AI Article Synopsis
- The study focuses on the Tokuhashi Scoring System (TSS), a tool used for assessing patients with spinal metastases to guide treatment decisions, but highlights issues with its practical application.
- Only 25% of patients had all necessary data to complete the TSS at the time treatment decisions were made, indicating a significant gap in information.
- Overall, the findings suggest that many patients with vertebral metastasis may not have had the TSS satisfactorily applied, raising concerns about the tool's utility in clinical settings.
Article 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.
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| http://dx.doi.org/10.1590/0004-282X20130125 | DOI Listing |
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