| Autor: |
Aleksander P, Mika, Colby, Wollenman, Anthony M, Steinle, Hani, Chanbour, Wilson, Vaughan, Andrew, Croft, Julian, Lugo-Pico, Scott L, Zuckerman, Amir M, Abtahi, Byron F, Stephens |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Spine. |
| ISSN: |
0362-2436 |
| Popis: |
Retrospective review.To determine if preoperative Spinal Instability Neoplastic scores (SINS) and Tokuhashi prognostication scores differed in patients receiving surgical care before and during the COVID-19 pandemic.The COVID-19 pandemic has caused delays in scheduling non-emergent surgeries. Delay in presentation and/or surgical treatment for oncology patients with metastatic spinal disease could result in progression of the disease, which can complicate surgical care and worsen patient outcomes.Retrospective review of electronic medical records between 3/1/19-3/1/21 at a tertiary medical center was performed to identify patients who underwent surgery for metastatic spine disease. Primary spinal tumors were excluded. Patients were separated into two groups base on their surgery date: before the COVID-19 pandemic (3/1/19-2/29/20) and during the COVID-19 pandemic (3/1/20-3/1/21). Primary outcomes included SINS and Tokuhashi scores. A variety of statistical tests were performed to compare the groups.52 patients who underwent surgery before the COVID-19 pandemic were compared to 45 patients who underwent surgery during the COVID-19 pandemic. There was a significant difference between the before and during groups with respect to SINS (9.31±2.39 vs. 10.84±2.75, P=0.004) and Tokuhashi scores (9.27±2.35 vs. 7.89±2.76, P=0.009). Linear regression demonstrated time of surgery (before or during COVID-19 restrictions) was a significant predictor of SINS (β=1.37, 95% CI: 0.32-2.42, P=0.011) and Tokuhashi scores (β=-1.45, 95% CI: -2.48-(-0.41), P=0.006).Patients with metastatic spinal disease who underwent surgery during the COVID-19 pandemic had higher SINS, lower Tokuhashi scores and similar SORG scores compared to patients who underwent surgery before the pandemic. This suggests the pandemic has impacted the instability of disease at presentation in patients with spinal metastases, but has not impacted surgical prognosis, as there were no differences in SORG scores and the difference in Tokuhashi scores is most likely not clinically significant. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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