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Patient Satisfaction After Limb-Sparing Surgery and Amputation for Pediatric Malignant Bone Tumors

332 North Lauderdale, St Jude Children's Research Hospital, Memphis, TN 38105

Vida L. Tyc

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

Lola K. Cremer

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

Xiaolong Luo

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

Hao Li

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

Bhaskar N. Rao

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

William H. Meyer

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

Deborah B. Crom

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

Charles B. Pratt

Departments of Hematology-Oncology, Behavioral Medicine, Rehabilitation Services, and Surgery, and Biostatistics, St Jude Children's Research Hospital, and the Department of Pediatrics, University of Tennessee, Memphis, College of Medicine, Memphis, TN.

We surveyed 65 patients age 13 years or older who had been treated for malignant bone tumors and were in remission at least 1 year after limb-sparing surgery (LS) or amputation (AMP) to assess general satisfaction with the surgical outcome and its impact on various areas of functioning. Of 130 eligible patients, 65 responded (61 treated for osteosarcoma, 3 for Ewing's sarcoma, and 1 for mesenchymoma). The median current age of the cohort was 25.8 years (range, 14.2 to 47.5 years). The median time from surgery was 14.2 years (range, 4.0 to 30.4 years) for the AMP group, and 5.5 years (range, 2.0 to 13.8 years) for the LS patients. Questionnaire responses of patients treated with AMP compared to those who had LS surgery showed no significant differences in the impact of the surgical procedure on educational and occupational status, functional limitations, pain intensity and degree of pain interference, emotional distress, interpersonal/social interactions and self-image, rehabilitation experience, and overall satisfaction with the surgical procedure. Functional limitation was significantly related to pain interference, as well as emotional distress, self-image, and interpersonal difficulties for the entire cohort. Our findings highlight procedure-related advantages and difficulties that may potentially enhance decision making regarding the selection of the surgical procedure for individual patients with malignant bone tumors of an extremity

Journal of Pediatric Oncology Nursing, Vol. 15, No. 2, 60-69 (1998)
DOI: 10.1177/104345429801500203


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