Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population

Arquivos de Neuro-Psiquiatria

Eduardo Carvalhal Ribas¹  Luis Roberto Mathias Junior¹  Vinícius Monteiro Guirado¹  Roger Schmidt Brock¹  Mario Augusto Taricco¹  Mauro Miguel Daniel¹  Rafael Burgomeister Lourenço¹  Manoel Jacobsen Teixeira¹ 

关键词: spinal metastasis;    score scales;    prognosis;    neurosurgery;    surgical treatment;    metástases vertebrais;    escalas de prognóstico;    neurocirurgia;    tratamento cirúrgico;   

DOI  :  10.1590/0004-282X20150189

来源: SciELO

【 摘 要 】

ABSTRACT Spinal cord epidural metastasis (SEM) is a common complication of systemic cancer. Predicting these patient’s survival is a key factor to select the proper treatment modality, but the three most used score scales to predict their survival (Tokuhashi revised score, Tomita score and Bauer modified score) were designed in single institutions and their reliability to predict correctly the patient’s survival were first tested only in those specific populations. This prognostication issue is addressed in this article, evaluating retrospectively the survival of 17 patients with SEM from a Brazilian general hospital with these score scales. Our results show that the actual survival of those patients were worse than the predicted of all three score scales, suggesting that differences between the different populations might have affected their reliability and alert that their usage as a major factor to select the most appropriate treatment have to be done with caution.

【 授权许可】

CC BY   
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