全球使用NOMS框架用于脊髓转移管理的趋势:系统性审查
J F L Tobing1, E Kow2, S D A L Tobing3
1Universitas Pelita Harapan, Siloam Hospitals Lippo Village, Faculty of Medicine, Department of Orthopaedic and Traumatology, Tangerang, Indonesia. jephtah.tobing@uph.edu.id.
The Medical journal of Malaysia
|October 1, 2024
概括
神经,瘤,机械和系统 (NOMS) 框架与脊髓转移手术的不良结果有关. 这一系统性审查强调了与其应用相关的并发症和可变的生存率.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 整形外科手术 整形外科手术
背景情况:
- 脊髓转移的传统风险分层有其局限性.
- 神经,瘤,机械和系统 (NOMS) 框架旨在优化治疗.
- 本综述侧重于脊髓转移中的NOMS框架.
研究的目的:
- 提供关于脊髓转移的NOMS框架的全面概述.
- 检查在现实世界临床环境中实施NOMS框架的可行性.
- 评估NOMS框架与外科手术结果之间的关联.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed和Euro PMC进行了广泛的文献搜索.
- 主要结果:NOMS框架实施的可行性.
主要成果:
- 包括三项涉及脊髓转移的300名参与者的研究.
- 与不良结果相关的NOMS框架:并发症,修订,形,复发,可变的生存率.
- 与住院/ICU住院,出院状态,表现指标和生活质量相关的NOMS.
结论:
- 在脊髓转移手术中,NOMS框架始终与不良结果有关.
- 可能需要进一步的研究来完善NOMS框架的应用.
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