Materiały źródłowe

• #1 Osteosarcoma (Osteogenic Sarcoma): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15041-osteosarcoma

  Osteosarcoma is cancer that begins in your bones, usually in the arms or legs. Limited movement, bone pain, a lump and an unexplained broken bone are the most common symptoms. Many treatments are available. Around 7 in 10 people survive if the osteosarcoma doesn’t spread to other parts of their bodies. […] The most common treatments are chemotherapy (chemo) and surgery to remove osteosarcoma tumors and cancer medications to kill cancer cells throughout your body. You’ll probably need chemo, then surgery, then more chemo. […] You’ll probably need surgery to remove the osteosarcoma. Your surgeon will try to preserve as much of your natural bone and tissue as they can. But they’ll remove some of the healthy tissue around the tumor to make sure they’re taking out as many cancer cells as possible.

• #2 Osteosarcoma and UPS of Bone Treatment (PDQ®) – NCI

  https://www.cancer.gov/types/bone/hp/osteosarcoma-treatment-pdq

  Osteosarcoma occurs predominantly in adolescents and young adults. Review of data from the National Cancer Institute’s National Childhood Cancer Registry resulted in an estimated osteosarcoma incidence rate of 5.4 cases per 1 million each year in people aged 0 to 19 years and 4 cases per 1 million each year in people younger than 40 years. The U.S. Census Bureau estimated that there were 82 million people between the ages of 0 and 19 years, resulting in an incidence of roughly 440 cases per year in this age group. […] […] Osteosarcoma accounts for approximately 5% of childhood tumors. In children and adolescents, more than 50% of these tumors arise from the long bones around the knee. Osteosarcoma is rarely observed in soft tissue or visceral organs. There appears to be no difference in presenting symptoms, tumor location, and outcome for younger patients (12 years) compared with adolescents. […]

• #3 01.09 Osteosarcoma | Free NURSING.com Courses

  https://nursing.com/lesson/musc-01-09-osteosarcoma

  Osteosarcoma is a type of bone cancer found in the metaphysis of long bones commonly seen in children and young adults. […] Osteosarcoma is the most common bone cancer in children and is most common in patients 10-25 years of age. […] Patients will also have musculoskeletal changes, so assessing mobility and ability to perform ADLs is important. […] A big part of management is to reduce the size or to remove the tumor entirely. […] Pain control is a treatment priority. […] Wound care could be indicated if surgery is performed or if there are wounds from infection. […] Depending on disease progression, patients may choose palliative treatment vs curative treatment if the prognosis is poor or if there is metastasis. […] The priority nursing concepts for a patient with osteosarcoma include coping, comfort, and functional ability.

• #4 Osteosarcoma Treatment | St. Jude Care & Treatment

  https://www.stjude.org/care-treatment/treatment/childhood-cancer/solid-tumors/osteosarcoma.html

  Osteosarcoma treatment includes surgery and chemotherapy. If the disease has not spread to other areas of the body, the long-term survival rate is 7075%. If it has spread to the lungs or other bones at diagnosis, the long-term survival rate is about 30%. […] St. Jude provides the highest quality of care for patients with osteosarcoma: St. Jude has been a pioneer in limb-sparing surgeries. Our surgeons continue to explore new limb-sparing techniques. They are working to improve survival and help children live normal lives after treatment. […] St. Jude offers a dedicated team of specialists to meet the needs of children with cancer, including: Surgeons, doctors, and nurses who treat this cancer. […] The nurse-to-patient ratio at St. Jude is about 1:3 in hematology and oncology and 1:1 in the Intensive Care Unit.

• #5 Osteosarcoma and UPS of Bone Treatment (PDQ®) – NCI

  https://www.cancer.gov/types/bone/hp/osteosarcoma-treatment-pdq

  Two trials conducted in the 1980s were designed to determine whether chemotherapy altered the natural history of osteosarcoma after surgical removal of the primary tumor. The outcome of these patients recapitulated the historical experience before 1970. More than one-half of these patients developed metastases within 6 months of diagnosis, and overall, approximately 90% developed recurrent disease within 2 years of diagnosis. Overall survival (OS) for patients treated with surgery alone was statistically inferior. The natural history of osteosarcoma has not changed over time, and fewer than 20% of patients with localized, resectable primary tumors treated with surgery alone can be expected to survive free of relapse. […] […] Osteosarcoma can be diagnosed by core needle biopsy or open surgical biopsy. It is preferable that the biopsy be performed by a surgeon skilled in the techniques of limb sparing (removal of the malignant bone tumor without amputation and replacement of bones or joints with allografts or prosthetic devices). In these cases, the original biopsy incision placement is crucial. Inappropriate alignment of the biopsy or inadvertent contamination of soft tissues can render subsequent limb-preserving reconstructive surgery impossible. […]

• #6 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  The role of the nurse in the care of osteosarcoma patients is crucial. From the moment the patient and the patient’s family are informed about the sickness, the nurse gives support and comfort and also clarifies the information of the medical doctor to them. […] Essential nursing care consists of informing the patient and his family about the clinical trial, improving communication between members of the protocol team and the patient and his or her family, administering the medication according to the protocol’s specifications, functioning as a patient advocate, and analysing and recording the patient’s response to therapy. […] Family-centered care is a philosophy of health care that influences health care policy, programs, facility design, and daily interactions between patients, families, doctors, and other health care providers.

• #7 Caring for children and adolescents with osteosarcoma: a nursing perspective – PubMed

  https://pubmed.ncbi.nlm.nih.gov/20213403/

  The nurse plays a vital role in caring for patients with osteosarcoma. From the very outset when the disease is explained to the patient and his/her family, the nurse provides comfort and support, as well as enhances and explains the information provided by the physician. All aspects of medical care are addressed, and he/she is frequently the first line of communication when the patient telephones and requests information or wishes to report a problem to the physician. He/She arranges and coordinates appointments to suit the patient’s medical, and often social needs to provide comprehensive care with attention to detail. This communication will provide a perspective of the role assumed by the nurse in his/her effort to ensure total care of the patient and the family.

• #8 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Get to know the nursing diagnosis for osteogenic sarcoma (osteosarcoma) nursing care plans in this guide. Discover the nursing assessment, nursing interventions, and nursing management for patients with this condition. […] The nursing care planning goals for patients with osteosarcoma include prevention of injury, improved condition of oral mucous membranes, relief from anxiety, and monitoring and managing potential complications. […] The following are the nursing priorities for patients with osteogenic sarcoma (osteosarcoma): Tumor management. Addressing the primary concern of treating and managing the osteosarcoma tumor through surgical intervention, chemotherapy, and/or radiation therapy. Pain management. Implementing effective strategies to manage and alleviate the pain associated with the tumor, surgery, or other treatment modalities. Limb function preservation. Preserving limb function and mobility through limb-sparing surgeries whenever feasible to maintain quality of life. Metastasis prevention. Monitoring for and managing the potential spread of cancer cells to other parts of the body, particularly the lungs and other bones. Rehabilitation and physical therapy. Providing comprehensive rehabilitation programs to restore optimal function and mobility following surgery or other treatments. Psychological support. Offering psychological support and counseling to help patients cope with the emotional and psychological challenges associated with the diagnosis and treatment of osteosarcoma. Long-term follow-up and surveillance. Conducting regular monitoring, including follow-up visits, imaging studies, and laboratory tests, to detect potential recurrence, assess treatment response, and manage any late effects or complications.

• #9 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Our responsibility as advocates and educators for patients and families cannot be overstated. Developing strategies to assist patients in comprehending their sickness and therapy, as well as organizing and expanding on preliminary information, involves sensitivity, visual information, and imagination. […] To maintain a high quality of life throughout management, it is critical to avoid and/or reduce illness symptoms and treatment side effects. Pain is the most common and probably utmost distressing symptom. […] Pain is typically the most prevalent symptom in individuals with osteosarcoma, and it poses a significant danger to the quality of life unless managed properly. […] Postoperative pain is somewhat expectable. The pain treatment regimen often includes intravenous (IV) or epidural analgesia.

• #10 (DOC) nursing management of patients with osteosarcoma

  https://www.academia.edu/14839597/nursing_management_of_patients_with_osteosarcoma

  osteosarcoma is the cancer of bones. The etiology of osteosarcoma is unknown. several risk factors contribute towards osteosarcoma like age, sex, family history, smoking, growth of bones and exposure to radiotherapy. the treatment is followed by chemotherapy, radiation and surgical removal of tumors. […] The pressure of overcrowding of abnormal and tumor cells cause pain and increases the chances of fracture. […] According to David et al (2013), the major concern of patients with osteosarcoma is pain which is severe in nature and may often progress to pain at rest and night pain. […] Therefore, teaching should be given on the compliance of medication, proper follow up with the physician, regular monitoring of blood counts, dietary management and alarming signs of disease process and its complications.

• #11 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/content?contenttypeid=90&contentid=p02778

  Osteosarcoma is very rare, but it’s the most common kind of bone cancer in children and teens. […] Osteosarcoma is cancer that starts in the bone. […] Your child’s treatment team can explain the type your child has and what it means. […] A child with certain rare genetic cancer syndromes may be at higher risk of osteosarcoma. […] Symptoms can be different in each child. They can include: Bone or joint pain at the tumor, swelling at the tumor, lump (mass) in the affected bone, increased pain with activity or at night, a bone that breaks for no known reason. […] Your child’s healthcare provider will ask about your child’s health history and symptoms. They will examine your child. Your child may be referred to a specialist. […] A biopsy is needed to diagnose osteosarcoma. The biopsy may be done with a needle or with surgery. It’s very important that a biopsy be done by a healthcare provider with experience and knowledge about bone tumors.

