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髋关节转移性疾病和多发性骨髓瘤后的非骨水泥型关节成形术

UNCEMENTED ARTHROPLASTY AFTER HIP METASTATIC DISEASE AND MULTIPLE MYELOMA.

作者信息

Baptista André Mathias, Meirelles Sergio Pinheiro de Souza, Rebolledo Daniel César Seguel, Correia Luiz Filipe Marques, de Camargo Olavo Pires

机构信息

. Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Institute of Orthopedics and Traumatology, São Paulo, SP, Brazil.

. Instituto do Câncer do Estado de São Paulo (ICESP), São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2016 Jul-Aug;24(4):191-195. doi: 10.1590/1413-785220162404158362.

DOI:10.1590/1413-785220162404158362
PMID:28243172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5035690/
Abstract

OBJECTIVE

To describe a case series using a combination of narrative, graphical exploratory analysis and Bayesian Network modeling

METHODS

Case series with 34 patients undergoing uncemented and hybrid arthroplasty procedures secondary to hip pain or fracture secondary to metastatic disease or multiple myeloma

RESULTS

The most common tumors included gastrointestinal, multiple myeloma and breast cancer. Most devices were total arthroplasty (n = 16, 84.2%) rather than partial and uncemented arthroplasty (n = 12, 63.2%) rather than hybrid. The average time between surgery and deambulation was 20 days, the average length of hospital stay was 13 days, and the average patient survival was 589 days. Only one infection was reported. Uncemented and hybrid arthroplasty devices did not differ regarding time to walk, as well as the length of hospital stay in this sample

CONCLUSION

Our model may be used as a prior for the addition of subsequent patient samples, personalizing, thus, its recommendations to other patient populations.

摘要

目的

描述一个使用叙述、图形探索性分析和贝叶斯网络建模相结合的病例系列

方法

对34例因转移性疾病或多发性骨髓瘤继发髋部疼痛或骨折而接受非骨水泥型和混合型关节置换手术的患者进行病例系列研究

结果

最常见的肿瘤包括胃肠道肿瘤、多发性骨髓瘤和乳腺癌。大多数手术是全关节置换术(n = 16,84.2%)而非部分关节置换术,是非骨水泥型关节置换术(n = 12,63.2%)而非混合型。手术至下地行走的平均时间为20天,平均住院时间为13天,平均患者生存期为589天。仅报告了1例感染。在本样本中,非骨水泥型和混合型关节置换装置在行走时间和住院时间方面无差异

结论

我们的模型可作为后续患者样本补充的先验模型,从而使其建议针对其他患者群体实现个性化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/1a02f7163624/1413-7852-aob-24-04-00191-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/ac53e3abe9a7/1413-7852-aob-24-04-00191-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/5de95d83f55b/1413-7852-aob-24-04-00191-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/98b27fa67e87/1413-7852-aob-24-04-00191-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/36fe2a5de316/1413-7852-aob-24-04-00191-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/95ad1d107d61/1413-7852-aob-24-04-00191-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/1a02f7163624/1413-7852-aob-24-04-00191-gf6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/ac53e3abe9a7/1413-7852-aob-24-04-00191-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/5de95d83f55b/1413-7852-aob-24-04-00191-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/98b27fa67e87/1413-7852-aob-24-04-00191-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/36fe2a5de316/1413-7852-aob-24-04-00191-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/95ad1d107d61/1413-7852-aob-24-04-00191-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a3/5035690/1a02f7163624/1413-7852-aob-24-04-00191-gf6.jpg

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