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...

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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
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author Thio, Quirina C.B.S.
Paulino Pereira, Nuno Rui
van Wulfften Palthe, Olivier
Sciubba, Daniel M.
Bramer, Jos A.M.
Schwab, Joseph H.
author_facet Thio, Quirina C.B.S.
Paulino Pereira, Nuno Rui
van Wulfften Palthe, Olivier
Sciubba, Daniel M.
Bramer, Jos A.M.
Schwab, Joseph H.
author_sort Thio, Quirina C.B.S.
collection PubMed
description 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.
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spelling pubmed-86652692022-11-01 Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other? Thio, Quirina C.B.S. Paulino Pereira, Nuno Rui van Wulfften Palthe, Olivier Sciubba, Daniel M. Bramer, Jos A.M. Schwab, Joseph H. J Orthop Article 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. Elsevier 2021-11-27 /pmc/articles/PMC8665269/ /pubmed/34924728 http://dx.doi.org/10.1016/j.jor.2021.11.015 Text en © 2021 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Thio, Quirina C.B.S.
Paulino Pereira, Nuno Rui
van Wulfften Palthe, Olivier
Sciubba, Daniel M.
Bramer, Jos A.M.
Schwab, Joseph H.
Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
title Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
title_full Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
title_fullStr Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
title_full_unstemmed Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
title_short Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
title_sort estimating survival and choosing treatment for spinal metastases: do spine surgeons agree with each other?
topic Article
url 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
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