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Limb-Sparing Surgery for Cancer Patients Omaha NE

Limb-sparing surgery can be just as effective as amputation in removing bone or soft-tissue sarcomas, but the analysis by Canadian researchers found few notable differences in psychological health and quality of life between people in Omaha who had the two types of surgery. In fact, people who had their limbs saved tended to have more complications either shortly after the procedure or sometime later, the study found.

Charles Arthur Enke, MD
(402) 552-3844
987521 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 1985

Data Provided by:
Kenneth Harvey Cowan, MD
(402) 559-4238
Eppley Inst Rm 2016 986805 Nebraska Medical Ctr,
Omaha, NE
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1975

Data Provided by:
Fausto R Loberiza, MD, MS
(402) 559-8013
987680 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer)
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Robert Bruce Thompson, MD
(402) 552-3844
987521 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer), Radiation Oncology
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1981

Data Provided by:
Jean L Grem, MD
(402) 559-6210
987680 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer)
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
Harold M Maurer
(402) 559-9800
988095 Nebraska Medical Ctr
Omaha, NE
Specialty
Pediatric Hematology-Oncology

Data Provided by:
Weining K Zhen
(402) 559-9800
988095 Nebraska Medical Ctr
Omaha, NE
Specialty
Radiation Oncology

Data Provided by:
Philip Jay Bierman, MD
(402) 559-5520
987680 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer)
Gender
Male
Education
Medical School: Univ Of Mo-Kansas City Sch Of Med, Kansas City Mo 64108
Graduation Year: 1979

Data Provided by:
Julie Marie Vose, MD
(402) 559-3848
987680 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer)
Gender
Female
Education
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduation Year: 1984

Data Provided by:
Gregory Bocie, MR
(402) 559-5166
987680 Nebraska Medical Ctr
Omaha, NE
Specialties
Oncology (Cancer)
Gender
Male
Education
Graduation Year: 2007

Data Provided by:
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Limb-Sparing Surgery for Cancer Patients

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Surgery that spares the limbs of some cancer patients may have little or no additional benefit over amputation in terms of health, cost or quality of life, researchers say.

Limb-sparing surgery can be just as effective as amputation in removing bone or soft-tissue sarcomas, but the analysis by Canadian researchers found few notable differences in psychological health and quality of life between people who had the two types of surgery. In fact, people who had their limbs saved tended to have more complications either shortly after the procedure or sometime later, the study found.

People who had limb-sparing surgery for cancers in the upper areas of the legs, including the hip, did reportedly have advantages over those who'd had amputation, but in general, saving the lower limbs did not necessarily ensure a better quality of life than amputation of all or part of the leg, the researchers found.

In terms of money, limb-sparing surgery has higher "up front" costs and rehabilitation costs, but making, maintaining and replacing artificial limbs for amputees adds to those patients' long-term costs, the study noted.

The analysis, appearing online Aug. 10 in advance of publication in the Sept. 15 issue of Cancer, reviewed previously published studies on the cost and quality of life for people undergoing limb-sparing surgery versus amputation. Its authors, Dr. Ronald Barr of McMaster University in Ontario and Dr. Jay Wunder of Mount Sinai Hospital and the University of Toronto, called for further and more comprehensive reviews into the matter to help doctors and patients make better decisions when facing the issue.

"Future studies that include function, health-related quality of life, economics and stratification of patients by age will be useful contributions to decision-making ... by patients, health-care providers and administrators," Wunder said in a news release from the American Cancer Society.

More information

The National Cancer Institute has more about soft-tissue sarcoma.

SOURCE: American Cancer Society, news release, Aug. 10, 2009

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