Streamlining the Journey of Research Into Clinical Practice: Making Your Patients and Practice Flourish Understanding and Setting Treatment Expectations for Patients With Metastatic Spine Tumors-Reference-Cited by-同舟云学术

Streamlining the Journey of Research Into Clinical Practice: Making Your Patients and Practice Flourish Understanding and Setting Treatment Expectations for Patients With Metastatic Spine Tumors

Published:2024-07-25 Issue:7 Volume:14 Page:1880-1888
ISSN:2192-5682
Container-title:Global Spine Journal
language:en
Short-container-title:Global Spine Journal

Author:

Reynolds Jeremy J.¹^ORCID,Charest-Morin Raphaële²^ORCID,Versteeg Annemarie L.³,Galgano Michael⁴,Lubelski Daniel⁵,Newman W. Christopher⁶,Patel Shalin S.⁷,Sullivan Patricia L. Z.⁸,Dea Nicolas²,Gasbarrini Alessandro⁹,Lazary Aron¹⁰^ORCID,Rhines Laurence D.⁷^ORCID,Sahgal Arjun¹¹,Verlaan Jorrit-Jan¹²,Fisher Charles G.²,Laufer Ilya¹³

Affiliation:

1. Oxford Spine Service, Oxford University Hospitals, Oxford, England

2. Combined Neurosurgical and Orthopaedic Spine Program, University of British Columbia, Vancouver, BC, Canada

3. Orthopedic Residency Program, University of Toronto, Toronto, ON, Canada

4. Department of Neurosurgery, University of North Carolina, Chapel Hill, NC, USA

5. Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

6. Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA

7. Orthopaedic Oncology, MD Anderson Cancer Center, Houston, TX, USA

8. Norman Prince Neurosciences Institute, Rhode Island Hospital, Providence, RI, USA

9. Oncologic and Degenerative Spine Surger, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

10. Department of Spinal Surgery, National Center for Spinal Disorders, Budapest, Hungary

11. Department of Radiation Oncology, Sunnybrook Health Science Center, Toronto, ON, Canada

12. Department of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands

13. Department of Neurosurgery, New York University Langone Health, New York, NY, USA

Abstract

Study Design Literature review with clinical recommendation. Objective A concise curation of the latest spine literature exploring the relationship between expectations and satisfaction for patients with metastatic spinal disease (MSD). Deliver recommendations to practicing clinicians regarding interpretation and utilisation of this evidence. Methods The latest spine literature in the topic of factors affecting the expectations of patients with MSD was reviewed and clinical recommendations were formulated. Recommendations are graded as strong or Conditional. Results 5 articles were selected. Article 1: risk factors for the development of dissatisfaction from a cohort of 362 MSD patients. Strong recommendation to incorporate risk factor assessment when considering treatment. Article 2: systematic review assessing the relationship between pre-operative patient expectations and subsequent satisfaction in allied disciplines. Conditional recommendation to optimize patient expectation to positively modify patient satisfaction. Article 3: qualitative study of how clinicians, from different specialties, counsel patients with MSD pre-treatment. Strong recommendation to use a multidisciplinary approach. Article 4 qualitative study of how MSD patients experience their pre-treatment counselling and how that affected their appreciation of treatment success. Conditional recommendation to furnish patients with tailored, expected outcomes in the context of systemic progression. Article 5 Design and validation of a pre-treatment questionnaire specific to MSD. A conditional recommendation to incorporate this questionnaire in clinical and research MSD practice. Conclusion Patients with MSD are approaching end of life care and high levels of treatment satisfaction are crucial at this juncture. The role of expectation management and comprehensive counselling is critical.

Funder

AO Network Clinical Research

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/21925682241264406

Reference23 articles.

1. Stereotactic body radiotherapy versus conventional external beam radiotherapy in patients with painful spinal metastases: an open-label, multicentre, randomised, controlled, phase 2/3 trial

2. Survival and Clinical Outcomes in Surgically Treated Patients With Metastatic Epidural Spinal Cord Compression: Results of the Prospective Multicenter AOSpine Study

4. Impact of Surgical Intervention on Quality of Life in Patients With Spinal Metastases

5. Patient satisfaction with treatment outcomes after surgery and/or radiotherapy for spinal metastases