Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2012 / Cilt: 46 - Sayı: 1

Predictive value of Tokuhashi and Tomita scores in patients with metastatic spine disease

Sayfa
50–56
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: The prognostic Tokuhashi score appears to be more valuable for surgical indications than the Tomita score in patients with spinal metastases.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objective: Our aim was to determine the best preoperative prognostic score to safely propose operative intervention for patients with metastatic spinal disease.
📊
Temel Bulgular & Veri:Methods: This prospective cohort study included 52 consecutive patients who underwent surgery between 1997 and 2007 to alleviate pain and preserve or restore neurological function.
💡
Sonuç & Katkı:Conclusion: The prognostic Tokuhashi score appears to be more valuable for surgical indications than the Tomita score in patients with spinal metastases.
🔬Tür:Araştırma Makalesi
📍Kapsam:2007 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: Our aim was to determine the best preoperative prognostic score to safely propose operative intervention for patients with metastatic spinal disease. Methods: This prospective cohort study included 52 consecutive patients who underwent surgery between 1997 and 2007 to alleviate pain and preserve or restore neurological function. All patients were prospectively evaluated with the Tokuhashi score and retrospectively with the Tomita score to compare their surgery indications. The relationship between the scores and overall survival time were compared. P values of less than 0.05 were considered significant. Results: In predicting survival time, the Tokuhashi score was statistically significant (r=0.574, p=0.01), and the Tomita score borderline significant (r=-0.394, p=0.05). For overall survival after initial diagnosis, the Tokuhashi score was borderline significant for survival (r=0.380, p=0.05) and the Tomita score was not significant. Conclusion: The prognostic Tokuhashi score appears to be more valuable for surgical indications than the Tomita score in patients with spinal metastases.

🔖

Bu Makaleye Atıf Yap

PAPASTEFANOU, S., ALPANTAKI, K., AKRA, G., KATONIS, P. (2012). Predictive value of Tokuhashi and Tomita scores in patients with metastatic spine disease. Acta Orthopaedica et Traumatologica Turcica, Cilt: 46 - Sayı: 1, 50–56. https://ajindex.com/articles/353714

Kaynakça (17)

  1. Harrington K. Metastatic tumors of the spine: diagnosis and treatment. J Am Acad Orthop Surg 1993;1:76-86
  2. Schaberg J, Gainor BJ. A profile of metastatic carcinoma of the spine. Spine (Phila Pa 1976) 1985;10:19-20
  3. Wong DA, Fornasier VL, MacNab I. Spinal metastases: the obvious, the occult, and the impostors. Spine (Phila Pa 1976) 1990;15:1-4
  4. Boriani S, Biagini R, De Iure F, Bertoni F, Malaguti MC, Di Fiore M, et al. En bloc resections of bone tumors of the thoracolumbar spine. A preliminary report on 29 patients. Spine (Phila Pa 1976) 1996;21:1927-31
  5. Klimo P Jr, Schmidt MH. Surgical management of spinal metastases. The Oncologist 2004;9:188-96
  6. Sundaresan N, Digiacinto GV, Hughes JE, Cafferty M, Vallejo A. Treatment of neoplastic spinal cord compression: results of a prospective study. Neurosurgery 1991;29:645-50
  7. Hammerberg KW. Surgical treatment of metastatic spine disease. Spine (Phila Pa 1976) 1992;17:1148-53
  8. Gray AJG, Hoile RW, Ingram GS, Sherry KM. NCEPOD Report of 1996-7 (National Confidential Enquiry into Patient Outcome and Death, UK) [cited 2010 July]. Available from:
  9. Tokuhashi Y, Matsuzaki H, Toriyama S, Kawano H, Ohsaka S. Scoring system for the preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976) 1990;15: 1110-3
  10. Tomita K, Kawahara N, Kobayashi T, Yoshida A, Murakami H, Akamaru T. Surgical strategy of spinal metastases. Spine (Phila Pa 1976) 2001;26:298-306
  11. General Medical Council (GMC). Seeking patient’s consent: the ethical considerations. London: GMC; 1998
  12. Böhm P, Huber J. The surgical treatment of bony metastases of the spine and limbs. J Bone Joint Surg Br 2002;84:521-9
  13. Salvati M, Cervoni L, Puzzilli F, Raguso M, Ciappetta P, Delfini R. Metastatic spinal cord compression. Clinical remarks. Minerva Chir 1998;53:727-30
  14. Solberg A, Bremnes RM. Metastatic spinal cord compression: diagnostic delay, treatment, and outcome. Anticancer Res 1999;19:677-84
  15. Glare P, Virik K, Jones M, Hudson M, Eychmuller S, Simes J, et al. A systematic review of physicians' survival predictions in terminally ill cancer patients. BMJ 2003;327:195-8
  16. Ulmar B, Naumann U, Catalkaya S, Muche R, Cakir B, Schmidt R, et al. Prognosis scores of Tokuhashi and Tomita for patients with spinal metastases of renal cancer. Ann Surg Oncol 2007;14:998-1004
  17. Ulmar B, Richter M, Cakir B, Muche R, Puhl W, Huch K. The Tokuhashi score: significant predictiv