloc resection or intralesional excision for re-resection has rarely been reported. This study aimed to compare the prognostic value of en bloc resection with that of intralesional excision in patients undergoing re-resection for giant cell tumors of the spine.

methodsThis retrospective analysis evaluated patients who underwent revision surgeries for relapse of giant cell tumors of the spine at our center between January 2005 and January 2021. Local progression-free survival represents the duration between en bloc resection or intralesional excision and tumor recurrence. Neurological recovery, survival rates, local control, and complications were evaluated. The Kaplan-Meier estimator was used for survival analysis.

resultsA total of 22 patients (nine men and 13 women) with a mean age of 34.1 (range 19-63) years were included. Significant statistical differences were found in the local tumor recurrence rate between patients treated with en bloc resection and those treated with intralesional excision (p < 0.05). The 5- and 10-year local progression-free survival rates were both 90% in the en bloc resection group, while in the intralesional excision group, the 5-year local progression-free survival rate was 80% with a 10-year rate of 45.7%. The en bloc resection group had a lower local tumor recurrence rate than that of the intralesional excision group (p < 0.05), but the former had a higher rate of complications (p = 0.015).

conclusionsThis study revealed a low local recurrence rate in patients who underwent en bloc resection for giant cell tumors, while the perioperative complication rate was high.

Indexed as

Giant Cell TumorsSpinal NeoplasmsAdultFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesTreatment OutcomeYoung AdultEn Bloc ResectionGiant Cell TumorIntralesional ExcisionRadiotherapyRecurrence

Identifiers

PMID38287219
PMCPMC10925495
OpenAlexW4391358848

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LicenceCC BY-NC-ND
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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.