Clinical Factors of Hosono et al Affecting Prognosis in a Patient with Spinal Metastases

Description

Hosono et al identified clinical factors associated with the prognosis of patients with metastatic tumor to the spine. This can help identify patients who may be candidates for surgery and/or more aggressive management. The authors are from Osaka University and the Himeji Red Cross Hospital in Japan.

Parameters:

(1) type of tumor

(2) presence or absence of paresis prior to surgery

(3) presence or absence of pain prior to surgery

Cancers associated with a favorable prognosis:

(1) multiple myeloma

(2) thyroid carcinoma

(3) renal cell carcinoma

(4) breast cancer

(5) prostate cancer

Cancers associated with an unfavorable prognosis:

(1) lung cancer

(2) liver carcinoma

(3) sarcoma

(4) GI cancer (esophagus, stomach, colon)

(5) endometrial carcinoma

(6) head and neck cancer

(7) bladder cancer

(8) pancreatic cancer

(9) thymoma

(10) tumor of unknown primary

Parameter	Finding	Points
type of cancer	favorable	0
	unfavorable	1
paresis prior to surgery	absent	0
	present	1
pain prior to surgery	absent	0
	present	1

total score =

= SUM(points for all 3 parameters)

Interpretation:

• minimum score: 0

• maximum score: 3

• The higher the score the worse the prognosis.

Preoperative walking status was not an independent predictor of prognosis.

To read more or access our algorithms and calculators, please log in or register.

Description

Specialty

ICD-10