Rehabilitación del paciente con enfermedad ósea metastásica: Un desafío

Autores/as

  • Miguel Mauricio Moreno Capacho INSTITUTO NACIONAL DE CANCEROLOGIA E.S.E. UNIVERSIDAD NACIONAL DE COLOMBIA
  • Yudi Milena Rodríguez Mojica Instituto Nacional de Cancerología E.S.E.

DOI:

https://doi.org/10.28957/rcmfr.v26n1a9

Palabras clave:

Metástasis de las Neoplasias, Hueso, Rehabilitación.

Resumen

La enfermedad ósea metastásica es una condición que frecuentemente impacta de forma negativa la funcionalidad y calidad de vida de los pacientes con cáncer, por lo cual esta condición se convierte en un desafío para el grupo oncológico tratante y de soporte; en especial para los especialistas en rehabilitación, quienes deben buscar un equilibrio entre los riesgos de aparición de eventos adversos a causa de sus intervenciones y la preservación de la funcionalidad. El objetivo de esta revisión es dar a conocer las principales pautas sobre el diagnóstico clínico, el diagnóstico imagenológico, los fundamentos del tratamiento quirúrgico y las opciones en rehabilitación, para que el especialista pueda tomar las mejores decisiones de tratamiento y establecer objetivos de rehabilitación eficientes en los pacientes con enfermedad ósea metastásica.

Biografía del autor/a

Miguel Mauricio Moreno Capacho, INSTITUTO NACIONAL DE CANCEROLOGIA E.S.E. UNIVERSIDAD NACIONAL DE COLOMBIA

Especialista en Medicina Física y Rehabilitación - Universidad Nacional de Colombia

Aspirante a Título Subespecialidad en Rehabilitación Oncológica - Universidad Militar Nueva Granada

Coordinador Servicio de Rehabilitación Instituto Nacional de Cancerología E.S.E. 

Referencias bibliográficas

1. Coleman RE. Clinical features of metastatic bone disease and risk of skeletal morbidity. Clin Cancer Res. 2006; 12(20 Pt 2): 6243s-9s.

2. Piccioli A, Maccauro G, Spinelli M, Biagini R, Rossi B. Bone metastases of unknown origin: epidemiology and principles of management. J Orthopaed Traumatol. 2015; 16(2): 81-6. DOI: 10.1007/s10195-015-0344-0.

3. Hemminki K, Riihimäki M, Sundquist K, Hemminki A. Site-specific survival rates for cancer of unknown primary according to location of metastases. Int J Cancer. 2013; 133(1): 182-9. DOI: 10.1002/ijc.27988.

4. Pavlidis N, Briasoulis E, Hainsworth J, Greco F. Diagnostic and therapeutic management of cancer of an unknown primary. Eur J
Cancer. 2003; 39(14): 1990-2005.

5. Singh V, Haseeb A, Alkubaisi A. Incidence and outcome of bone metastatic disease at University Malaya Medical Centre. Singapore Med J. 2014; 55(10): 539-46. DOI:10.11622/smedj.2014138.

6. Gralow J, Biermann J, Farooki A, Fornier M, Gagel R, Kumar R, et al. NCCN Task Force Report: Bone Health in Cancer Care. JNCCN. 2009; 7 (Suppl 3): S1-S36.

7. Galasko C. The anatomy and pathways of skeletal metastases. En: Weiss L, Gilbert A, editors. Bone metastases. Boston: GKHall; 1981. p. 49-63.

8. Front D. Bone metastases and bone pain in breast cancer. Are they closely associated?. JAMA. 1979; 242(16): 1747-8.

9. Nakamura N, Takahashi O, Zenda S, Kawamori J, Ogita M, Onozawa M, et al. Neuropathic Pain Features in Patients with Bone Metastases. J Clin Oncol. 2016; 28(3): 204-8. DOI: 10.1016/j.clon.2015.10.007.

10. Brada M, Rowley M, Grant D, Ashley S, Powles T. Hypercalcaemia in Patients with Disseminated Breast Cancer. Acta Oncol. 1990; 29(5): 577-80.

