Open AccessSurvival analysis of malignant epidural spinal cord compression after palliative radiotherapy using Tokuhashi scoring system and the impact of systemic therapy
Author(s) -
W.H. Mui,
Tai Chung Lam,
F. Wong,
Wing Kin 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.