Management of Long Bones Metastatic Disease: Concepts That We All Know but Don't Always Remember

This course focuses on reviewing the basic concepts of care of patients with metastatic disease to long bones from the surgical standpoint. Juan A. Pretell, M.D., will provide nonsurgical specialists with the main concepts for identifying patients at risk for pathological fractures that need to be referred to an orthopedic oncologist.  

Target Audience

Oncologists, Radiation Oncologists, Hematology Oncologists, Radiation Therapists, Endocrinologists, Pulmonologists, Otolaryngologists, Urologists, Colorectal Surgeons, General Surgeons, Orthopedic Surgeons, General Practitioners, Obstetricians and Gynecologists, Patient Navigators and all other interested healthcare professionals.

Learning Objectives

  • Identify patients at risk for pathological fractures and refer them to orthopedic oncologists.
  • List factors taken into consideration for surgical indication in patients being treated for orthopedic oncology.
  • Identify nonoperative as well as operative alternatives when managing metastatic disease in long bones. 
Additional information
Bibliography: 
  • Younis, M. H., Fuentes-Rivera, L., Summers, S., & Pretell-Mazzini, J. (2021). Survival in patients with carcinomas presenting with bone metastasis at diagnosis: a SEER population-based cohort study. Archives of orthopaedic and trauma surgery, 141, 367-373.
  • Younis, M. H., Summers, S., & Pretell-Mazzini, J. (2020). Bone metastasis in extremity soft tissue sarcomas: risk factors and survival analysis using the SEER registry. Musculoskeletal surgery, 1-10.
  • Boden, A. L., Patel, M., Hoyt, A., Subhawong, T., Conway, S., & Pretell-Mazzini, J. (2021). Development of distal femoral metastasis is rare in cases of isolated proximal femoral metastases. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 29(9), e465-e470.

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Course Summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
Course opens: 
03/01/2023
Course expires: 
02/28/2025
Part of: 
Miami Cancer Institute Multispecialty e-Learning Series

Juan A. Pretell, M.D., FAAOS
Chief, Musculoskeletal Oncology Division, Miami Cancer Institute
Clinical Professor of Orthopedics
Florida International University, Herbert Wertheim College of Medicine
Miami, Florida
                
Juan A. Pretell, M.D., faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Guilherme Rabinowits, M.D., conference director of this educational activity, is an advisor with Sanofi-Genzyme, Regeneron, Castle and Boston Gene. 

All of the relevant financial relationships listed for this individual has been mitigated.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
 

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Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
Please login or register for a Baptist Health CME account to take this course.

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