| Surgery or palliation for hip fractures in patients with advanced malignancy? | |
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MedLine Citation:
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PMID: 9466298 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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P McNamara; K Sharma |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Multicenter Study |
Journal Detail:
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Title: Age and ageing Volume: 26 ISSN: 0002-0729 ISO Abbreviation: Age Ageing Publication Date: 1997 Nov |
Date Detail:
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Created Date: 1998-04-08 Completed Date: 1998-04-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0375655 Medline TA: Age Ageing Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 471-4 Citation Subset: IM |
Affiliation:
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Princess Alice Hospice, Esher, Surrey, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Femoral Neck Fractures / surgery*, therapy Humans 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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