• #12 Osteosarcoma (bone cancer in children) | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/osteosarcoma-in-children

  Osteosarcoma is the most common malignant (cancerous) bone tumor among children, adolescents and young adults, but it is still a rare disorder. […] Osteosarcoma occurs most often in children and young adults between the ages of 10 and 20 and often during a growth spurt. […] The symptoms of osteosarcoma depend on the size and location of the bone tumor, as well as your child’s age and general health. […] Many symptoms of osteosarcoma can be easily ignored as normal growing pains in children, which makes regular check-ups and referrals to specialists extremely important. […] At CHOP, experts at the Bone and Soft Tissue Tumor Program take a team approach to treatment. […] Initial treatment for osteosarcoma always involves chemotherapy. […] Surgery is always performed at the site where the tumor started (primary site).

• #13 01.09 Osteosarcoma | Free NURSING.com Courses

  https://nursing.com/lesson/musc-01-09-osteosarcoma

  Osteosarcoma is a type of bone cancer found in the metaphysis of long bones commonly seen in children and young adults. […] Osteosarcoma is the most common bone cancer in children and is most common in patients 10-25 years of age. […] Patients will also have musculoskeletal changes, so assessing mobility and ability to perform ADLs is important. […] A big part of management is to reduce the size or to remove the tumor entirely. […] Pain control is a treatment priority. […] Wound care could be indicated if surgery is performed or if there are wounds from infection. […] Depending on disease progression, patients may choose palliative treatment vs curative treatment if the prognosis is poor or if there is metastasis. […] The priority nursing concepts for a patient with osteosarcoma include coping, comfort, and functional ability.

• #14 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Patients with osteosarcoma may be at risk for injury related to their disease and its treatment. This can include bone fractures, neuropathy, and muscle weakness, which can lead to falls and other accidents. […] Patients with osteosarcoma may experience anxiety related to the uncertainty of their prognosis, the physical and emotional impact of their disease and its treatment, and the potential for long-term complications and disability.

• #15 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with osteogenic sarcoma (osteosarcoma) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The child will not experience a bleeding episode. The child’s temperature will remain 100 F. The child’s breath sounds will be clear bilaterally. The child will be free of oral mucous membrane irritation. The child will demonstrate proper oral hygiene upon discharge. The child will not experience injury as evidenced by a clean and dry stump without redness, odor, or drainage. […] Therapeutic interventions and nursing actions for patients with osteogenic sarcoma (osteosarcoma) may include: Patients with osteosarcoma may experience compromised protection related to antineoplastic medication, which can suppress the immune system and increase the risk of infection.

• #16 Osteosarcoma (Osteogenic Sarcoma): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15041-osteosarcoma

  Maintaining or reclaiming a good quality of life is vital before, during and after treatment for osteogenic sarcoma. It’s not only about taking care of your physical health: your mental and emotional health are just as important. A mental health provider or therapist can help. […] Living with osteosarcoma isn’t easy. But there are lots of treatment options. Your providers will help you find the best ones.

• #17 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Get to know the nursing diagnosis for osteogenic sarcoma (osteosarcoma) nursing care plans in this guide. Discover the nursing assessment, nursing interventions, and nursing management for patients with this condition. […] The nursing care planning goals for patients with osteosarcoma include prevention of injury, improved condition of oral mucous membranes, relief from anxiety, and monitoring and managing potential complications. […] The following are the nursing priorities for patients with osteogenic sarcoma (osteosarcoma): Tumor management. Addressing the primary concern of treating and managing the osteosarcoma tumor through surgical intervention, chemotherapy, and/or radiation therapy. Pain management. Implementing effective strategies to manage and alleviate the pain associated with the tumor, surgery, or other treatment modalities. Limb function preservation. Preserving limb function and mobility through limb-sparing surgeries whenever feasible to maintain quality of life. Metastasis prevention. Monitoring for and managing the potential spread of cancer cells to other parts of the body, particularly the lungs and other bones. Rehabilitation and physical therapy. Providing comprehensive rehabilitation programs to restore optimal function and mobility following surgery or other treatments. Psychological support. Offering psychological support and counseling to help patients cope with the emotional and psychological challenges associated with the diagnosis and treatment of osteosarcoma. Long-term follow-up and surveillance. Conducting regular monitoring, including follow-up visits, imaging studies, and laboratory tests, to detect potential recurrence, assess treatment response, and manage any late effects or complications.

• #18 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with osteogenic sarcoma (osteosarcoma) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The child will not experience a bleeding episode. The child’s temperature will remain 100 F. The child’s breath sounds will be clear bilaterally. The child will be free of oral mucous membrane irritation. The child will demonstrate proper oral hygiene upon discharge. The child will not experience injury as evidenced by a clean and dry stump without redness, odor, or drainage. […] Therapeutic interventions and nursing actions for patients with osteogenic sarcoma (osteosarcoma) may include: Patients with osteosarcoma may experience compromised protection related to antineoplastic medication, which can suppress the immune system and increase the risk of infection.

• #19 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with osteogenic sarcoma (osteosarcoma) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The child will not experience a bleeding episode. The child’s temperature will remain 100 F. The child’s breath sounds will be clear bilaterally. The child will be free of oral mucous membrane irritation. The child will demonstrate proper oral hygiene upon discharge. The child will not experience injury as evidenced by a clean and dry stump without redness, odor, or drainage. […] Therapeutic interventions and nursing actions for patients with osteogenic sarcoma (osteosarcoma) may include: Patients with osteosarcoma may experience compromised protection related to antineoplastic medication, which can suppress the immune system and increase the risk of infection.

• #20 Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma) | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-bone-cancer-osteosarcoma-chondrosarcoma-and-ewing-sarcoma

  To equip nurses with a detailed understanding and effective strategies for managing patients with bone cancer, specifically Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma. This plan emphasizes understanding the distinct characteristics of each type, recognizing symptoms, and implementing comprehensive nursing interventions for symptom management, complication prevention, and psychological support. […] This care plan aims to provide a comprehensive approach to managing bone cancers like Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma, focusing on pain relief, maintaining mobility, nutritional support, and providing emotional and educational support. Tailoring interventions to individual patient needs and the specific type of bone cancer is essential for effective management and improved outcomes.

• #21 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Our responsibility as advocates and educators for patients and families cannot be overstated. Developing strategies to assist patients in comprehending their sickness and therapy, as well as organizing and expanding on preliminary information, involves sensitivity, visual information, and imagination. […] To maintain a high quality of life throughout management, it is critical to avoid and/or reduce illness symptoms and treatment side effects. Pain is the most common and probably utmost distressing symptom. […] Pain is typically the most prevalent symptom in individuals with osteosarcoma, and it poses a significant danger to the quality of life unless managed properly. […] Postoperative pain is somewhat expectable. The pain treatment regimen often includes intravenous (IV) or epidural analgesia.

• #22 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Pain caused by progressive illness is a complicated issue that needs collaboration with professionals. […] The term nursing care guidelines is defined as a self-contained paper developed in conjunction with a curative investigation procedure. […] The goals of the recommendations are (1) to boost a medical nurse’s belief in himself and capacity to deliver good quality hospital care by explaining why certain nursing care activities are taken, (2) to improve the nurse’s comprehension and expertise of the clinical investigation procedure, (3) to improve the nurse’s capacity to educate patients and their families about the protocols and clinical testing in general, (4) to reduce the possibility of clinical mistakes, and (5) to improve the nurse’s capability to inform patients and their families regarding the process and clinical testing in particular.

• #23 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with osteogenic sarcoma (osteosarcoma) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The child will not experience a bleeding episode. The child’s temperature will remain 100 F. The child’s breath sounds will be clear bilaterally. The child will be free of oral mucous membrane irritation. The child will demonstrate proper oral hygiene upon discharge. The child will not experience injury as evidenced by a clean and dry stump without redness, odor, or drainage. […] Therapeutic interventions and nursing actions for patients with osteogenic sarcoma (osteosarcoma) may include: Patients with osteosarcoma may experience compromised protection related to antineoplastic medication, which can suppress the immune system and increase the risk of infection.

• #24 Pediatric Osteosarcoma – Nursing CE Central

  https://nursingcecentral.com/lessons/pediatric-osteosarcoma/

  Nurses in an inpatient setting are more likely to encounter clients with osteosarcoma immediately before and after surgery. Clients at this time often require high acuity care. They will need to be monitored closely for signs of infection, blood clotting or excessive bleeding, and proper healing of wounds. Parents and children may be anxious or have a lot of questions. Developmentally appropriate knowledge about how to communicate with and care for children of all ages is important. Pain management is also important at this time and frequent assessment and administration of ordered medications is necessary. […] Nurses working in oncology may also encounter clients throughout their chemotherapy treatment. Knowledge of common side effects and interventions to help cope with those side effects is necessary. Nurses may administer medications like ondansetron to help with side effects like nausea, or may help with calming, deep breaths or guided imagery for anxious clients before accessing a port. Education about risk of infection should also be provided and nurses can help parents navigate challenges like school attendance, family gatherings, and what is acceptable versus what should be avoided.

• #25 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with osteogenic sarcoma (osteosarcoma) based on the nurses clinical judgment and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The child will not experience a bleeding episode. The child’s temperature will remain 100 F. The child’s breath sounds will be clear bilaterally. The child will be free of oral mucous membrane irritation. The child will demonstrate proper oral hygiene upon discharge. The child will not experience injury as evidenced by a clean and dry stump without redness, odor, or drainage. […] Therapeutic interventions and nursing actions for patients with osteogenic sarcoma (osteosarcoma) may include: Patients with osteosarcoma may experience compromised protection related to antineoplastic medication, which can suppress the immune system and increase the risk of infection.

• #26 Supportive care for bone cancer | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/bone/supportive-care

  Supportive care helps people meet the physical, practical, emotional and spiritual challenges of bone cancer. It is an important part of cancer care. There are many programs and services available to help meet the needs and improve the quality of life of people living with cancer and their loved ones, especially after treatment has ended. […] Rehabilitation is an important part of healing after bone cancer surgery. The type of rehabilitation you have will depend on whether you have limb-sparing surgery or an amputation. […] Rehabilitation is an important part of returning to the activities of daily living after bone cancer treatment. Recovery is different for each person, depending on the extent of the disease, the type of treatment and many other factors.

