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

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 mod...

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Main Authors: Eduardo Carvalhal Ribas, Luis Roberto Mathias Junior, Vinícius Monteiro Guirado, Roger Schmidt Brock, Mario Augusto Taricco, Mauro Miguel Daniel, Rafael Burgomeister Lourenço, Manoel Jacobsen Teixeira
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO) 2015-01-01
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015005010106&lng=en&tlng=en
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author Eduardo Carvalhal Ribas
Luis Roberto Mathias Junior
Vinícius Monteiro Guirado
Roger Schmidt Brock
Mario Augusto Taricco
Mauro Miguel Daniel
Rafael Burgomeister Lourenço
Manoel Jacobsen Teixeira
author_facet Eduardo Carvalhal Ribas
Luis Roberto Mathias Junior
Vinícius Monteiro Guirado
Roger Schmidt Brock
Mario Augusto Taricco
Mauro Miguel Daniel
Rafael Burgomeister Lourenço
Manoel Jacobsen Teixeira
author_sort Eduardo Carvalhal Ribas
collection DOAJ
description 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.
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spelling doaj.art-87af287db08340cd8d8ed398be12618f2022-12-22T00:40:22ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-42272015-01-0100010.1590/0004-282X20150189S0004-282X2015005010106Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian populationEduardo Carvalhal RibasLuis Roberto Mathias JuniorVinícius Monteiro GuiradoRoger Schmidt BrockMario Augusto TariccoMauro Miguel DanielRafael Burgomeister LourençoManoel Jacobsen TeixeiraABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015005010106&lng=en&tlng=enmetástases vertebraisescalas de prognósticoneurocirurgiatratamento cirúrgico
spellingShingle Eduardo Carvalhal Ribas
Luis Roberto Mathias Junior
Vinícius Monteiro Guirado
Roger Schmidt Brock
Mario Augusto Taricco
Mauro Miguel Daniel
Rafael Burgomeister Lourenço
Manoel Jacobsen Teixeira
Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population
Arquivos de Neuro-Psiquiatria
metástases vertebrais
escalas de prognóstico
neurocirurgia
tratamento cirúrgico
title Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population
title_full Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population
title_fullStr Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population
title_full_unstemmed Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population
title_short Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population
title_sort survival score scales of patients operated with spinal metastases retrospective application in a brazilian population
topic metástases vertebrais
escalas de prognóstico
neurocirurgia
tratamento cirúrgico
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2015005010106&lng=en&tlng=en
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