Clinical Outcome of Patients with Bone Metastases in a Convalescent Rehabilitation Ward: A Case Series of Six Patients.

Autor:	Kobayashi M; Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Japan.; Department of Rehabilitation Medicine, Nishi Memorial Port Island Rehabilitation Hospital, Kobe, Japan., Yoshikawa R; Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Japan.; Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan., Harada R; Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Japan.; Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan., Date A; Department of Rehabilitation Medicine, Nishi Memorial Port Island Rehabilitation Hospital, Kobe, Japan., Kobayashi Y; Department of Rehabilitation Medicine, Nishi Memorial Port Island Rehabilitation Hospital, Kobe, Japan., Kozawa S; Department of Rehabilitation Medicine, Nishi Memorial Port Island Rehabilitation Hospital, Kobe, Japan., Sakai Y; Division of Rehabilitation Medicine, Kobe University Hospital, Kobe, Japan.; Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.
Jazyk:	angličtina
Zdroj:	Progress in rehabilitation medicine [Prog Rehabil Med] 2022 Apr 29; Vol. 7, pp. 20220022. Date of Electronic Publication: 2022 Apr 29 (Print Publication: 2022).
DOI:	10.2490/prm.20220022
Abstrakt:	Background: Advances in cancer treatment have led to an increase in the number of cancer survivors and, likewise, cancer patients in convalescent rehabilitation wards. It is difficult for patients with bone metastases to recover their motor functions and be discharged. However, cancer treatments, such as anti-cancer drug therapy and radiation therapy, are not generally provided in convalescent rehabilitation wards. Cases: This study retrospectively reviewed six cases of bone metastases in our convalescent rehabilitation ward from April 2018 to October 2019. The ages of the patients ranged from 58 to 85 years, and all patients were male. The primary cancers were lung cancer (two cases), renal cancer (one case), esophageal cancer (one case), prostate cancer (one case), and double lung and kidney cancer (one case). Bone metastases were observed in the spine (six cases), pelvis (two cases), and femur (one case). All patients were admitted to our convalescent rehabilitation ward for postoperative management of imminent fracture risk and rehabilitation of pathological fracture or spinal cord compression caused by bone metastasis. None of the patients received treatment for primary cancer or bone metastases during their hospitalization. Two patients had new bone metastases in load-bearing bones. Five patients were transferred to acute care hospitals for the treatment of cancer or infection. Discussion: Before transferring patients with bone metastases to convalescent rehabilitation wards, clinicians should assess the risk of skeletal-related events and the rate of progression of their cancer. Indications for hospitalization should be carefully determined in cooperation with acute care hospitals. Competing Interests: CONFLICTS OF INTEREST: The authors report no conflicts of interest. (2022 The Japanese Association of Rehabilitation Medicine.)
Databáze:	MEDLINE
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