Article

OBJECTIVE: To compare postoperative rehabilitation, functional outcome, and pain
management in cancer patients who underwent an internal hemipelvectomy versus an
external hemipelvectomy. DESIGN: Retrospective study. SETTING: Tertiary cancer
center. PARTICIPANTS: Patients (N=60) who underwent a hemipelvectomy between
February 1996 and November 2005 were included in this study (30 internal
hemipelvectomy patients and 30 external hemipelvectomy patients). INTERVENTIONS:
Not applicable. MAIN OUTCOME MEASURES: Hospital and rehabilitation length of stay
(LOS), percentage of physiatrist consultation and inpatient rehabilitation,
functional status of transfers and ambulation, and pain medication utilization.
RESULTS: The rate of physiatrist consultation and acute rehabilitation admission
were 15 (50%) of 30 and 13 (43%) of 30 for internal hemipelvectomy patients, and
16 (53%) of 30 and 16 (53%) of 30 for external hemipelvectomy patients. Median
hospital LOS for external hemipelvectomy patients (37d) was significantly longer
than for internal hemipelvectomy patients (19d) (P=0.004); median rehabilitation
LOS was similar in both groups (20d for external hemipelvectomy patients versus
22 for internal hemipelvectomy patients; P=0.83). On discharge, 14 (47%) of 30
internal hemipelvectomy patients could ambulate without assistance, whereas only
5 (17%) of 30 external hemipelvectomy patients could do so (P=0.013). The median
morphine equivalent daily dose at discharge for external hemipelvectomy patients
(150mg) was significantly higher than that for internal hemipelvectomy patients
(45mg) (P=0.032). CONCLUSIONS: A similar percentage of internal hemipelvectomy
and external hemipelvectomy patients were admitted to inpatient rehabilitation.
External hemipelvectomy patients had longer hospital LOS, less favorable
functional outcome, and required more intense treatment for pain.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS