지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective : The aim of this nationwide study was to analyze the current state of patients with newly diagnosed metastatic spine tumors according to surgical methods. Methods : Data was extracted from the Korean Health Insurance Review and Assessment Service database. Surgery was categorized into three methods : fusion, decompression, and vertebroplasty. Data included patient age, sex, health insurance type, and co-morbidities. Survival rates of metastatic spine tumor patients according to each surgical method were evaluated. Results : Among 1677 patients who had an operation, 823 patients were treated by fusion, 141 patients underwent decompression, and 713 patients were treated by vertebroplasty. The three most prevalent primary tumor sites were the lung, breast, and liver & biliary. On the other hand, the three most prevalent primary tumor sites of patients who underwent surgery were the lung, liver & biliary, and the prostate. The median survival periods for each surgical method in the metastatic spine tumor patients were 228 days for those who underwent surgery, 249 days for decompression, and 154 days for vertebroplasty. Age, sex, and comorbidities significantly affected survival rate. Conclusion : For every primary tumor site, decompression was the least common surgical method during the study period. Although the three surgical methods did not significantly affect the survival period, patients with a poor prognosis tended to undergo vertebroplasty.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Charlson ME / 1987 / A new method of classifying prognostic comorbidity in longitudinal studies: development and validation / J Chronic Dis 40:373~383
Elixhauser A / 1998 / Comorbidity measures for use with administrative data / Med Care 36:8~27
Kim CH / 2013 / Reoperation rate after surgery for lumbar herniated intervertebral disc disease: nationwide cohort study / Spine (Phila Pa 1976) 38:581~590
Martin BI / 2007 / Reoperation rates following lumbar spine surgery and the influence of spinal fusion procedures / Spine (Phila Pa 1976) 32:382~387
Sohn S / 2017 / A nationwide study of stereotactic radiosurgery in a newly diagnosed spine metastasis population / Stereotact Funct Neurosurg 95:189~196
Elixhauser A / 1998 / Comorbidity measures for use with administrative data / Med Care 36:8~27
Kim CH / 2013 / Reoperation rate after surgery for lumbar herniated intervertebral disc disease: nationwide cohort study / Spine (Phila Pa 1976) 38:581~590
Martin BI / 2007 / Reoperation rates following lumbar spine surgery and the influence of spinal fusion procedures / Spine (Phila Pa 1976) 32:382~387
Sohn S / 2017 / A nationwide study of stereotactic radiosurgery in a newly diagnosed spine metastasis population / Stereotact Funct Neurosurg 95:189~196
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