Prospective comparison of the accuracy of the New England Spinal Metastasis Score (NESMS) to legacy scoring systems in prognosticating outcomes following treatment of spinal metastases.

ABSTRACT:

Background context

We developed the New England Spinal Metastasis Score (NESMS) as a simple, informative, scoring scheme that could be applied to both operative and non-operative patients. The performance of the NESMS to other legacy scoring systems has not previously been compared using appropriately powered, prospectively collected, longitudinal data.

Purpose

To compare the predictive capacity of the NESMS to the Tokuhashi, Tomita and Spinal Instability Neoplastic Score (SINS) in a prospective cohort, where all scores were assigned at the time of baseline enrollment.

Patient sample

We enrolled 202 patients with spinal metastases who met inclusion criteria between 2017-2019.

Outcome measures

One-year survival (primary); 3-month mortality and ambulatory functio

SUBMITTER: Schoenfeld AJ 

PROVIDER: S-EPMC8443703 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature