title: Tokuhashi Scoring System has limited applicability in the majority of patients with spinal cord compression secondary to vertebral metastasis.
abstract: Spine is the primary bone site affected by systemic metastasis. Although there are scales that attempt to manage these patients, their real applicability is unknown. The Tokuhashi Scoring System (TSS) is a widely used prognostic tool. At the time of treatment, the data necessary to complete TSS may be incomplete, making its application impossible. Objective To evaluate the number of TSS scores completed by the time the clinical therapeutic decision was made. Methods From July 2010 to January 2012, we selected patients who were diagnosed with spinal metastases. Results Sixty spinal metastasis patients (21 female, 39 male) were evaluated between July 2010 and January 2012. At the time of the treatment decision, only 25% of the patients had completed the TSS items. Conclusion In the majority of patients with vertebral metastasis, TSS variables cannot be applied.
authors.forename: Matheus Fernandes de
authors.initials: MF
authors.lastname: Oliveira
authors.forename: Breno de Amorim
authors.initials: Bde A
authors.lastname: Barros
authors.forename: Jose Marcus
authors.initials: JM
authors.lastname: Rotta
authors.forename: Ricardo Vieira
authors.initials: RV
authors.lastname: Botelho
mesh_terms: D000368:Aged; D003657:Decision Making; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D013117:Spinal Cord Compression / Q000209:etiology* / Q000401:mortality / Q000473:pathology; D013125:Spinal Neoplasms / Q000401:mortality / Q000473:pathology / Q000556:secondary*; D016019:Survival Analysis; D013997:Time Factors