• #27 Osteosarcoma (bone cancer in children) | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/osteosarcoma-in-children

  About 90 percent of children with osteosarcoma can be treated with limb-sparing (also known as limb-salvage) and reconstructive surgery. […] After surgery for osteosarcoma, your child should expect to stay two to five days in the hospital. […] Following completion of treatment, we strongly recommend continued follow-up with our multidisciplinary team. […] Children who had a limb amputation or rotationplasty will need to be fitted with a prosthetic and receive routine adjustments as they grow. […] Children’s Hospital of Philadelphia has an excellent track record of treating children diagnosed with bone cancers like osteosarcoma. […] Prompt medical attention and aggressive therapy are important for the best prognosis.

• #28 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Patients with osteosarcoma may be at risk for injury related to their disease and its treatment. This can include bone fractures, neuropathy, and muscle weakness, which can lead to falls and other accidents. […] Patients with osteosarcoma may experience anxiety related to the uncertainty of their prognosis, the physical and emotional impact of their disease and its treatment, and the potential for long-term complications and disability.

• #29 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Family-centered treatment is intended to encourage patients and their families to confront the disease’s problems head-on to grow in strength. Our objective is to educate family members of patients about the condition and its cure, while also finding out how to tailor the strategy for their requirements and objectives.

• #30 Osteosarcoma – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/osteosarcoma/

  Osteosarcoma is a rare cancer of the bone. […] It is important to find a team of doctors who are experts in treating osteosarcoma. This team usually involves an orthopaedic oncologist (a bone cancer surgeon), a medical oncologist (an expert in chemotherapy), and specialized radiologists, pathologists, physical therapists, psychologists, nurses, and advanced practice providers. […] Osteosarcomas are usually treated with chemotherapy (medications to kill the cancer cells) and surgery to remove the cancer in the bone. […] Treatment of osteosarcoma depends on many factors, including: the patient’s age, the patient’s overall health, the presence of other medical conditions, the location of the tumor, whether the cancer has metastasized (spread), and the specific subtype of osteosarcoma. […] Although treatment is individualized, many osteosarcomas are treated with a combination of chemotherapy and surgery.

• #31 Osteosarcoma – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/osteosarcoma/

  Effective treatment of osteosarcoma requires surgical removal of all of the cancer. Most of the time, orthopaedic oncologists (cancer surgeons) are able to perform limb salvage surgery. […] Recovery after limb-salvage surgery requires extensive physical therapy, rehabilitation, and follow-up care. […] Regular follow-up visits will be needed after treatment to check for complications from treatment and cancer recurrence or spread. […] The goal of treatment for osteosarcoma is to cure the cancer. Treatment is successful for many patients with osteosarcoma.

• #32 Treatments for osteosarcoma | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/bone/treatment/osteosarcoma

  The following are treatment options for osteosarcoma. Your healthcare team will suggest treatments based on your needs and work with you to make a treatment plan. […] When deciding which treatments to offer for osteosarcoma, your healthcare team will consider: where the tumour is found, the stage of the cancer, your lifestyle and activities, your overall health. […] Chemotherapy is given for high-grade osteosarcoma. […] Surgery is used to treat osteosarcoma tumours after chemotherapy. The type of surgery you have depends mainly on where the tumour is, how big it is and how much it has responded to chemotherapy. […] The main goal of surgery is to remove the whole tumour along with a margin of normal tissue around it. […] External beam radiation therapy may be used to treat osteosarcoma after surgery if the tumour wasn’t completely removed. It may be used instead of surgery if the tumour can’t be removed with surgery.

• #33 Treating Osteosarcoma | Osteosarcoma Treatments | American Cancer Society

  https://www.cancer.org/cancer/types/osteosarcoma/treating.html

  If you or your child has been diagnosed with osteosarcoma, the cancer care team will discuss treatment options with you. Its important to weigh the benefits of each option against the possible risks and side effects. […] Three main types of treatment are used for osteosarcoma: Surgery for Osteosarcoma, Chemotherapy and Other Drugs for Osteosarcoma, Radiation Therapy for Osteosarcoma. […] Most often, chemotherapy is given both before and after surgery. It can help lower the risk that the cancer will come back after treatment. It might also allow the surgeon to do a less extensive operation to remove the cancer. Radiation therapy is used less often. […] A team approach is recommended when treating osteosarcoma. For children and teens, this team includes the childs pediatrician as well as childrens cancer specialists. Treatment is best done at a childrens cancer center. For adults with osteosarcoma, the treatment team typically includes the patients primary care doctor, as well as specialists at a major cancer center.

• #34 01.09 Osteosarcoma | Free NURSING.com Courses

  https://nursing.com/lesson/musc-01-09-osteosarcoma

  Educate about the type of treatment ordered, what to expect, and potential complications that can occur. […] Educate about wound care and PICC line maintenance if applicable. […] Reinforce that patients should attend all appointments and should adhere to their treatment regimen. […] Provide anticipatory guidance and educate about comfort as well as pain and symptom control.

• #35 A Life Redirected: Pursuing a Nursing Career After Osteosarcoma

  https://www.oncnursingnews.com/view/a-life-redirected-pursuing-a-nursing-career-after-osteosarcoma

  In my experience, the presence or absence of metastasis is the most critical prognostic indicator in these patients, notes pediatric oncology/ hematology/bone marrow transplant nurse II Molly Lambert, RN. […] Thankfully, the clear margins achieved during Hannah’s resection demonstrated an absence of metastasis, but the 80% tumor necrosis revealed a less-than-optimal response to preoperative chemotherapy, and guided the decisions related to Hannah’s postoperative chemotherapy regimen. […] The chemotherapy agents used to treat Hannah are those shown to be the most effective for osteosarcoma. […] Adverse effects are common and numerous with these agents, and include nausea and vomiting from the ifosfamide and doxorubicin, often managed with ondansetron, diphenhydramine, lorazepam, and sometimes dexamethasone.

• #36 Osteosarcoma | Bone Cancer Research Trust

  https://www.bcrt.org.uk/information/information-by-type/osteosarcoma/

  Chemotherapy given after the surgery is known as adjuvant chemotherapy. […] The chemotherapy drugs accepted as the best initial treatment for osteosarcoma are Methotrexate, Doxorubicin, and Cisplatin. […] Surgery is used to remove the primary tumour so that it can’t grow or spread anymore. For most patients, limb sparing surgery is possible. […] If a joint has to be removed patients may be supplied with a prosthetic (artificial) joint. […] The experience of having cancer can be frightening and stressful, and so the emotional effects of cancer can be as severe as the physical effects. […] After finishing treatment, osteosarcoma patients will require follow-up care. Outpatient hospital visits will be needed on a regular basis for the first few years after treatment, and then probably yearly after that.

• #37 Osteosarcoma Treatment & Management: Approach Considerations, Medical Therapy, Biopsy

  https://emedicine.medscape.com/article/1256857-treatment

  Metastatic or locally recurrent osteosarcoma presents an especially tough treatment challenge that remains incompletely answered. […] Guidelines for treatment of osteosarcoma have been developed by the National Comprehensive Cancer Network (NCCN) […] So-called neoadjuvant (preoperative) chemotherapy has been found not only to facilitate subsequent surgical removal by causing tumor shrinkage but also to provide oncologists with an important risk parameter. […] Patients receiving methotrexate should not be given folate supplementation or trimethoprim-sulfamethoxazole, both of which interfere with the effects of methotrexate. […] Biopsy of malignant bone lesions is not an insignificant procedure. […] The primary aim of definitive resection is patient survival. […] Wide resection is the goal for patients in whom primary tumor resection is contemplated.

• #38 Pediatric Osteosarcoma – Nursing CE Central

  https://nursingcecentral.com/lessons/pediatric-osteosarcoma/

  Nurses in an inpatient setting are more likely to encounter clients with osteosarcoma immediately before and after surgery. Clients at this time often require high acuity care. They will need to be monitored closely for signs of infection, blood clotting or excessive bleeding, and proper healing of wounds. Parents and children may be anxious or have a lot of questions. Developmentally appropriate knowledge about how to communicate with and care for children of all ages is important. Pain management is also important at this time and frequent assessment and administration of ordered medications is necessary. […] Nurses working in oncology may also encounter clients throughout their chemotherapy treatment. Knowledge of common side effects and interventions to help cope with those side effects is necessary. Nurses may administer medications like ondansetron to help with side effects like nausea, or may help with calming, deep breaths or guided imagery for anxious clients before accessing a port. Education about risk of infection should also be provided and nurses can help parents navigate challenges like school attendance, family gatherings, and what is acceptable versus what should be avoided.

• #39 A Life Redirected: Pursuing a Nursing Career After Osteosarcoma

  https://www.oncnursingnews.com/view/a-life-redirected-pursuing-a-nursing-career-after-osteosarcoma

  In my experience, the presence or absence of metastasis is the most critical prognostic indicator in these patients, notes pediatric oncology/ hematology/bone marrow transplant nurse II Molly Lambert, RN. […] Thankfully, the clear margins achieved during Hannah’s resection demonstrated an absence of metastasis, but the 80% tumor necrosis revealed a less-than-optimal response to preoperative chemotherapy, and guided the decisions related to Hannah’s postoperative chemotherapy regimen. […] The chemotherapy agents used to treat Hannah are those shown to be the most effective for osteosarcoma. […] Adverse effects are common and numerous with these agents, and include nausea and vomiting from the ifosfamide and doxorubicin, often managed with ondansetron, diphenhydramine, lorazepam, and sometimes dexamethasone.

• #40 A Life Redirected: Pursuing a Nursing Career After Osteosarcoma

  https://www.oncnursingnews.com/view/a-life-redirected-pursuing-a-nursing-career-after-osteosarcoma

  Reinforcing the need for treatment compliance is especially critical in patients of Hannah’s age, says Lambert. […] This involved giving her as much control and as many choices as possible, and also involved a great deal of education to ensure that Hannah could be an active and informed participant in her care while remaining as independent as possible. […] Hannah realizes that recurrence and late metastasis remain sources of concern for the first 12 to 35 months after diagnosis, but are rare after 5 years.