11. Davids J. Diagnosis and Management of Pathologic Fractures. J Pediatr Orthop. 1994; 14(2): 263.

12. Lin J. Bony Pathology in the Cancer Patient. JWomensHealth. 2002; 11(8): 691-702.

13. Villar GS, Perez RA, Torres CJ, Mateos V. Compresión medular: aproximación multidisciplinar a una auténtica urgencia neurooncológica. Rev Neurol. 2013; 56: 43-52.

14. Patchell R. Metastatic epidural spinal cord compression. Eur J Cancer Suppl. 2007; 5(5): 35-40.

15. Hill M, Richards M, Gregory W, Smith P, Rubens R. Spinal cord compression in breast cancer: a review of 70 cases. Br J Cancer.
1993; 68(5): 969-73.

16. Fattal C, Fabbro M, Gelis A, Bauchet L. Metastatic Paraplegia and Vital Prognosis: Perspectives and Limitations for Rehabilitation Care. Part 1. Arch Phys Med Rehabil. 2011; 92(1): 125-33. DOI: 10.1016/j.apmr.2010.09.017.

17. Hamaoka T, Madewell J, Podoloff D. Bone Imaging in Metastatic Breast Cancer. J Clin Oncol. 2004; 22(14): 2942-53. DOI: 10.1200/jco.2004.08.181.

18. Sutcliffe P, Connock M, Shyangdan D, Court R, Kandala N, Clarke A. A systematic review of evidence on malignant spinal metastases: natural history and technologies for identifying patients at high risk of vertebral fracture and spinal cord compression. Health Technol Assess. 2013; 17(42). DOI: 10.3310/hta17420.

19. Gralow J, Biermann S, Farooki A, Fornier M, Gagel R, Kumar R, et al. NCCN Task Force Report: Bone Health in Cancer Care. J Natl Compr Canc Netw. 2013; 11(Suppl 3): S1-S50.

20. Redmond J, Spring D, Munderloh S, George C, Mansour R, Volk S. Spinal computed tomography scanning in the evaluation of metastatic disease. Cancer. 1984; 54(2): 253-8.

21. Avrahami E, Tadmor R, Dally O, Hadar H, Early MR. Demonstration of Spinal Metastases in Patients with Normal Radiographs and CT and Radionuclide Bone Scans. J Comput Assist Tomogr. 1989; 13(4): 598-602.

22. Martínez del Valle TM, Gutiérrez CA, Ortega LS, Jiménes HJ. Técnicas de imagen en el diagnóstico de metástasis óseas. Rev Esp Med Nucl. 2007; 26(4): 237-58.

23. O’Sullivan G. Imaging of bone metastasis: An update. World J Radiol. 2015; 7(8): 202. DOI: 10.4329/wjr.v7.i8.202.

24. Jawad M, Scully S. In Brief: Classifications in Brief: Mirels’ Classification: Metastatic Disease in Long Bones and Impending Pathologic Fracture. Clin Orthop Relat Res. 2010; 468(10): 2825-7. DOI: 10.1007/s11999-010-1326-4.

25. Mirels H. Metastatic Disease in Long Bones. A Proposed Scoring System for Diagnosing Impending Pathologic Fractures. Clin Orthop Relat Res. 1989; (249): 256-64.

26. Damron T, Morgan H, Prakash D, Grant W, Aronowitz J, Heiner J. Critical Evaluation of Mirel´s: Rating System for Impending Pathologic Fractures. Orthop Relat Res. 2003; 415: S201-S207. DOI:10.1097/01.blo.0000093842.72468.73.

27. Fisher C, DiPaola C, Ryken T, Bilsky M, Shaffrey C, Berven S, et al. A Novel Classification System for Spinal Instability in Neoplastic Disease. Spine. 2010; 35(22): E1221-E1229. DOI:10.1097/BRS.0b013e3181e16ae2.

28. Joaquim A, Powers A, Laufer I, Bilsky M. An update in the management of spinal metastases. Arq Neuro-Psiquiatr. 2015; 73(9):
795-802. DOI: 10.1590/0004-282x20150099.

