Author/Authors :
Santiago, Lucas Universidade Positivo - Faculdade de Medicina, Curitiba, PR, Brazil , Reggiani Anzuatégui, Pedro Hospital Erasto Gaertner - Orthopedic Oncology Service, Curitiba, PR, Brazil , Paulo Agner Ribeiro, José Universidade Positivo - Faculdade de Medicina, Curitiba, PR, Brazil , Carrilho Filon, Maurício Universidade Positivo - Faculdade de Medicina, Curitiba, PR, Brazil , Pauka Mello, Glauco José Hospital Erasto Gaertner - Orthopedic Oncology Service, Curitiba, PR, Brazil , Valéria Brunetti Rigolino, Ana Hospital Erasto Gaertner - Orthopedic Oncology Service, Curitiba, PR, Brazil
Abstract :
Objective: To compare preoperative and early postoperative levels
of psychosocial distress in patients undergoing bone metastasis
treatment with endoprosthesis, evaluating its impact on quality of life.
Methods: Thirteen patients undergoing endoprosthetic treatment of
bone metastasis were assessed at two time points: preoperatively
and 30 days postoperatively. The tool used was the Distress Ther-
mometer, a questionnaire for psychosocial screening developed by
the National Comprehensive Cancer Network. Distress is considered
moderate or severe if the patient scores 4 or higher. Results: The
most frequent problems in the preoperative period were “bathing
and dressing”. At 30 days, “fatigue” and “nervousness” prevailed.
There was a significant improvement in distress when preoperative
and 30-day assessments were compared. Conclusion: The surgical
treatment of bone metastasis with endoprosthesis results in an
early improvement of psychosocial distress as measured by the
Distress Thermometer. Level of evidence II, Prospective and
comparative therapeutic study.
Keywords :
Quality of Life , Bone Neoplasms , Neoplasm Metastasis , Surgical Oncology