• #41 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Our responsibility as advocates and educators for patients and families cannot be overstated. Developing strategies to assist patients in comprehending their sickness and therapy, as well as organizing and expanding on preliminary information, involves sensitivity, visual information, and imagination. […] To maintain a high quality of life throughout management, it is critical to avoid and/or reduce illness symptoms and treatment side effects. Pain is the most common and probably utmost distressing symptom. […] Pain is typically the most prevalent symptom in individuals with osteosarcoma, and it poses a significant danger to the quality of life unless managed properly. […] Postoperative pain is somewhat expectable. The pain treatment regimen often includes intravenous (IV) or epidural analgesia.

• #42 Osteosarcoma (Osteogenic Sarcoma): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15041-osteosarcoma

  Osteosarcoma is cancer that begins in your bones, usually in the arms or legs. Limited movement, bone pain, a lump and an unexplained broken bone are the most common symptoms. Many treatments are available. Around 7 in 10 people survive if the osteosarcoma doesn’t spread to other parts of their bodies. […] The most common treatments are chemotherapy (chemo) and surgery to remove osteosarcoma tumors and cancer medications to kill cancer cells throughout your body. You’ll probably need chemo, then surgery, then more chemo. […] You’ll probably need surgery to remove the osteosarcoma. Your surgeon will try to preserve as much of your natural bone and tissue as they can. But they’ll remove some of the healthy tissue around the tumor to make sure they’re taking out as many cancer cells as possible.

• #43 Osteosarcoma Treatment | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/pediatrics/cancer-care/types/osteosarcoma/treatment

  Surgeon Daniel Prince cares for patients with osteosarcoma. […] As your care team plans the most-effective osteosarcoma care for your child, we consider whether the cancer has spread elsewhere in the body and also its grade. […] Children with high-grade osteosarcoma may need surgery and chemotherapy. We often start with chemotherapy before surgery to shrink the tumor and kill any cancer cells elsewhere in the body. This is followed by surgery to remove the tumor, sparing or restoring the affected limb as much as possible. […] At MSK Kids, we take every step we can to help children with bone and muscle tumors. We use limb-sparing operations whenever possible and advanced methods when amputation is needed. […] Our goal is to give your child the best care possible. […] Our multidisciplinary team of experts includes world leaders in pediatric orthopedic surgery.

• #44 Osteosarcoma Treatment | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/pediatrics/cancer-care/types/osteosarcoma/treatment

  Our pediatric orthopedic surgeons have drafted the standards of care for pediatric bone tumors that are now followed by doctors all around the globe. […] Together, the team has achieved a very low rate of recurrence in children with osteosarcoma just 3.5 percent, versus 13 to 14 percent elsewhere. […] Your childs orthopedic surgeon tailors all treatment discussions to your childs age and understanding, and takes his or her goals and preferences to heart. […] MSK Kids treats more young people with osteosarcoma and Ewing sarcoma than any other center in the country. […] Our goal is to completely remove the tumor while maintaining the arm or leg and supporting your childs ability to move and function freely. We do not perform amputation unless all other treatment options have been exhausted first.

• #45 Osteosarcoma (bone cancer in children) | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/osteosarcoma-in-children

  About 90 percent of children with osteosarcoma can be treated with limb-sparing (also known as limb-salvage) and reconstructive surgery. […] After surgery for osteosarcoma, your child should expect to stay two to five days in the hospital. […] Following completion of treatment, we strongly recommend continued follow-up with our multidisciplinary team. […] Children who had a limb amputation or rotationplasty will need to be fitted with a prosthetic and receive routine adjustments as they grow. […] Children’s Hospital of Philadelphia has an excellent track record of treating children diagnosed with bone cancers like osteosarcoma. […] Prompt medical attention and aggressive therapy are important for the best prognosis.

• #46

  https://www.nhs.uk/conditions/bone-cancer/treatment/

  Your treatment should be managed by a specialist centre with experience in treating bone cancer, where you’ll be cared for by a team of different healthcare professionals known as a multidisciplinary team (MDT). […] Members of the MDT will include an orthopaedic surgeon (a surgeon who specialises in bone and joint surgery), a clinical oncologist (a specialist in the non-surgical treatment of cancer) and a specialist cancer nurse, among others. […] Your care team will understand the shock and fear that you, or your child, may be feeling if an amputation is needed and should be able to provide you with counselling and other support. […] After limb-sparing surgery or an amputation, you’ll need help to return to normal life. This is known as rehabilitation. […] After an amputation, you may be referred to a local limb centre for advice, support and rehabilitation treatment.

• #47 The Veterinary Nurse – Nursing the canine with osteosarcoma resulting in coxofemoral disarticulation

  https://www.theveterinarynurse.com/content/clinical/nursing-the-canine-with-osteosarcoma-resulting-in-coxofemoral-disarticulation/

  Osteosarcomas are malignant, aggressive tumours that are the most common skeletal tumours in dogs. […] Canines who require coxofemoral disarticulation of the hind limb for the treatment of osteosarcoma require supportive and palliative nursing care. […] The veterinary nurse plays a vital role in patient care, including dietary intervention to prevent cancer cachexia and wound care. […] It is important that the dog is assisted with standing initially after the operation so that it can re-establish weight distribution and establish its first walk pattern with only three limbs. […] The nurse can educate the owner to follow a recovery plan to improve rehabilitation.

• #48 01.09 Osteosarcoma | Free NURSING.com Courses

  https://nursing.com/lesson/musc-01-09-osteosarcoma

  Educate about the type of treatment ordered, what to expect, and potential complications that can occur. […] Educate about wound care and PICC line maintenance if applicable. […] Reinforce that patients should attend all appointments and should adhere to their treatment regimen. […] Provide anticipatory guidance and educate about comfort as well as pain and symptom control.

• #49 Osteosarcoma (bone cancer in children) | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/osteosarcoma-in-children

  About 90 percent of children with osteosarcoma can be treated with limb-sparing (also known as limb-salvage) and reconstructive surgery. […] After surgery for osteosarcoma, your child should expect to stay two to five days in the hospital. […] Following completion of treatment, we strongly recommend continued follow-up with our multidisciplinary team. […] Children who had a limb amputation or rotationplasty will need to be fitted with a prosthetic and receive routine adjustments as they grow. […] Children’s Hospital of Philadelphia has an excellent track record of treating children diagnosed with bone cancers like osteosarcoma. […] Prompt medical attention and aggressive therapy are important for the best prognosis.

• #50 Supportive care for bone cancer | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/bone/supportive-care

  Supportive care helps people meet the physical, practical, emotional and spiritual challenges of bone cancer. It is an important part of cancer care. There are many programs and services available to help meet the needs and improve the quality of life of people living with cancer and their loved ones, especially after treatment has ended. […] Rehabilitation is an important part of healing after bone cancer surgery. The type of rehabilitation you have will depend on whether you have limb-sparing surgery or an amputation. […] Rehabilitation is an important part of returning to the activities of daily living after bone cancer treatment. Recovery is different for each person, depending on the extent of the disease, the type of treatment and many other factors.

• #51 Osteosarcoma – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/osteosarcoma/

  Effective treatment of osteosarcoma requires surgical removal of all of the cancer. Most of the time, orthopaedic oncologists (cancer surgeons) are able to perform limb salvage surgery. […] Recovery after limb-salvage surgery requires extensive physical therapy, rehabilitation, and follow-up care. […] Regular follow-up visits will be needed after treatment to check for complications from treatment and cancer recurrence or spread. […] The goal of treatment for osteosarcoma is to cure the cancer. Treatment is successful for many patients with osteosarcoma.

• #52 Childhood Osteosarcoma | Dana-Farber Cancer Institute

  https://www.dana-farber.org/cancer-care/types/childhood-osteosarcoma

  Rehabilitation and therapy are crucial parts of your child’s osteosarcoma care. Our experienced physical and occupational therapists will work with your child after surgery to get them back to functioning in their daily life. […] Our pediatric oncologists and surgeons have experience treating relapsed osteosarcoma. We offer the highest standard of care for children with relapsed osteosarcoma, including additional surgery and chemotherapy and access to clinical trials. […] The Dana-Farber/Boston Children’s solid tumor treatment team includes childhood bone cancer specialists who care for children with osteosarcoma. We will work together to diagnose and treat your child with the latest, most effective options possible.

• #53 Osteosarcoma| Mays Cancer Center

  https://cancer.uthscsa.edu/cancer-care/types-and-treatments/osteosarcoma

  Our orthopedic surgeons are skilled in performing intricate procedures to remove cancer while preserving healthy surrounding tissue. […] Our experienced rehabilitative doctors work with patients (using physical therapy, orthotics or prosthetics) as they learn to adapt to any lasting effects of surgery. […] Our team includes radiation oncologists who have many years of experience treating pediatric cancer patients, from babies to young adults. These specialists use precise radiation therapy technologies to destroy bone cancer with a focus on childrens comfort and safety. […] After treatment ends, a dedicated pediatric orthopedic oncology survivorship team follows patients as they grow up. We use leading science to monitor children and track their long-term health. […] Children can access additional support through our childhood cancer survivorship program, which provides resources to help pediatric cancer survivors live healthy, active lives after treatment.

• #54 Osteosarcoma| Mays Cancer Center

  https://cancer.uthscsa.edu/cancer-care/types-and-treatments/osteosarcoma

  Osteosarcoma is the most common type of bone tumor to affect adolescents and young adults. At Mays Cancer Center, home to UT Health San Antonio MD Anderson Cancer Center, our pediatric and oncology (cancer) doctors collaborate to provide research-backed osteosarcoma care with a focus on the unique needs of young patients. […] Our experts understand the fine details of many rare sarcomas. We treat all bone cancers using proven protocols and precise surgical techniques. Extensive family resources support you and your loved ones throughout your childs care. […] Osteosarcoma usually develops in adolescence or young adulthood. Social workers and clinical psychologists are key members of our care team. We work with the patient, school and family members to provide multiple layers of support during a stressful time.

