Local Management of Patients with Bone Metastases

Description

The transcript details a presentation by Samantha Downie, a registrar from Dundee, discussing the local management of metastatic bone disease, particularly focusing on bone metastasis management at trauma units. She outlines the increasing incidence of bone metastasis referrals in Scotland and compares the treatment outcomes between regional trauma units and sarcoma centers. Downie emphasizes that local management can complement care in providing quicker access to surgery and maintaining continuity with oncology teams, despite certain patients traditionally being referred to specialized centers.



She discusses lessons learned: an increase in referral rates to tumor centers over the years, the complexities involved in managing elderly patients with metastatic conditions, and the need for standardized care across various institutions. Using case studies, she illustrates treatment approaches for patients with periacetabular metastases, highlighting successful interventions that allowed patients to maintain their independence and manage pain effectively.



Overall, the presentation conveys the importance of establishing effective local practices for managing metastatic bone disease, taking into account the growing patient population and ensuring that care standards remain high across different healthcare facilities.

DOI: 10.1302/3114-240779

Specialties