Auteurs van publicatie
Thio QCBS, Paulino Pereira NR, van Wulfften Palthe O, Sciubba DM, Bramer JAM, Schwab JH
Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?
J Orthop. 2021 Nov 27;28:134-139
Abstract
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.