• #55 Osteosarcoma| Mays Cancer Center

  https://cancer.uthscsa.edu/cancer-care/types-and-treatments/osteosarcoma

  Our collaborative approach provides leading care while also making it easier for more families to access our teams expertise. We may be able to coordinate services so patients who live outside the San Antonio area can undergo certain tests close to home. […] Our center has extensive resources available, including individual and family counseling to help you cope in a way that feels right for your family. […] We sit down with you to discuss your treatment options and how they may affect your life or long-term health. […] A team of pediatric cancer doctors who specialize in bone cancer meets to discuss the details of every childs care. We recommend treatments based on many factors, such as a tumors size and location and the cancers molecular makeup. […] Osteosarcoma treatment usually involves some combination of chemotherapy and other medicines. Children with osteosarcoma receive chemotherapy at a dedicated inpatient clinic of University Hospital focused on meeting the unique needs of teens and young adults. Oncology-trained nurses and doctors closely monitor children and help manage any uncomfortable side effects.

• #56 Osteosarcoma (Osteogenic Sarcoma) in Children

  https://healthlibrary.vidanthealth.com/yourfamily/children/90,P02778

  Treatment will depend on the stage and other factors. Osteosarcoma can be treated with any of these: Surgery, Chemotherapy, Radiation therapy, Targeted therapy, Clinical trials. […] A child with osteosarcoma needs ongoing care. Your child will be seen by oncologists and other healthcare providers to treat any late effects of treatment and to watch for signs or symptoms of the tumor returning. […] Your child’s treatment team will talk with you about problems you should watch for and what changes they need to be called about right away. […] Osteosarcoma is cancer of the bone. It is rare, but it is the most common type of bone cancer children and teens. […] Treatment is usually chemotherapy and surgery. Surgery may be limb-sparing or amputation. […] Ongoing follow-up care during and after treatment is needed.

• #57 Osteosarcoma in Children and Teens – Together by St. Jude™

  https://together.stjude.org/en-us/conditions/cancers/osteosarcoma.html

  Osteosarcoma is usually treated with chemotherapy followed by surgery. […] The care team might suggest amputation if it is not possible to remove the entire tumor with limb-sparing surgery. […] Patients who have disease that has spread may have surgery to remove lung nodules. […] Chemotherapy is used along with surgery to treat osteosarcoma. […] Patients with osteosarcoma typically get the same chemotherapy treatment whether or not their disease has spread. […] Chemotherapy may be given after surgery for months to remove any remaining cancer cells. […] Radiation therapy is not often used to treat osteosarcoma. […] Most osteosarcoma patients who have amputation or limb-sparing surgery do well over time. […] Follow-up care is important. […] Your child should have an annual exam to check muscle and bone function. […] Survivors treated with chemotherapy or radiation should be monitored for late effects of therapy. […] Your child’s care team should give you a survivorship care plan after treatment ends. […] Talk to your child’s health care provider if you have osteosarcoma treatment or late effects.

• #58 Osteosarcoma and UPS of Bone Treatment (PDQ®) – NCI

  https://www.cancer.gov/types/bone/hp/osteosarcoma-treatment-pdq

  Patients with localized osteosarcoma who undergo surgery and chemotherapy have a 5-year overall survival (OS) rate of 62% to 65%. Complete surgical resection is crucial for patients with localized osteosarcoma, but it is not sufficient as the only therapy. At least 80% of patients treated with surgery alone will develop metastatic disease. […] […] Patients with metastatic disease at initial presentation, roughly 20% will remain continuously free of disease, and roughly 30% will survive 5 years from diagnosis. The lungs are the most common site of initial metastatic disease. Patients with metastases limited to the lungs have a better outcome than do patients with metastases to other sites or to the lungs combined with other sites. […] […] Control of osteosarcoma after recurrence depends on complete surgical resection of all sites of clinically detectable metastatic disease. If surgical resection is not attempted or cannot be performed, progression and death are certain. The ability to achieve a complete resection of recurrent disease is the most important prognostic factor at first relapse, with a 5-year survival rate of 20% to 45% after complete resection of metastatic pulmonary tumors and a 20% survival rate after complete resection of metastases at other sites. […]

• #59 Metastatic Osteosarcoma | Nebraska Hematology Oncology – Cancer Care Treatment Blood Disorders Clinical Trials Lincoln Nebraska (NE)

  https://www.yourcancercare.com/types-of-cancer/bone-cancer/osteosarcoma-overview/metastatic-osteosarcoma

  Osteosarcoma that has spread from the initially affected bone to one or more sites in the body, distant from the site of origin, is called metastatic. The most common site to which osteosarcoma spreads, or metastasizes, is the lungs. Metastatic osteosarcoma is typically difficult to control, though patients with lung metastases have a better prognosis than patients with distant metastases. Historically, less than 20% of patients with metastatic osteosarcoma survived without recurrence of their cancer. However, survival has improved with the development of more effective chemotherapy. […] The following is a general overview of treatment for metastatic osteosarcoma. Treatment may consist of surgery, radiation, chemotherapy, biological therapy, or a combination of these treatment techniques. Multi-modality treatment, which is treatment using two or more techniques, is increasingly recognized as an important approach for increasing a patients chance of cure or prolonging survival. In some cases, participation in a clinical trial utilizing new, innovative therapies may provide the most promising treatment. Circumstances unique to each patients situation may influence how these general treatment principles are applied and whether the patient decides to receive treatment. The potential benefits of multi-modality care, participation in a clinical trial, or standard treatment must be carefully balanced with the potential risks. The information on this website is intended to help educate patients about their treatment options and to facilitate a mutual or shared decision-making process with their treating cancer physician.

• #60 Metastatic Osteosarcoma | Nebraska Hematology Oncology – Cancer Care Treatment Blood Disorders Clinical Trials Lincoln Nebraska (NE)

  https://www.yourcancercare.com/types-of-cancer/bone-cancer/osteosarcoma-overview/metastatic-osteosarcoma

  Chemotherapy for Metastatic Osteosarcoma […] Chemotherapy using multiple drugs, called combined chemotherapy, followed by surgery to remove as much of both the primary and metastatic cancer as possible, may be the most promising treatment for metastatic osteosarcoma. […] As a generality, patients with metastatic osteosarcoma have the same primary surgery performed as patients with localized disease. It is important to gain local control in order to better treat metastatic disease. Every attempt is made to perform limb sparing surgery but this is not always possible. In addition all accessible metastatic lesions are usually surgically removed after neoadjuvant (before surgery) chemotherapy. […] Radiation therapy has a limited role in the treatment of metastatic osteosarcoma. The standards and options for use of radiation therapy in the management of patients with osteosarcoma have been reviewed. Radiation therapy may be indicated for relief of symptoms in patients with inoperable lesions. There is no apparent benefit from whole lung radiation in patients with lung metastases.

• #61 Osteosarcoma and UPS of Bone Treatment (PDQ®) – NCI

  https://www.cancer.gov/types/bone/hp/osteosarcoma-treatment-pdq

  Successful treatment generally requires the combination of effective systemic chemotherapy and complete resection of all clinically detectable disease. Randomized clinical trials have established that both neoadjuvant and adjuvant chemotherapy are effective in preventing relapse in patients with clinically nonmetastatic tumors. […] […] Patients with low-grade osteosarcoma can be treated successfully by wide surgical resection alone, regardless of site of origin. Patients with high-grade osteosarcoma require surgery and systemic chemotherapy. This treatment is necessary whether the tumor arises in the conventional central location or on a bone surface. […] […] Patients with undifferentiated pleomorphic sarcoma (UPS) of bone are treated according to osteosarcoma treatment protocols. A sarcoma-specific survival rate of 70.7% has been reported using primarily cisplatin- and doxorubicin-based regimens. […]

• #62 Osteosarcoma | OS Therapies

  https://ostherapies.com/learn/osteosarcoma/

  Currently, treatment involves tumor resection surgery combined with chemotherapy regimens like methotrexate, doxorubicin, and cisplatin. However, these treatments often come with severe side effects, and their effectiveness is limited, especially for recurrent or metastatic cases. […] Resistance to chemotherapy and high rates of recurrence make the development of targeted therapies, like those pioneered by OS Therapies, a crucial step forward in improving outcomes for osteosarcoma patients. […] OS Therapies is at the forefront of developing novel treatments for osteosarcoma. Our lead candidate, OST-HER2, is an immunotherapy that leverages the immune-stimulatory effects of Listeria bacteria to initiate a strong immune response targeting the HER2 protein. […] This approach aims to prevent metastasis, delay recurrence, and improve overall survival rates for patients with resected, recurrent osteosarcoma.

• #63 Osteosarcoma | OS Therapies

  https://ostherapies.com/learn/osteosarcoma/

  We are currently conducting a Phase IIb clinical trial (AOST-2121) to evaluate the efficacy of OST-HER2 in patients with resected, recurrent osteosarcoma. […] Preliminary data indicate a positive safety profile and promising clinical outcomes, bringing us closer to offering a new standard of care for osteosarcoma patients. […] We invite eligible patients to participate in our ongoing clinical trials. By joining our studies, participants gain access to cutting-edge treatments and contribute to the advancement of medical research.

• #64 Treating Osteosarcoma | Osteosarcoma Treatments | American Cancer Society

  https://www.cancer.org/cancer/types/osteosarcoma/treating.html

  Treatment for osteosarcoma is often effective, but it can also cause serious side effects. Its important to discuss all treatment options as well as their possible side effects with the cancer care team so you can make an informed decision. […] Once treatment starts, members of the treatment team can help you deal with side effects, stress, and financial and other issues related to treatment. […] Its also important for you to know that the health professionals who treat children with osteosarcoma are using the experience and knowledge gained from many decades of studying the treatment of this disease. […] Talk to your treatment team if you’re interested in learning more about clinical trials, and ask about the pros and cons of enrolling in one of them. […] Be sure to talk to your cancer care team about any method you are thinking about using. They can help you learn what is known (or not known) about the method, which can help you make an informed decision.

