Functional Outcome After Lower Extremity Soft Tissue Sarcoma Treatment

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http://hdl.handle.net/10138/305351

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Kask , G , Barner-Rasmussen , I , Repo , J , Blomqvist , C & Tukiainen , E 2019 , ' Functional Outcome After Lower Extremity Soft Tissue Sarcoma Treatment : A Pilot Study Based on Translated and Culturally Adapted Measures ' , Scandinavian Journal of Surgery , vol. 108 , no. 2 , pp. 164-171 . https://doi.org/10.1177/1457496918798210

Title: Functional Outcome After Lower Extremity Soft Tissue Sarcoma Treatment;
A Pilot Study Based on Translated and Culturally Adapted Measures
Author: Kask, G.; Barner-Rasmussen, I.; Repo, J.; Blomqvist, C.; Tukiainen, E.
Contributor: University of Helsinki, Plastiikkakirurgian yksikkö
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, HUS Musculoskeletal and Plastic Surgery
University of Helsinki, Department of Oncology
University of Helsinki, Department of Surgery
Date: 2019-06
Number of pages: 8
Belongs to series: Scandinavian Journal of Surgery
ISSN: 1457-4969
URI: http://hdl.handle.net/10138/305351
Abstract: Background and Aims: The present standard of care in treating lower extremity soft tissue sarcomas is function-sparing, limb-preserving resection and reconstruction with or without oncological therapy. The aim of this pilot study was to test the suitability and adequacy of the Finnish translations of two functional outcome questionnaires (Toronto Extremity Salvage Score and Musculoskeletal Tumor Society score) and to perform a preliminary investigation of functional outcomes of Finnish lower-limb soft tissue sarcoma patients after operative treatment. Materials and Methods: Between June 2015 and December 2015, consecutive surgically treated outpatients were asked to participate in the study. Demographic, clinical, surgical, and oncological outcome data were collected. Two functional outcome questionnaires were used (Toronto Extremity Salvage Score and Musculoskeletal Tumor Society scores). A comparative analysis is presented. Results: A total of 19 lower-limb soft tissue sarcoma patients with a mean follow-up time of 2 years and 10 months were included. All (n = 19) invited patients participated in the study. Mean age was 62.3 years. In total, 13 had high-grade sarcomas. Eight wounds were closed directly, four used skin grafts, and five required flap reconstructions. One patient required a tumor prosthesis, and one required a rotationplasty. A total of 14 patients received oncological therapy. No problems or difficulties were reported in using and completing the Finnish versions of the Toronto Extremity Salvage Score or Musculoskeletal Tumor Society questionnaires. The overall Toronto Extremity Salvage Score and Musculoskeletal Tumor Society scores were 88 and 76, respectively. Conclusion: This pilot study suggests that the Finnish versions of the Toronto Extremity Salvage Score and Musculoskeletal Tumor Society questionnaires are suitable for measuring functional outcome after lower extremity soft tissue sarcomas treatment. Functional outcomes vary from moderate to excellent.
Subject: Sarcoma
tumor
extremity
function
outcome
surgery
QUALITY-OF-LIFE
LIMB-SALVAGE SURGERY
VASCULAR RECONSTRUCTION
SPARING SURGERY
HEALTH-STATUS
AMPUTATION
ADAPTATION
TUMORS
BONE
3126 Surgery, anesthesiology, intensive care, radiology
3122 Cancers
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