Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 34924728.
- Also identified by DOI 10.1016/j.jor.2021.11.015 and PMC identifier 8665269.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
This study aimed to investigate spine surgeons' ability to estimate survival in patients with spinal metastases and whether survival estimates influence treatment recommendations. 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. 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. Prognostic models to estimate survival may aid surgeons treating patients with spinal metastases.