• #65 Treating Osteosarcoma | Osteosarcoma Treatments | American Cancer Society

  https://www.cancer.org/cancer/types/osteosarcoma/treating.html

  Before treatment, the doctors and other members of the team will help you understand the tests that will need to be done. […] Your cancer care team will be your first source of information and support, but there are other resources for help when you need it. Hospital- or clinic-based support services can also be an important part of your care.

• #66 Treatments for osteosarcoma | Canadian Cancer Society

  https://cancer.ca/en/cancer-information/cancer-types/bone/treatment/osteosarcoma

  Radiation therapy is also used to treat pain and control the symptoms of osteosarcoma that has metastasized or come back (recurred). […] You may want to consider a type of care to make you feel better without treating the cancer itself. This may be because the cancer treatments don’t work anymore, they’re not likely to improve your condition or they may cause side effects that are hard to cope with. […] Talk to your healthcare team. They can help you choose care and treatment for advanced cancer.

• #67

  https://journals.lww.com/md-journal/fulltext/2020/10230/effectiveness_of_advanced_nursing_care__anc__on.41.aspx

  Advanced nursing care (ANC) has been reported to effectively relieve bone cancer pain, prevent psychological disorders and improve the quality of life (QoL) in patients with primary bone cancers (PBC) during the treatment. […] It has been reported to effectively relieve the pain caused by cancer, prevent psychological disorders and improve the QoL in patients with PBC in several studies. […] Therefore, in this study, we will systematically evaluated the effectiveness of ANC on bone cancer pain, psychological disorders, and QoL in patient with PBC including OS, ES, and CS through the meta-analysis, in order to provide scientific reference for the design of future clinical trials. […] The findings of this study will help to determine whether ANC is effective or not on bone cancer pain, psychological disorders and QoL in patients with PBC.

• #68 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Our responsibility as advocates and educators for patients and families cannot be overstated. Developing strategies to assist patients in comprehending their sickness and therapy, as well as organizing and expanding on preliminary information, involves sensitivity, visual information, and imagination. […] To maintain a high quality of life throughout management, it is critical to avoid and/or reduce illness symptoms and treatment side effects. Pain is the most common and probably utmost distressing symptom. […] Pain is typically the most prevalent symptom in individuals with osteosarcoma, and it poses a significant danger to the quality of life unless managed properly. […] Postoperative pain is somewhat expectable. The pain treatment regimen often includes intravenous (IV) or epidural analgesia.

• #69 (DOC) nursing management of patients with osteosarcoma

  https://www.academia.edu/14839597/nursing_management_of_patients_with_osteosarcoma

  osteosarcoma is the cancer of bones. The etiology of osteosarcoma is unknown. several risk factors contribute towards osteosarcoma like age, sex, family history, smoking, growth of bones and exposure to radiotherapy. the treatment is followed by chemotherapy, radiation and surgical removal of tumors. […] The pressure of overcrowding of abnormal and tumor cells cause pain and increases the chances of fracture. […] According to David et al (2013), the major concern of patients with osteosarcoma is pain which is severe in nature and may often progress to pain at rest and night pain. […] Therefore, teaching should be given on the compliance of medication, proper follow up with the physician, regular monitoring of blood counts, dietary management and alarming signs of disease process and its complications.

• #70 Pediatric Osteosarcoma – Nursing CE Central

  https://nursingcecentral.com/lessons/pediatric-osteosarcoma/

  For nurses in an outpatient or emergency setting, prompt recognition of symptoms and need for further evaluation is necessary. Nurses should never assume limb pain is a benign complaint in children and should take a careful history to gather details that may help confirm or refute suspicion for osteosarcoma. Knowledge of risk factors as well as typical signs and symptoms are foundational for nurses who see children in primary care or urgent/emergent settings. For advance-practice nurses, ordering imaging is a simple and cost-effective diagnostic that can be used when evaluating a child with limb pain. […] Nurses further along in the process may care for clients during imaging like MRIs and procedures for biopsy of the lesion. Children are often given general anesthesia for procedures that may be painful or require them to lie still for extended periods of time. Clients and their parents may be anxious, nervous, and have many questions. Knowledge of developmental levels and how to properly communicate with and comfort clients at various ages is integral to nursing care. Being knowledgeable about the process from start to finish is important so nurses can confidently answer questions and reduce anxieties for families.

• #71 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Pain caused by progressive illness is a complicated issue that needs collaboration with professionals. […] The term nursing care guidelines is defined as a self-contained paper developed in conjunction with a curative investigation procedure. […] The goals of the recommendations are (1) to boost a medical nurse’s belief in himself and capacity to deliver good quality hospital care by explaining why certain nursing care activities are taken, (2) to improve the nurse’s comprehension and expertise of the clinical investigation procedure, (3) to improve the nurse’s capacity to educate patients and their families about the protocols and clinical testing in general, (4) to reduce the possibility of clinical mistakes, and (5) to improve the nurse’s capability to inform patients and their families regarding the process and clinical testing in particular.

• #72 Pediatric Osteosarcoma – Nursing CE Central

  https://nursingcecentral.com/lessons/pediatric-osteosarcoma/

  Nurses in an inpatient setting are more likely to encounter clients with osteosarcoma immediately before and after surgery. Clients at this time often require high acuity care. They will need to be monitored closely for signs of infection, blood clotting or excessive bleeding, and proper healing of wounds. Parents and children may be anxious or have a lot of questions. Developmentally appropriate knowledge about how to communicate with and care for children of all ages is important. Pain management is also important at this time and frequent assessment and administration of ordered medications is necessary. […] Nurses working in oncology may also encounter clients throughout their chemotherapy treatment. Knowledge of common side effects and interventions to help cope with those side effects is necessary. Nurses may administer medications like ondansetron to help with side effects like nausea, or may help with calming, deep breaths or guided imagery for anxious clients before accessing a port. Education about risk of infection should also be provided and nurses can help parents navigate challenges like school attendance, family gatherings, and what is acceptable versus what should be avoided.

• #73 Pediatric Osteosarcoma – Nursing CE Central

  https://nursingcecentral.com/lessons/pediatric-osteosarcoma/

  Nurses may encounter young clients in a variety of settings during the recovery and rehabilitation process. Roles may include wound care, coordinating physical therapy and fittings for prosthetics, and continued screenings and follow up care to assess for disease recurrence. Nurses also play a pivotal role in assessing young clients mental health throughout the process. This can be a very trying time for children, teens, and their families and frequent assessment for self-esteem changes, coping with frequent medical procedures and difficult side effects, and development of anxiety and depression is very important. Nurses are able to refer clients and families to support services, work through and educate about coping mechanisms, and coordinate referrals for mental health treatment as needed.

• #74 Osteosarcoma – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/osteosarcoma/

  Effective treatment of osteosarcoma requires surgical removal of all of the cancer. Most of the time, orthopaedic oncologists (cancer surgeons) are able to perform limb salvage surgery. […] Recovery after limb-salvage surgery requires extensive physical therapy, rehabilitation, and follow-up care. […] Regular follow-up visits will be needed after treatment to check for complications from treatment and cancer recurrence or spread. […] The goal of treatment for osteosarcoma is to cure the cancer. Treatment is successful for many patients with osteosarcoma.

• #75 Osteosarcoma in Children and Teens – Together by St. Jude™

  https://together.stjude.org/en-us/conditions/cancers/osteosarcoma.html

  Osteosarcoma is usually treated with chemotherapy followed by surgery. […] The care team might suggest amputation if it is not possible to remove the entire tumor with limb-sparing surgery. […] Patients who have disease that has spread may have surgery to remove lung nodules. […] Chemotherapy is used along with surgery to treat osteosarcoma. […] Patients with osteosarcoma typically get the same chemotherapy treatment whether or not their disease has spread. […] Chemotherapy may be given after surgery for months to remove any remaining cancer cells. […] Radiation therapy is not often used to treat osteosarcoma. […] Most osteosarcoma patients who have amputation or limb-sparing surgery do well over time. […] Follow-up care is important. […] Your child should have an annual exam to check muscle and bone function. […] Survivors treated with chemotherapy or radiation should be monitored for late effects of therapy. […] Your child’s care team should give you a survivorship care plan after treatment ends. […] Talk to your child’s health care provider if you have osteosarcoma treatment or late effects.

• #76 Osteosarcoma (Osteogenic Sarcoma): Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15041-osteosarcoma

  Maintaining or reclaiming a good quality of life is vital before, during and after treatment for osteogenic sarcoma. It’s not only about taking care of your physical health: your mental and emotional health are just as important. A mental health provider or therapist can help. […] Living with osteosarcoma isn’t easy. But there are lots of treatment options. Your providers will help you find the best ones.

• #77 Osteosarcoma | Bone Cancer Research Trust

  https://www.bcrt.org.uk/information/information-by-type/osteosarcoma/

  Chemotherapy given after the surgery is known as adjuvant chemotherapy. […] The chemotherapy drugs accepted as the best initial treatment for osteosarcoma are Methotrexate, Doxorubicin, and Cisplatin. […] Surgery is used to remove the primary tumour so that it can’t grow or spread anymore. For most patients, limb sparing surgery is possible. […] If a joint has to be removed patients may be supplied with a prosthetic (artificial) joint. […] The experience of having cancer can be frightening and stressful, and so the emotional effects of cancer can be as severe as the physical effects. […] After finishing treatment, osteosarcoma patients will require follow-up care. Outpatient hospital visits will be needed on a regular basis for the first few years after treatment, and then probably yearly after that.

• #78 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Patients with osteosarcoma may be at risk for injury related to their disease and its treatment. This can include bone fractures, neuropathy, and muscle weakness, which can lead to falls and other accidents. […] Patients with osteosarcoma may experience anxiety related to the uncertainty of their prognosis, the physical and emotional impact of their disease and its treatment, and the potential for long-term complications and disability.

• #79

  https://journals.lww.com/md-journal/fulltext/2020/10230/effectiveness_of_advanced_nursing_care__anc__on.41.aspx

  Advanced nursing care (ANC) has been reported to effectively relieve bone cancer pain, prevent psychological disorders and improve the quality of life (QoL) in patients with primary bone cancers (PBC) during the treatment. […] It has been reported to effectively relieve the pain caused by cancer, prevent psychological disorders and improve the QoL in patients with PBC in several studies. […] Therefore, in this study, we will systematically evaluated the effectiveness of ANC on bone cancer pain, psychological disorders, and QoL in patient with PBC including OS, ES, and CS through the meta-analysis, in order to provide scientific reference for the design of future clinical trials. […] The findings of this study will help to determine whether ANC is effective or not on bone cancer pain, psychological disorders and QoL in patients with PBC.

• #80 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  The role of the nurse in the care of osteosarcoma patients is crucial. From the moment the patient and the patient’s family are informed about the sickness, the nurse gives support and comfort and also clarifies the information of the medical doctor to them. […] Essential nursing care consists of informing the patient and his family about the clinical trial, improving communication between members of the protocol team and the patient and his or her family, administering the medication according to the protocol’s specifications, functioning as a patient advocate, and analysing and recording the patient’s response to therapy. […] Family-centered care is a philosophy of health care that influences health care policy, programs, facility design, and daily interactions between patients, families, doctors, and other health care providers.

• #81 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Family-centered treatment is intended to encourage patients and their families to confront the disease’s problems head-on to grow in strength. Our objective is to educate family members of patients about the condition and its cure, while also finding out how to tailor the strategy for their requirements and objectives.

• #82 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Patients with osteosarcoma may be at risk for injury related to their disease and its treatment. This can include bone fractures, neuropathy, and muscle weakness, which can lead to falls and other accidents. […] Patients with osteosarcoma may experience anxiety related to the uncertainty of their prognosis, the physical and emotional impact of their disease and its treatment, and the potential for long-term complications and disability.

• #83

  https://www.nhs.uk/conditions/bone-cancer/treatment/

  Your treatment should be managed by a specialist centre with experience in treating bone cancer, where you’ll be cared for by a team of different healthcare professionals known as a multidisciplinary team (MDT). […] Members of the MDT will include an orthopaedic surgeon (a surgeon who specialises in bone and joint surgery), a clinical oncologist (a specialist in the non-surgical treatment of cancer) and a specialist cancer nurse, among others. […] Your care team will understand the shock and fear that you, or your child, may be feeling if an amputation is needed and should be able to provide you with counselling and other support. […] After limb-sparing surgery or an amputation, you’ll need help to return to normal life. This is known as rehabilitation. […] After an amputation, you may be referred to a local limb centre for advice, support and rehabilitation treatment.

• #84 Challenges of osteosarcoma care in Africa: a scoping review of the burden, management and outcome – ecancer

  https://ecancer.org/en/journal/article/1835-challenges-of-osteosarcoma-care-in-africa-a-scoping-review-of-the-burden-management-and-outcome

  Osteosarcoma has the highest incidence among individuals of African descent, with growing evidence suggesting ethnic and racial genetic underpinning. Hence, it presents a grave public health challenge in Africa given the widening inequities in access to cancer care. […] While surgical treatment for osteosarcoma is shifting toward limb salvage on a global scale, amputation remains preponderant in Africa as only 53% underwent limb salvage operations. […] Late presentation, workforce and infrastructural shortage, cultural beliefs, patronage of unorthodox medicine practitioners and high healthcare costs were the barriers driving poor outcomes in African centres. […] Strategies to improve outcomes should focus on addressing these barriers. […] Despite the increasing health burden, osteosarcoma, such as other cancers, receives distressingly little attention from continental and global policymakers and easily gets overshadowed by the health burden of infectious diseases.

• #85 Challenges of osteosarcoma care in Africa: a scoping review of the burden, management and outcome – ecancer

  https://ecancer.org/en/journal/article/1835-challenges-of-osteosarcoma-care-in-africa-a-scoping-review-of-the-burden-management-and-outcome

  The timely management of patients who presented with osteosarcoma was hindered by several factors, including late presentation, poor access to oncology care, workforce and infrastructural shortage, cultural perceptions about limb loss leading to refusal of amputation, high patronage of unorthodox medical practitioners and spiritual healing centres, inability to afford the cost of care due to high out-of-pocket expenditure on healthcare and loss to follow up. […] This review highlighted the challenges compromising the management and outcome of osteosarcoma in Africa. While surgical treatment for osteosarcoma is shifting toward limb salvage on a global scale, amputation remains common in Africa and is an important reason why patients decline treatment. […] Overcoming these barriers will require a multifaceted approach matching policy formulation with sustainable implementation; human capital development with infrastructural upscaling; and international collaborations with optimisation of local resources.

• #86 A Life Redirected: Pursuing a Nursing Career After Osteosarcoma

  https://www.oncnursingnews.com/view/a-life-redirected-pursuing-a-nursing-career-after-osteosarcoma

  Reinforcing the need for treatment compliance is especially critical in patients of Hannah’s age, says Lambert. […] This involved giving her as much control and as many choices as possible, and also involved a great deal of education to ensure that Hannah could be an active and informed participant in her care while remaining as independent as possible. […] Hannah realizes that recurrence and late metastasis remain sources of concern for the first 12 to 35 months after diagnosis, but are rare after 5 years.

• #87 Pediatric Osteosarcoma – Nursing CE Central

  https://nursingcecentral.com/lessons/pediatric-osteosarcoma/

  For nurses in an outpatient or emergency setting, prompt recognition of symptoms and need for further evaluation is necessary. Nurses should never assume limb pain is a benign complaint in children and should take a careful history to gather details that may help confirm or refute suspicion for osteosarcoma. Knowledge of risk factors as well as typical signs and symptoms are foundational for nurses who see children in primary care or urgent/emergent settings. For advance-practice nurses, ordering imaging is a simple and cost-effective diagnostic that can be used when evaluating a child with limb pain. […] Nurses further along in the process may care for clients during imaging like MRIs and procedures for biopsy of the lesion. Children are often given general anesthesia for procedures that may be painful or require them to lie still for extended periods of time. Clients and their parents may be anxious, nervous, and have many questions. Knowledge of developmental levels and how to properly communicate with and comfort clients at various ages is integral to nursing care. Being knowledgeable about the process from start to finish is important so nurses can confidently answer questions and reduce anxieties for families.

• #88 Treating Osteosarcoma | Osteosarcoma Treatments | American Cancer Society

  https://www.cancer.org/cancer/types/osteosarcoma/treating.html

  If you or your child has been diagnosed with osteosarcoma, the cancer care team will discuss treatment options with you. Its important to weigh the benefits of each option against the possible risks and side effects. […] Three main types of treatment are used for osteosarcoma: Surgery for Osteosarcoma, Chemotherapy and Other Drugs for Osteosarcoma, Radiation Therapy for Osteosarcoma. […] Most often, chemotherapy is given both before and after surgery. It can help lower the risk that the cancer will come back after treatment. It might also allow the surgeon to do a less extensive operation to remove the cancer. Radiation therapy is used less often. […] A team approach is recommended when treating osteosarcoma. For children and teens, this team includes the childs pediatrician as well as childrens cancer specialists. Treatment is best done at a childrens cancer center. For adults with osteosarcoma, the treatment team typically includes the patients primary care doctor, as well as specialists at a major cancer center.

• #89 Osteosarcoma Treatment & Management: Approach Considerations, Medical Therapy, Biopsy

  https://emedicine.medscape.com/article/1256857-treatment

  Before the use of chemotherapy (which began in the 1970s), osteosarcoma was treated primarily with surgical resection (usually amputation). […] The orthopedic surgeon is of paramount importance in the care of patients with osteosarcoma. Often, patients thought to have osteosarcoma are referred to the orthopedic surgeon first to make the diagnosis. […] Therefore, close involvement of the orthopedic surgeon with the medical oncologist at the time of diagnosis, as well as during and after chemotherapy, is critical. […] The two main procedures performed by orthopedic surgeons in patients with osteosarcoma are biopsy and wide resection. […] Because osteosarcoma is a deadly form of cancer, no absolute contraindications for treatment exist. […] The genetic roots of cancer are irrefutable, and gene-focused basic science research holds tremendous promise for risk stratification, as well as for effective and innovative treatments.

• #90 Osteosarcoma – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/osteosarcoma/

  Osteosarcoma is a rare cancer of the bone. […] It is important to find a team of doctors who are experts in treating osteosarcoma. This team usually involves an orthopaedic oncologist (a bone cancer surgeon), a medical oncologist (an expert in chemotherapy), and specialized radiologists, pathologists, physical therapists, psychologists, nurses, and advanced practice providers. […] Osteosarcomas are usually treated with chemotherapy (medications to kill the cancer cells) and surgery to remove the cancer in the bone. […] Treatment of osteosarcoma depends on many factors, including: the patient’s age, the patient’s overall health, the presence of other medical conditions, the location of the tumor, whether the cancer has metastasized (spread), and the specific subtype of osteosarcoma. […] Although treatment is individualized, many osteosarcomas are treated with a combination of chemotherapy and surgery.

• #91 6 Innovative Childhood Osteosarcoma Treatment Options | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/childhood-osteosarcoma/childhood-osteosarcoma-treatment.html

  Osteosarcoma, or bone cancer, is rare, and most oncologists have little experience treating it. Childrens Cancer Hospital physicians treat a high number of patients with osteosarcoma, which translates to a remarkable level of skill and expertise. […] Since osteosarcoma usually requires multiple treatments, a comprehensive, personalized team approach is crucial. […] In most osteosarcoma cases, very small areas of cancer have spread to other parts of the body. […] Osteosarcoma treatment almost always includes surgery. […] Many children with osteosarcoma are treated with innovative agents through clinical trials.

