Survival analysis of malignant epidural spinal cord compression after palliative radiotherapy using Tokuhashi scoring system and the impact of systemic therapy | Zendy

Wing Ho Mui | Zendy; Tai Chung Lam | Zendy; Frank Chi Sing Wong | Zendy; Wing King Sze | Zendy

Open Access

Survival analysis of malignant epidural spinal cord compression after palliative radiotherapy using Tokuhashi scoring system and the impact of systemic therapy

Author(s) -

Wing Ho Mui,

Tai Chung Lam,

Frank Chi Sing Wong,

Wing King Sze

Publication year - 2017

Publication title -

annals of palliative medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.546

H-Index - 19

eISSN - 2224-5839

pISSN - 2224-5820

DOI - 10.21037/apm.2017.07.06

Subject(s) - medicine , spinal cord compression , radiation therapy , systemic therapy , spinal cord , palliative care , palliative treatment , overall survival , surgery , cancer , nursing , breast cancer , psychiatry

Previous studies have shown similar clinical outcomes of both single and multi-fraction (Fr) radiation therapy among malignant epidural spinal cord compression (MSCC) patients with poor prognosis; whereas, patients expected to have longer survival may require long-course radiotherapy to prevent local failure. However, such a poor prognosis risk group has not yet been clearly identified for use in daily clinical practice. We examined if the known predictive Tokuhashi scoring system could be adapted in MSCC patients treated with palliative radiation therapy.

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