Bauer and Wedin studied patients who had surgery for metastatic cancer to the spine and/or bones of the extremities. They identified prognostic factors for these patients. The authors are from the Karolinska Hospital in Stockholm.
Patient selection: malignant tumor metastatic to bone of spine and/or extremities
Outcome: overall survival for 1 year from time of surgery for metastases
Parameters associated with survival:
(1) absence of visceral and brain metastases
(2) absence of pathologic fracture
(3) solitary skeletal metastasis
(4) not primary lung cancer
(5) primary cancer myeloma, lymphoma, breast or kidney
score =
= number of these 5 parameters present
Interpretation:
• minimum score: 0
• maximum score 5
• The higher the score the better the prognosis.
Score
Group
1-Year Survival
4 or 5
fair
50%
2 or 3
intermediate
25%
0 or 1
poor
0% (dead within 6 mo)
To read more or access our algorithms and calculators, please log in or register.
