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

Autor:	Olivier van Wulfften Palthe, Daniel M. Sciubba, Nuno Rui Paulino Pereira, Quirina C. B. S. Thio, Joseph H. Schwab, Jos A. M. Bramer
Přispěvatelé:	Graduate School, APH - Personalized Medicine, APH - Quality of Care, Orthopedic Surgery and Sports Medicine, AMS - Musculoskeletal Health
Rok vydání:	2021
Předmět:	medicine.medical_specialty Descriptive statistics business.industry Intraclass correlation Bone metastasis Survival estimation Spine Medicine Orthopedics and Sports Medicine In patient Radiology Survey business Spinal metastases Prognostic models
Zdroj:	Journal of orthopaedics, 28, 134-139. Elsevier BV
ISSN:	0972-978X
DOI:	10.1016/j.jor.2021.11.015
Popis:	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.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fa6530f3a07950610a4f4ce893bb6070 https://doi.org/10.1016/j.jor.2021.11.015 Zobrazit plný text záznamu Full Text from ScienceDirect