29. Tokuhashi Y, Matsuzaki H, Toriyama S, Kawano H, Ohsaka S. Scoring System for the Preoperative Evaluation of Metastatic Spine Tumor Prognosis. Spine. 1990; 15(11): 1110-3.

30. Tokuhashi Y, Matsuzaki H, Oda H, Oshima M, Ryu J. A Revised Scoring System for Preoperative Evaluation of Metastatic Spine Tumor Prognosis. Spine. 2005; 30(19): 2186-91. DOI:10.1097/01.brs.0000180401.06919.a5.

31. Eap C, Tardieux E, Goasgen O, Bennis S, Mireau E, Delalande B, et al. Tokuhashi score and other prognostic factors in 260 patients with surgery for vertebral metastases. Orthop Traumatol Surg Res. 2015; 101(4):483-8. DOI: 10.1016/j.otsr.2015.03.007.

32. Choi D, Crockard A, Bunger C, Harms J, Kawahara N, Mazel C, et al. Review of metastatic spine tumour classification and indications for surgery: the consensus statement of the Global Spine Tumour Study Group. Eur Spine J. 2009; 19(2): 215-22. DOI: 10.1007/s00586-009-1252-x.

33. Zou XN, Grejs A, Li HS, Hoy K, Hansen E, Bürger. Estimation of life expectancy for selecting surgical procedure and predicting prognosis of extradural spinal metastases. Ai Zheng. 2006; 25(11): 1406-10.

34. Chow E, Harris K, Fan G, Tsao M, Sze W. Palliative radiotherapy trials for bone metastases: A systematic review. J Clin Oncol. 2007; 25: 1423-36.

35. Lutz S, Jones J, Chow E. Role of Radiation Therapy in Palliative Care of the Patient With Cancer. J Clin Oncol. 2014; 32(26): 2913-9.

36. Rades D, Heidenreich F, Karstens JH. Final results of a prospective study of the prognostic value of the time to develop motor deficits before irradiation in metastasic spinal cord compression. Int J Radiat Oncol Biol Phys. 2002; 53(4): 975-9.

37. Souchon R, Feyer P, Thomssen C, Fehm T, Diel I, Nitz U, et al. Clinical Recommendations of DEGRO and AGO on Preferred Standard Palliative Radiotherapy of Bone and Cerebral Metastases, Metastatic Spinal Cord Compression, and Leptomeningeal Carcinomatosis in Breast Cancer. Breast Care. 2010; 5(6): 401-7. DOI: 10.1159/000322661.

38. Lutz S, Chow E. A review of recently published radiotherapy treatment guidelines for bone metastases: Contrats or Convergence?.
J Bone Oncol. 2012; 1: 18-23.

39. Lutz S, Lawrence B,. Chang E, Chow E,. Hahn C, Hoskin P, et al. Palliative Radiotherapy for bone metastases: An ASTRO Evidence- based guideline. Int J Radiat Oncol Biol Phys. 2011; 79 (4): 965-76.

40. De Bari B, Alongi F, Mortellaro G, Mazzola R, Luis S, Matthias G. Spinal Metastases: Is Stereotactic body radiation therapy supported by evidences?. Crit Rev Oncol Hematol. 2016; 98: 147-58.

41. Cristian A, Tran A, Patel K. Patient Safety in Cancer Rehabilitation. Phys Med Rehabi Clin N Am. 2012; 23(2): 441-56. DOI:
10.1016/j.pmr.2012.02.015.

42. Lopez-Olivo M, Shah N, Pratt G, Risser J, Symanski E, Suarez-Almazor M. Bisphosphonates in the treatment of patients with lung
cancer and metastatic bone disease: a systematic review and meta-analysis. Support Care Cancer. 2012; 20(11): 2985-98. DOI:
10.1007/s00520-012-1563-z.

43. Trilok M. Pain Management and Cancer. En: Monga T, Grabois M. Pain management in rehabilitation. New York. Demos Medical Pub. 2002; p. 233-63.

