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. 2021 Oct;28(11):6892-6905.
doi: 10.1245/s10434-021-09774-6. Epub 2021 Mar 19.

Soft Tissue Sarcoma of Lower Extremity: Functional Outcome and Quality of Life

Gilber Kask  1   2   3 , Jussi P Repo  4 , Erkki J Tukiainen  5 , Carl Blomqvist  6   7 , Ian Barner-Rasmussen  5
Affiliations

Soft Tissue Sarcoma of Lower Extremity: Functional Outcome and Quality of Life

Gilber Kask et al. Ann Surg Oncol. 2021 Oct.

Abstract

Background: Few studies have focused on patient-related factors in analyzing long-term functional outcome and health-related quality of life (HRQoL) in patients with postoperative lower extremity soft tissue sarcoma (STS).

Objective: The purpose of this study was to investigate factors associated with postoperative functional outcome and HRQoL in patients with lower extremity STS.

Methods: This cross-sectional study was performed in a tertiary referral center using the Toronto Extremity Salvage Score (TESS), Quality-of-Life Questionnaire (QLQ)-C30 and 15 Dimension (15D) measures. Functional outcome and HRQoL data were collected prospectively. All patients were treated by a multidisciplinary team according to a written treatment protocol.

Results: A total of 141 patients who had undergone limb-salvage surgery were included. Depending on the outcome measure used, 19-51% of patients were completely asymptomatic and 13-14% of patients had an unimpaired HRQoL. The mean score for TESS, 15D mobility score, and QLQ-C30 Physical Functioning scale were 86, 0.83, and 75, respectively, while the mean score for 15D was 0.88, and 73 for QLQ-C30 QoL. Lower functional outcome was statistically significantly associated with higher age, higher body mass index (BMI), and the need for reconstructive surgery and radiotherapy, while lower HRQoL was statistically significantly associated with higher age, higher BMI, and reconstructive surgery.

Conclusion: Functional outcome and HRQoL were generally high in this cross-sectional study of patients with STS in the lower extremity. Both tumor- and treatment-related factors had an impact but patient-related factors such as age and BMI were the major determinants of both functional outcome and HRQoL.

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Figures

Fig. 1
Fig. 1
Flow of patient recruitment. STS soft tissue sarcoma
See this image and copyright information in PMC

References

    1. Toro JR, Travis LB, Wu HJ, et al. Incidence patterns of soft tissue sarcomas, regardless of primary site, in the surveillance, epidemiology and end results program, 1978–2001: An analysis of 26,758 cases. Int J Cancer. 2006;119:2922–2930. doi: 10.1002/ijc.22239. - DOI - PubMed
    1. American Society of Clinical Oncology. Sarcoma, Soft Tissue: Introduction.
    1. Kask G, Barner-Rasmussen I, Repo JP, et al. Functional Outcome Measurement in Patients with Lower-Extremity Soft Tissue Sarcoma: A Systematic Literature Review. Ann Surg Oncol. 2019;26(13):4707–4722. doi: 10.1245/s10434-019-07698-w. - DOI - PMC - PubMed
    1. Saebye C, Fugloe HM, Nymark T, et al. Factors associated with reduced functional outcome and quality of life in patients having limb-sparing surgery for soft tissue sarcomas - a national multicenter study of 128 patients. Acta Oncol. 2017;56:239–244. doi: 10.1080/0284186X.2016.1268267. - DOI - PubMed
    1. Podleska LE, Kaya N, Farzaliyev F, et al. Lower limb function and quality of life after ILP for soft-tissue sarcoma. World J Surg Oncol. 2017;15:84. doi: 10.1186/s12957-017-1150-3. - DOI - PMC - PubMed