Document Detail

Surgery or palliation for hip fractures in patients with advanced malignancy?
MedLine Citation:
PMID:  9466298     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: to investigate the management and outcome of patients with advanced cancer who sustain fractures of the neck of femur. DESIGN: multi-centre, prospective, observational study. SUBJECTS: patients with advanced malignancy, under the care of a palliative care team, who subsequently fractured a femur. OUTCOME MEASURES: survival time post-fracture, return home. RESULTS: 40 patients were recruited with a fractured neck of femur. Analysis of the management of patients according to the Eastern Co-operative Oncology Group performance score was undertaken. Twenty-nine patients were treated surgically and 11 conservatively. For patients with performance scores of 0, 1 and 2 surgery usually resulted in a successful rehabilitation outcome and discharge. None of those with scores of 3 or 4 returned home. CONCLUSION: patients with advanced malignancy and a poor performance score should not be automatically referred for surgery.
P McNamara; K Sharma
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  Age and ageing     Volume:  26     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1998-04-08     Completed Date:  1998-04-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  471-4     Citation Subset:  IM    
Princess Alice Hospice, Esher, Surrey, UK.
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MeSH Terms
Femoral Neck Fractures / surgery*,  therapy
Neoplasms / complications*
Palliative Care*
Prospective Studies
Survival Rate
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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