44. Jacox A, Carr D, Payne R. New Clinical- Practice Guidelines for the Management of Pain in Patients with Cancer. for Health Care Policy and Research. N Engl J Med. 1994; 330(9) :651-5. DOI:10.1056/nejm199403033300926.

45. Collinge W, MacDonald G, Walton T. Massage in Supportive Cancer Care. Semin Oncol Nurs. 2012; 28(1): 45-54. DOI:10.1016/j.soncn.2011.11.005.

46. Searle R, Bennett M, Johnson M, Callin S, Radford H. Transcutaneous Electrical Nerve Stimulation (TENS) for Cancer Bone Pain. J Pain Symptom Manage. 2009; 37(3): 424-8. DOI: 10.1016/j.jpainsymman.2008.03.017.

47. Paley C, Johnson M, Bennett M. Should physiotherapists use acupuncture for treating patients with cancer-induced bone pain? A
discussion paper. Physiother. 2011; 97(3): 256-63. DOI:10.1016/j.physio.2010.08.008.

48. Ernst E, White A. Life-threatening adverse reactions after acupuncture? .Pain.1997; 71(2): 123-6. DOI: 10.1016/s0304-3959(97)
03368-x.

49. White A, Hayhoe S, Hart A, Ernst E. Survey of Adverse Events Following Acupuncture (SAFA): a prospective study of 32,000 consultations. Acupunct Med. 2001; 19(2): 84-92. DOI: 10.1136/aim.19.2.84.

50. Bunting R, Shea B. Bone metastasis and rehabilitation. Cancer. 2001; 92(S4): 1020-8.

51. Brotzman S, Manske R. Clinical Orthopaedic Rehabilitation. London: Elsevier Health Sciences; 2011.

52. Rief H, Welzel T, Omlor G, Akbar M, Bruckner T, Rieken S, et al. Pain response of resistance training of the paravertebral musculature under radiotherapy in patients with spinal bone metastases – a randomized trial. BMC Cancer. 2014; 14(1): 485. DOI: 10.1186/1471-2407-14-485.

53. Cormie P, Newton R, Spry N, Joseph D, Taaffe D, Galvão D. Safety and efficacy of resistance exercise in prostate cancer patients with bone metastases. Prostate Cancer Prostatic Dis. 2013; 16(4): 328-35. DOI: 10.1038/pcan.2013.22.

54. Galvão D, Taaffe D, Cormie P, Spry N, Chambers S, Peddle-McIntyre C, et al. Efficacy and safety of a modular multi-modal exercise program in prostate cancer patients with bone metastases: a randomized controlled trial. BMC Cancer. 2011; 11(1): 517. DOI: 10.1186/1471-2407-11-517.

55. Filis A, Aghayev K, Doulgeris J, Gonzalez BS, Vrionis F. Spinal Neoplastic Instability: Biomechanics and Current Management
Options. Cancer Control. 2014; 21(2): 114-50.

56. Gillespie L, Robertson M, Gillespie W, Sherrington C, Gates S, Clemson L, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012; DOI: 10.1002/14651858.cd007146.pub3.

57. Clemson L, Mackenzie L, Ballinger C, Close J, Cumming R. Environmental Interventions to Prevent Falls in Community- Dwelling Older People: A Meta-Analysis of Randomized Trials. J Aging Health. 2008;20(8): 954-971.

58. Pergolotti M, Williams G, Campbell C, Munoz L, Muss H. Occupational Therapy for Adults With Cancer: Why It Matters. Oncologist. 2016; (In press). DOI: 10.1634/theoncologist.2015-0335.

Cómo citar

1.
Moreno Capacho MM, Rodríguez Mojica YM. Rehabilitación del paciente con enfermedad ósea metastásica: Un desafío. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 24 de junio de 2016 [citado 28 de marzo de 2024];26(1):95-108. Disponible en: https://revistacmfr.org/index.php/rcmfr/article/view/149

Descargas

Los datos de descargas todavía no están disponibles.

Descargas

Publicado

2016-06-24

Número

Sección

Revisión sistemática
QR Code