title: Patient-reported outcome and quality of life after total en bloc spondylectomy for a primary spinal tumour.
abstract: Total en bloc spondylectomy (TES) is the total resection of a vertebra containing a tumour. Many authors have investigated patient-reported outcomes after routine spinal surgery and surgery for tumours in general. However, this is the first report of patient-reported outcomes, including health-related quality of life (HRQoL) and satisfaction, after en bloc vertebral resection for a spinal tumour. Of the 54 patients who underwent TES for a primary tumour between 1993 and 2010, 19 died and four were lost to follow-up. In January 2012, a questionnaire was sent to the 31 surviving patients. This included the short form-36 to assess HRQoL and questions about the current condition of their disease, activities of daily living (ADL) and surgery. The response rate was high at 83.9% (26/31 patients). We found that most patients were satisfied and maintained good performance of their ADLs. The mental health status and social roles of the HRQoL scores were nearly equivalent to those of healthy individuals, regardless of the time since surgery. There was significant impairment of physical health in the early post-operative years, but this usually returned to normal approximately three years after surgery.
authors.affiliation: Kanazawa University School of Medicine, Department of Orthopaedic Surgery, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kato
authors.affiliation: Kanazawa University School of Medicine, Department of Orthopaedic Surgery, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Murakami
authors.affiliation: Kanazawa University School of Medicine, Department of Orthopaedic Surgery, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Demura
authors.affiliation: Kanazawa University School of Medicine, Department of Orthopaedic Surgery, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yoshioka
authors.affiliation: Kanazawa Medical University , Department of Orthopaedic Surgery, 1-1 Daigaku, Uchinada, 920-0293, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Kawahara
authors.affiliation: Kanazawa University School of Medicine, Department of Orthopaedic Surgery, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Tomita
authors.affiliation: Kanazawa University School of Medicine, Department of Orthopaedic Surgery, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Tsuchiya
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D018212:Giant Cell Tumor of Bone / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D063868:Patient Outcome Assessment; D017060:Patient Satisfaction; D011788:Quality of Life; D013125:Spinal Neoplasms / Q000601:surgery*; D011795:Surveys and Questionnaires; D013904:Thoracic Vertebrae / Q000601:surgery*
keywords: Patient satisfaction; Patient-reported outcome; Primary spinal tumor; Quality of life; Total en bloc spondylectomy