• #92 Challenges of osteosarcoma care in Africa: a scoping review of the burden, management and outcome – ecancer

  https://ecancer.org/en/journal/article/1835-challenges-of-osteosarcoma-care-in-africa-a-scoping-review-of-the-burden-management-and-outcome

  Osteosarcoma has the highest incidence among individuals of African descent, with growing evidence suggesting ethnic and racial genetic underpinning. Hence, it presents a grave public health challenge in Africa given the widening inequities in access to cancer care. […] While surgical treatment for osteosarcoma is shifting toward limb salvage on a global scale, amputation remains preponderant in Africa as only 53% underwent limb salvage operations. […] Late presentation, workforce and infrastructural shortage, cultural beliefs, patronage of unorthodox medicine practitioners and high healthcare costs were the barriers driving poor outcomes in African centres. […] Strategies to improve outcomes should focus on addressing these barriers. […] Despite the increasing health burden, osteosarcoma, such as other cancers, receives distressingly little attention from continental and global policymakers and easily gets overshadowed by the health burden of infectious diseases.

• #93 Challenges of osteosarcoma care in Africa: a scoping review of the burden, management and outcome – ecancer

  https://ecancer.org/en/journal/article/1835-challenges-of-osteosarcoma-care-in-africa-a-scoping-review-of-the-burden-management-and-outcome

  The timely management of patients who presented with osteosarcoma was hindered by several factors, including late presentation, poor access to oncology care, workforce and infrastructural shortage, cultural perceptions about limb loss leading to refusal of amputation, high patronage of unorthodox medical practitioners and spiritual healing centres, inability to afford the cost of care due to high out-of-pocket expenditure on healthcare and loss to follow up. […] This review highlighted the challenges compromising the management and outcome of osteosarcoma in Africa. While surgical treatment for osteosarcoma is shifting toward limb salvage on a global scale, amputation remains common in Africa and is an important reason why patients decline treatment. […] Overcoming these barriers will require a multifaceted approach matching policy formulation with sustainable implementation; human capital development with infrastructural upscaling; and international collaborations with optimisation of local resources.

• #94 Osteosarcoma| Mays Cancer Center

  https://cancer.uthscsa.edu/cancer-care/types-and-treatments/osteosarcoma

  Our collaborative approach provides leading care while also making it easier for more families to access our teams expertise. We may be able to coordinate services so patients who live outside the San Antonio area can undergo certain tests close to home. […] Our center has extensive resources available, including individual and family counseling to help you cope in a way that feels right for your family. […] We sit down with you to discuss your treatment options and how they may affect your life or long-term health. […] A team of pediatric cancer doctors who specialize in bone cancer meets to discuss the details of every childs care. We recommend treatments based on many factors, such as a tumors size and location and the cancers molecular makeup. […] Osteosarcoma treatment usually involves some combination of chemotherapy and other medicines. Children with osteosarcoma receive chemotherapy at a dedicated inpatient clinic of University Hospital focused on meeting the unique needs of teens and young adults. Oncology-trained nurses and doctors closely monitor children and help manage any uncomfortable side effects.

• #95 Osteosarcoma (Bone Cancer) | Cooper University Health Care

  https://www.cooperhealth.org/services/osteosarcoma-bone-cancer

  Our specialists perform more than 600 surgeries every year, so you can be sure well find the most effective treatment for your specific circumstances. […] Our specialists are passionate about the work they do, and we treat every patient like family. […] We provide individualized care, tailored to your specific needs and circumstances. […] Our specialists, including orthopaedic oncologists, musculoskeletal radiologists, nurses, and other professionals, work cohesively to come up with individualized treatment plans. […] With the backing of MD Anderson Cancer Center, one of the nations pioneers in medical oncology research and development, our doctors are active in a wide variety of clinical trials. […] To help you manage any challenges you experience during treatment, we offer a full range of support services, such as counseling services and physical therapy.

• #96 Caring for children and adolescents with osteosarcoma: a nursing perspective – PubMed

  https://pubmed.ncbi.nlm.nih.gov/20213403/

  The nurse plays a vital role in caring for patients with osteosarcoma. From the very outset when the disease is explained to the patient and his/her family, the nurse provides comfort and support, as well as enhances and explains the information provided by the physician. All aspects of medical care are addressed, and he/she is frequently the first line of communication when the patient telephones and requests information or wishes to report a problem to the physician. He/She arranges and coordinates appointments to suit the patient’s medical, and often social needs to provide comprehensive care with attention to detail. This communication will provide a perspective of the role assumed by the nurse in his/her effort to ensure total care of the patient and the family.

• #97 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  The role of the nurse in the care of osteosarcoma patients is crucial. From the moment the patient and the patient’s family are informed about the sickness, the nurse gives support and comfort and also clarifies the information of the medical doctor to them. […] Essential nursing care consists of informing the patient and his family about the clinical trial, improving communication between members of the protocol team and the patient and his or her family, administering the medication according to the protocol’s specifications, functioning as a patient advocate, and analysing and recording the patient’s response to therapy. […] Family-centered care is a philosophy of health care that influences health care policy, programs, facility design, and daily interactions between patients, families, doctors, and other health care providers.

• #98 3 Osteogenic Sarcoma (Osteosarcoma) Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/osteogenic-sarcoma-osteosarcoma-nursing-care-plans/

  Get to know the nursing diagnosis for osteogenic sarcoma (osteosarcoma) nursing care plans in this guide. Discover the nursing assessment, nursing interventions, and nursing management for patients with this condition. […] The nursing care planning goals for patients with osteosarcoma include prevention of injury, improved condition of oral mucous membranes, relief from anxiety, and monitoring and managing potential complications. […] The following are the nursing priorities for patients with osteogenic sarcoma (osteosarcoma): Tumor management. Addressing the primary concern of treating and managing the osteosarcoma tumor through surgical intervention, chemotherapy, and/or radiation therapy. Pain management. Implementing effective strategies to manage and alleviate the pain associated with the tumor, surgery, or other treatment modalities. Limb function preservation. Preserving limb function and mobility through limb-sparing surgeries whenever feasible to maintain quality of life. Metastasis prevention. Monitoring for and managing the potential spread of cancer cells to other parts of the body, particularly the lungs and other bones. Rehabilitation and physical therapy. Providing comprehensive rehabilitation programs to restore optimal function and mobility following surgery or other treatments. Psychological support. Offering psychological support and counseling to help patients cope with the emotional and psychological challenges associated with the diagnosis and treatment of osteosarcoma. Long-term follow-up and surveillance. Conducting regular monitoring, including follow-up visits, imaging studies, and laboratory tests, to detect potential recurrence, assess treatment response, and manage any late effects or complications.

• #99 Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma) | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-ncp-for-bone-cancer-osteosarcoma-chondrosarcoma-and-ewing-sarcoma

  To equip nurses with a detailed understanding and effective strategies for managing patients with bone cancer, specifically Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma. This plan emphasizes understanding the distinct characteristics of each type, recognizing symptoms, and implementing comprehensive nursing interventions for symptom management, complication prevention, and psychological support. […] This care plan aims to provide a comprehensive approach to managing bone cancers like Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma, focusing on pain relief, maintaining mobility, nutritional support, and providing emotional and educational support. Tailoring interventions to individual patient needs and the specific type of bone cancer is essential for effective management and improved outcomes.

• #100 Guideline and Implementation of Osteosarcoma Nursing Care for Children and Adolescents

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9578899/

  Pain caused by progressive illness is a complicated issue that needs collaboration with professionals. […] The term nursing care guidelines is defined as a self-contained paper developed in conjunction with a curative investigation procedure. […] The goals of the recommendations are (1) to boost a medical nurse’s belief in himself and capacity to deliver good quality hospital care by explaining why certain nursing care activities are taken, (2) to improve the nurse’s comprehension and expertise of the clinical investigation procedure, (3) to improve the nurse’s capacity to educate patients and their families about the protocols and clinical testing in general, (4) to reduce the possibility of clinical mistakes, and (5) to improve the nurse’s capability to inform patients and their families regarding the process and clinical testing in particular.

• #101

  https://journals.lww.com/md-journal/fulltext/2020/10230/effectiveness_of_advanced_nursing_care__anc__on.41.aspx

  Advanced nursing care (ANC) has been reported to effectively relieve bone cancer pain, prevent psychological disorders and improve the quality of life (QoL) in patients with primary bone cancers (PBC) during the treatment. […] It has been reported to effectively relieve the pain caused by cancer, prevent psychological disorders and improve the QoL in patients with PBC in several studies. […] Therefore, in this study, we will systematically evaluated the effectiveness of ANC on bone cancer pain, psychological disorders, and QoL in patient with PBC including OS, ES, and CS through the meta-analysis, in order to provide scientific reference for the design of future clinical trials. […] The findings of this study will help to determine whether ANC is effective or not on bone cancer pain, psychological disorders and QoL in patients with PBC.

• #102

  https://journals.lww.com/md-journal/fulltext/2020/10230/effectiveness_of_advanced_nursing_care__anc__on.41.aspx

  Advanced nursing care (ANC) has been reported to effectively relieve bone cancer pain, prevent psychological disorders and improve the quality of life (QoL) in patients with primary bone cancers (PBC) during the treatment. […] It has been reported to effectively relieve the pain caused by cancer, prevent psychological disorders and improve the QoL in patients with PBC in several studies. […] Therefore, in this study, we will systematically evaluated the effectiveness of ANC on bone cancer pain, psychological disorders, and QoL in patient with PBC including OS, ES, and CS through the meta-analysis, in order to provide scientific reference for the design of future clinical trials. […] The findings of this study will help to determine whether ANC is effective or not on bone cancer pain, psychological disorders and QoL in patients with PBC.

• #103

  https://journals.lww.com/md-journal/fulltext/2020/10230/effectiveness_of_advanced_nursing_care__anc__on.41.aspx

  Even though there was statistical analysis of published clinical trials, the exact therapeutic effects of ANC on bone cancer pain, psychological disorders and QoL in patients with PBC were remains controversial. This systematic review will provide a helpful evidence for clinicians to formulate the best nursing strategies for PBC patients with bone cancer pain, psychological disorder and poor QoL, and also provide scientific clues for researchers in this field.

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