Effect of Bone Metastasis Cancer Board on Spinal Surgery Outcomes: A Retrospective Study

Miyazaki, Kunihiko; Kanda, Yutaro; Sakai, Yoshitada; Yoshikawa, Ryo; Yurube, Takashi; Takeoka, Yoshiki; Hara, Hitomi; Akisue, Toshihiro; Kuroda, Ryosuke; Kakutani, Kenichiro

https://hdl.handle.net/20.500.14094/0100485984

このアイテムのアクセス数:83件（2025-07-01 15:49 集計）

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メタデータID	0100485984
アクセス権	open access
出版タイプ	Version of Record
タイトル	Effect of Bone Metastasis Cancer Board on Spinal Surgery Outcomes: A Retrospective Study
著者	Miyazaki, Kunihiko ; Kanda, Yutaro ; Sakai, Yoshitada ; Yoshikawa, Ryo ; Yurube, Takashi ; Takeoka, Yoshiki ; Hara, Hitomi ; Akisue, Toshihiro ; Kuroda, Ryosuke ; Kakutani, Kenichiro
著者名 Miyazaki, Kunihiko
著者名 Kanda, Yutaro
著者ID A1394 研究者ID 1000090397802 ORCID 0000-0002-0435-8398 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=fc0727bebeb3c756520e17560c007669 著者名 Sakai, Yoshitada 酒井, 良忠サカイ, ヨシタダ所属機関名医学研究科
著者名 Yoshikawa, Ryo
著者ID A2131 研究者ID 1000010514648 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=564b5b743f5a7d84520e17560c007669 著者名 Yurube, Takashi 由留部, 崇ユルベ, タカシ所属機関名医学部附属病院
著者ID A3390 研究者ID 1000030943592 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=4a9f37836e6eafb2520e17560c007669 著者名 Takeoka, Yoshiki 武岡, 由樹タケオカ, ヨシキ所属機関名医学研究科
著者ID A1471 研究者ID 1000040437489 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=d877394b618bb57e520e17560c007669 著者名 Hara, Hitomi 原, 仁美ハラ, ヒトミ所属機関名医学研究科
著者ID A0784 研究者ID 1000090379363 ORCID 0000-0003-3708-4095 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=26e9bb4eedaa2df6520e17560c007669 著者名 Akisue, Toshihiro 秋末, 敏宏アキスエ, トシヒロ所属機関名保健学研究科
著者ID A0783 研究者ID 1000080379362 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=f51cbfc82378ae63520e17560c007669 著者名 Kuroda, Ryosuke 黒田, 良祐クロダ, リョウスケ所属機関名医学部附属病院
著者ID A1461 研究者ID 1000010533739 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3401110282b6c620520e17560c007669 著者名 Kakutani, Kenichiro 角谷, 賢一朗カクタニ, ケンイチロウ所属機関名医学研究科
言語	English (英語)
収録物名	Medicina
巻(号)	59(12)
ページ	2087
出版者	MDPI
刊行日	2023-12
公開日	2024-01-09
抄録	Background and Objectives: Bone metastasis cancer boards (BMCBs) focusing on the management of bone metastases have been gathering much attention. However, the association of BMCBs with spinal surgery in patients with spinal metastases remains unclear. In this retrospective single-center observational study, we aimed to clarify the effect of a BMCB on spinal metastasis treatment. Materials and Methods: We reviewed consecutive cases of posterior decompression and/or instrumentation surgery for metastatic spinal tumors from 2008 to 2019. The BMCB involved a team of specialists in orthopedics, rehabilitation medicine, radiation oncology, radiology, palliative supportive care, oncology, and hematology. We compared demographics, eastern cooperative oncology group performance status (ECOGPS), Barthel index (BI), number of overall versus emergency surgeries, and primary tumors between patients before (2008–2012) and after (2013–2019) BMCB establishment. Results: A total of 226 patients including 33 patients before BMCB started were enrolled; lung cancer was the most common primary tumor. After BMCB establishment, the mean patient age was 5 years older (p = 0.028), the mean operating time was 34 min shorter (p = 0.025), the mean hospital stay was 34.5 days shorter (p < 0.001), and the mean BI before surgery was 12 points higher (p = 0.049) than before. Moreover, the mean number of surgeries per year increased more than fourfold to 27.6 per year (p < 0.01) and emergency surgery rates decreased from 48.5% to 29.0% (p = 0.041). Patients with an unknown primary tumor before surgery decreased from 24.2% to 9.3% (p = 0.033). Postoperative deterioration rates from 1 to 6 months after surgery of ECOGPS and BI after BMCB started were lower than before (p = 0.045 and p = 0.027, respectively). Conclusion: The BMCB decreased the emergency surgery and unknown primary tumor rate despite an increase in the overall number of spinal surgeries. The BMCB also contributed to shorter operation times, shorter hospital stays, and lower postoperative deterioration rates of ECOGPS and BI.
キーワード	bone metastasis
	spinal metastasis
	cancer board
	bone management
	multidisciplinary treatment
	multidisciplinary cancer conference
	spinal neoplasms
	orthopedics
カテゴリ	医学研究科
	医学部附属病院
	保健学研究科
	学術雑誌論文
権利	© 2023 by the authors. Licensee MDPI, Basel, Switzerland.
権利	This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license
関連情報	DOI https://doi.org/10.3390/medicina59122087

資源タイプ	journal article
ISSN	1010-660X　OPACで所蔵を検索　 CiNiiで学外所蔵を検索
eISSN	1648-9144　OPACで所蔵を検索　 CiNiiで学外所蔵を検索

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