Clinical Characteristics and Surgical Outcomes of Metastatic Spine Tumors in the Very Elderly: A Prospective Cohort Study in a Super-Aged Society

被引：4

作者：

Kanda, Yutaro ^{[1
]}

Kakutani, Kenichiro ^{[1
]}

Sakai, Yoshitada ^{[2
]}

Miyazaki, Kunihiko ^{[1
]}

Matsuo, Tomoya ^{[1
]}

Yurube, Takashi ^{[1
]}

Takeoka, Yoshiki ^{[1
]}

Ohnishi, Hiroki ^{[1
]}

Ryu, Masao ^{[1
]}

Kumagai, Naotoshi ^{[1
]}

Kuroshima, Kohei ^{[1
]}

Hiranaka, Yoshiaki ^{[1
]}

Kawamoto, Teruya ^{[1
]}

Hara, Hitomi ^{[1
]}

Hoshino, Yuichi ^{[1
]}

Hayashi, Shinya ^{[1
]}

Akisue, Toshihiro ^{[3
]}

Kuroda, Ryosuke ^{[1
]}

机构：

[1] Kobe Univ, Grad Sch Med, Dept Orthopaed Surg, Kobe 6500017, Japan

[2] Kobe Univ, Grad Sch Med, Div Rehabil Med, Kobe 6500017, Japan

[3] Kobe Univ, Grad Sch Hlth Sci, Dept Rehabil Sci, Kobe 6540142, Japan

来源：

JOURNAL OF CLINICAL MEDICINE | 2023年 / 12卷 / 14期

关键词：

spinal metastases; metastatic tumors; palliative surgery; performance status; activities of daily living; quality of life; spine; very elderly; advanced age; extreme age; QUALITY-OF-LIFE; PERIOPERATIVE COMPLICATIONS; CORD COMPRESSION; SCORING SYSTEM; SURGERY; OLDER; CLASSIFICATION; STENOSIS; CANCER;

D O I：

10.3390/jcm12144747

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The number of advanced-age patients with spinal metastases is rising. This study was performed to clarify the characteristics and surgical outcomes of spinal metastases in advanced-age patients. We prospectively analyzed 216 patients with spinal metastases from 2015 to 2020 and divided them into three age groups: <70 years (n = 119), 70-79 years (n = 73), and & GE;80 years (n = 24). Although there were no significant intergroup differences in preoperative characteristics and surgery-related factors except for age, patients aged & GE;80 years tended to have a worse performance status (PS), Barthel index, and EuroQol-5 dimension (EQ-5D) before and after surgery than the other two groups. Although the median PS, mean Barthel index and mean EQ-5D greatly improved postoperatively in each group, the median PS and mean Barthel index at 6 months and the mean EQ-5D at 1 month postoperatively were significantly poorer in the & GE;80-year group than the 70-79-year group. The rates of postoperative complications and re-deterioration of the EQ-5D were significantly higher in the oldest group than in the other two groups. Although surgery for spinal metastases improved the PS, Barthel index, and EQ-5D regardless of age, clinicians should be aware of the poorer outcomes and higher complication rates in advanced-age patients.

引用

页数：13

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