Evidence map›Paper›PMID 39640277›Full record

ArticleFrontiers in oncology2024

Health-related quality of life in patients treated with en bloc resection for primary tumors of the spine.

Luigi Emanuele Noli, Chiara Alcherigi, Cristiana Griffoni, Eleonora Pesce, Simona Rosa, Gisberto Evangelisti, Valerio Pipola, Paolo Francesco Davassi, Annalisa Monetta, Giovanni Barbanti Brodano and 6 more

Abstract read
In one paragraph

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

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0citing papers in PubMed
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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.

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

16 authors.

Luigi Emanuele NoliISNB Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Chiara AlcherigiDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Cristiana GriffoniDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Eleonora PesceDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Simona RosaDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Gisberto EvangelistiDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Valerio PipolaDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Paolo Francesco DavassiDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Annalisa MonettaDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Giovanni Barbanti BrodanoDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Silvia TerziDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Riccardo GhermandiDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Giuseppe TedescoDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Marco GirolamiDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Stefano BandieraDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Alessandro GasbarriniDepartment of Spine Surgery, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study design: Retrospective analysis. Objective: The aim of this study is to evaluate the functional outcomes and the health-related quality of life (HRQOL) in patients undergoing en bloc resection of spinal tumor. Summary of background data: En bloc resection in the spine is a surgical procedure designed to completely remove a tumor in one piece, with wide margins preserved, in order to reduce the risk of local recurrences. This demanding procedure has been shown to improve local control and survival rate, besides a relatively high morbidity. Methods: Between 2016 and 2021, 70 patients underwent en bloc resection surgery for a primary spine tumor and 38 came out to be eligible for this analysis. Eligibility criteria include at least one follow-up visit within a two-year period from surgery and Patient Reported Outcomes evaluation collected prospectively at baseline and at least one follow- up in the range 4-24 months. The outcome variables (EQ5D Numeric Scale and Index, SF36 scores and NRS score) were analyzed with multilevel linear mixed-effects regression. Baseline- (age, gender, localization, histotype, number of levels of resection, previous surgery) and time-dependent covariates (adverse events, spinal cord damage) were included. Results: Beside a slight improvement of all the scores, no significant differences were found between baseline and follow up times for EQ-5D-3L Numeric Scale and Index and for SF-36 Standardized Physical component. SF-36 Standardized Mental component appeared to be significantly better at 12-month FU compared to baseline. Ultimately, age over 50 years old and the occurrence of adverse events emerged to be as the two main factor determining worsening in several HRQOL scores. Pain came out to be significantly reduce at 24-month compared to baseline. Conclusions: The aim of en bloc resection in the treatment of primary spinal tumors is to improve survival rates and reduce local recurrences. Despite its radicality, our preliminary results suggest that patients experience a slight to moderate improvement postoperatively compared to their preoperative perceived health status.

Indexed as

adverse eventsen bloc resectionhealth-related quality of lifemental componentphysical componentprimary spine tumors

Identifiers

PMID39640277
PMCPMC11618236

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