title: Survival score scales of patients operated with spinal metastases: retrospective application in a Brazilian population.
abstract: Spinal cord epidural metastasis (SEM) is a common complication of systemic cancer. Predicting these patient's survival is a key factor to select the proper treatment modality, but the three most used score scales to predict their survival (Tokuhashi revised score, Tomita score and Bauer modified score) were designed in single institutions and their reliability to predict correctly the patient's survival were first tested only in those specific populations. This prognostication issue is addressed in this article, evaluating retrospectively the survival of 17 patients with SEM from a Brazilian general hospital with these score scales. Our results show that the actual survival of those patients were worse than the predicted of all three score scales, suggesting that differences between the different populations might have affected their reliability and alert that their usage as a major factor to select the most appropriate treatment have to be done with caution.
authors.affiliation: Departamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Eduardo Carvalhal
authors.initials: EC
authors.lastname: Ribas
authors.affiliation: Departamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Luis Roberto
authors.initials: LR
authors.lastname: Mathias Junior
authors.affiliation: Departamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Vinícius Monteiro
authors.initials: VM
authors.lastname: Guirado
authors.affiliation: Departamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Roger Schmidt
authors.initials: RS
authors.lastname: Brock
authors.affiliation: Departamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Mario Augusto
authors.initials: MA
authors.lastname: Taricco
authors.affiliation: Departamento de Radiologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Mauro Miguel
authors.initials: MM
authors.lastname: Daniel
authors.affiliation: Departamento de Radiologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Rafael Burgomeister
authors.initials: RB
authors.lastname: Lourenço
authors.affiliation: Departamento de Neurologia, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Manoel Jacobsen
authors.initials: MJ
authors.lastname: Teixeira
mesh_terms: D015998:Abbreviated Injury Scale; D000328:Adult; D000368:Aged; D001938:Brazil / Q000453:epidemiology; D000066491:Clinical Decision-Making; D015174:Epidural Neoplasms / Q000150:complications / Q000401:mortality* / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011379:Prognosis; D011471:Prostatic Neoplasms / Q000473:pathology*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery*; D015996:Survival Rate; D013964:Thyroid Neoplasms / Q000473:pathology*; D016896:Treatment Outcome