Loading...
Please wait, while we are loading the content...
Similar Documents
Correlation between actual survival and Tokuhashi and tomita scores in spine metastases
| Content Provider | Scilit |
|---|---|
| Author | Bechara, Alexandre Henrique Silveira Rosa, André Frazão Veiga, Ivan Guidolin Pasqualini, Wagner Landim, Elcio Neto, Marcelo Ítalo Risso Tebet, Marcos Antônio Cavali, Paulo Tadeu Maia |
| Copyright Year | 2015 |
| Description | OBJECTIVE: To evaluate the accuracy of the scores of Tokuhashi and Tomita and the actual survival of patients with vertebral metastases. METHODS: A retrospective assessment of 45 patients with spinal metastases. Thirty-one patients underwent surgical treatment and adjuvant therapy and 14 received conservative treatment (chemotherapy/radiotherapy) or palliative/supportive, depending on the scores of Tokuhashi and Tomita. RESULTS: In the study, 80% of patients were female and the mean age was 57.8 years (SD=11.3 years). The most frequent primary tumors were breast and prostate (68.9%). The accuracy of Tokuhashi scale was 53.4% and the Tomita, 64.5%. The concentration of Tomita range of correct classification was in the category of survival > 12 months (57.8%), while the Tokuhashi scale presented some adjustment in the other categories, < 6 months (15.6%) and 6 to 12 months (2.2%). The histological type of the primary tumor was the only variable that statistically influenced the survival time of patients (p<0.001), and patients with lung or liver tumor (most aggressive) presented a risk of death 9.89 times higher than patients with primary tumors of breast or prostate (less aggressive) (95% CI: 3.10 to 31.57). CONCLUSION: The Tokuhashi and Tomita scores showed good accuracy with respect to the actual survival of patients with tumor metastasis in the spine. Key words: Spine; Neoplasms; Metastasis |
| Related Links | http://www.scielo.br/pdf/coluna/v14n2/1808-1851-coluna-14-02-00138.pdf |
| Ending Page | 143 |
| Page Count | 6 |
| Starting Page | 138 |
| ISSN | 18081851 |
| e-ISSN | 18081851 |
| DOI | 10.1590/s1808-185120151402147872 |
| Journal | Coluna/columna |
| Issue Number | 2 |
| Volume Number | 14 |
| Language | English |
| Publisher | FapUNIFESP (SciELO) |
| Publisher Date | 2015-06-01 |
| Access Restriction | Open |
| Subject Keyword | Coluna Actual Survival Tokuhashi and Tomita Tomita Scores Scores of Tokuhashi Surgical Treatment |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Neurology (clinical) Surgery |
