Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?

PURPOSE: This study aimed to investigate spine surgeons’ ability to estimate survival in patients with spinal metastases and whether survival estimates influence treatment recommendations. METHODS: 60 Spine surgeons were asked a survival estimate and treatment recommendation in 12 cases. Intraclass...

Descripción completa

Detalles Bibliográficos
Autores principales: Thio, Quirina C.B.S., Paulino Pereira, Nuno Rui, van Wulfften Palthe, Olivier, Sciubba, Daniel M., Bramer, Jos A.M., Schwab, Joseph H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8665269/
https://www.ncbi.nlm.nih.gov/pubmed/34924728
http://dx.doi.org/10.1016/j.jor.2021.11.015
Descripción
Sumario:PURPOSE: This study aimed to investigate spine surgeons’ ability to estimate survival in patients with spinal metastases and whether survival estimates influence treatment recommendations. METHODS: 60 Spine surgeons were asked a survival estimate and treatment recommendation in 12 cases. Intraclass correlation coefficients and descriptive statistics were used to evaluate variability, accuracy and association of survival estimates with treatment recommendation. RESULTS: There was substantial variability in survival estimates amongst the spine surgeons. Survival was generally overestimated, and longer estimated survival seemed to lead to more invasive procedures. CONCLUSIONS: Prognostic models to estimate survival may aid surgeons treating patients with spinal metastases.

Ejemplares similares