Survival and complications analysis of 97 patients with bone metastases treated surgically

• Published in: Acta ortopédica mexicana Vol. 27; no. 6; pp. 371 - 374
• Main Authors: Farfalli, G, Albergo, J I, Rodríguez, M, Ayerza, M, Muscolo, L, Aponte-Tinao, L A
• Format: Journal Article
• Language: Spanish
• Published: Mexico 01.11.2013
• Subjects: Adult; Aged; Aged, 80 and over; Bone Neoplasms - complications; Bone Neoplasms - mortality; Bone Neoplasms - secondary; Bone Neoplasms - surgery; Female; Humans; Male; Middle Aged; Neoplasm Recurrence, Local - epidemiology; Retrospective Studies; Survival Rate; Young Adult
• ISSN: 2306-4102

The purpose of this paper is to assess the survival and the different factors predisposing to increased local and overall complications in a group of patients treated surgically for bone metastases. A total of 97 patients were included in our study, 45 females and 52 males. Mean age was 59 years (range 22-81) and the mean follow-up was 23 months (range 3-76). Were performed 104 surgical interventions. Patient survival was estimated with the Kaplan-Meier method. Complications, recurrences and the most significant factors were analyzed. Overall patient survival was 73% at one year, 47% at 2 years, and 6% at 5 years. Patient survival was greater in patients with a histologic diagnosis of metastatic renal cancer (p > 0.05) and a higher incidence of local relapses (p > 0.05). Intralesional surgery significantly affected the relapses. Patients with metastatic renal cancer had the greatest survival rate. However, they were associated with a higher rate of local relapses and postoperative failure.