Interobserver agreement for the spine instability neoplastic score varies according to the experience of the evaluator

Teixeira, William Gemio Jacobsen; Coutinho, Pedro Ricardo de Mesquita; Marchese, Luiz Delboni; Narazaki, Douglas Kenji; Cristante, Alexandre Fogaça; Teixeira, Manoel Jacobsen; Filho, Tarcísio Eloy Pessoa de Barros; Camargo, Olavo Pires de

doi:10.6061/clinics/2013(02)oa15

Cited by 40 publications

(23 citation statements)

References 18 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…18 There was almost perfect inter-and intraobserver reliability in the total SINS scores for the three clinically relevant evaluations of tumor-related instability, which can be described as stable (score from 0 to 6), indeterminate (imminent from 7 to 12), and unstable (13 to 18). 8,17,19 We observed that all the examiners rated it as important in daily practice and capable of changing their conduct in relation to a case. One criticism of the SINS score was that the neurological status of the patient, a potential modifier of the treatment approach, is not included in the evaluation.…”

Section: Discussionmentioning

confidence: 86%

“…10,17 Early detection and proper intervention are critical to minimizing the sequelae from spine metastases, reestablishing function, and maximizing the quality of life. 18 There was almost perfect inter-and intraobserver reliability in the total SINS scores for the three clinically relevant evaluations of tumor-related instability, which can be described as stable (score from 0 to 6), indeterminate (imminent from 7 to 12), and unstable (13 to 18).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessment of Scores in Decision Making in Metastases of the Spine

et al. 2015

View full text Add to dashboard Cite

Objective: The aim of this study is to assess the intra-and interobserver concordance of SINS, Harrington, Tokuhashi and Tomita scores among general orthopedic surgeons and spine surgeons with experience above 5 and 10 years in the evaluation of patients with spinal metastasis. Methods: Twenty cases of patients with metastatic lesion of the spine were presented to 10 examiners and the scores aforementioned have been applied. After six weeks, the cases were reintroduced in a different order and data were analyzed. Results: The intraobserver reliability showed better agreement in SINS score among examiners with less experience and Harrington and Tomita scores among those who had more than 10-year experience. The interobserver reliability of the examiners of the group with over 10-year experience showed higher precision when using these scores, especially Harrington and Tomita. The SINS score was the choice for daily practice and was able to modify the management more often. Conclusions: This study demonstrated that the use of predictive scores of instability, Harrington, and prognosis, Tomita, had a higher intra-and interobserver reliability particularly among spine surgeons with experience above 10 years.Keywords: Prognosis; Neoplasm metastasis; Spinal neoplasms; Life expectancy. RESUMO Objetivo: O objetivo deste estudo é avaliar a concordância intra e interobservador dos escores SINS, Harrington

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Assessment of Scores in Decision Making in Metastases of the Spine

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The indication for surgical treatment depends of the clinical status of the patients, prognosis, primary tumor and the characteristics of the spinal compression 20 . In our institution, surgery is not routine treatment for patients with compression syndrome, thus, all patients received radiotherapy, and there was no woman underwent surgery.…”

Section: Discussionmentioning

confidence: 99%

Survival of women with spinal compression syndrome due to bone metastasis secondary to breast cancer

Bergmann¹,

Fabro²,

Silva³

et al. 2014

RNC

View full text Add to dashboard Cite

original RESUMOObjetivo. Descrever as características, os fatores prognósticos e a sobrevida global de pacientes com síndrome de compressão após metás-tase óssea secundária ao câncer de mama. Método: Foi realizado um estudo de sobrevida em mulheres com câncer de mama e metástase óssea , com diagnóstico de síndrome de compressão medular ou radicular em uma única instituição. As características demográficas (idade, estado civil e escolaridade) e clínicas (estadiamento clínico, tratamento cirúrgico do câncer de mama, sítio da metástase, tipo de compressão e óbito) foram coletadas retrospectivamente dos prontuários médicos. Foi considerado desfecho a ocorrência de óbito e censura, os casos vivos no último seguimento. Foi realizada a Regressão de Cox com nível de significância de 95%. Resultados: Foram incluídos 36 casos. O tempo mediano entre o diagnóstico de câncer de mama e a metástase óssea foi de 17 meses (0-167). O óbito ocorreu em 92% dos casos, com mediana de 22 meses (1-99) após o diagnóstico de metástase óssea e 9 meses (0-47) após o diagnóstico de síndrome de compressão. A única variável associada a com o aumento da sobrevida após compressão medular foi o uso de bifosfonatos após a metástase óssea. Conclusão: A sobrevida global após metástase óssea foi de 22 meses e após a sindrome de compressão de 9 meses. O uso de bifosfonatos aumentou a sobrevida global após a síndrome de compressão medular.Unitermos. Neoplasias da Mama, Síndromes de Compressão Nervosa, Taxa de Sobrevida, Metástase Neoplásica Citação. Bergmann A, Fabro EN, Silva BA, Ribeiro ACP, Lou M, Oliveira JF, Pedrosa E, Thuler LCS. Sobrevida de mulheres com sín-drome de compressão medular após metástase óssea secundária ao câncer de mama. ABSTRACTObjective: describe the characteristics, associated prognostic factors and overall survival of patients with spinal compression syndrome after bone metastasis in breast cancer patients. Method: A survival study was performed in women with breast cancer and bone metastasis, with diagnosis of radicular and/or spinal compression syndrome at a single institution. We retrospectively collect the variables related to demographic characteristics (age, marital status and education) and clinical information (clinical stage, surgical treatment of breast cancer, site of metastasis, type of compression syndrome and death). Outcome was considered the occurrence of death and censures, the cases alive at the last follow-up. Cox regression was used on a statistically significant level of 95%. Results: Thirty-six cases were included. Median time between breast cancer diagnosis and bone metastasis was 17 months (0-167), and median time to compression syndrome was 30 months (0-167). Death occurred in 92% of cases, a median of 22 months (1-99) after bone metastasis diagnosis and 9 months (0-47) after diagnosis of compression syndrome. The only variable that was associated with increased survival after compression syndrome was the use of bisphosphonates after bone metastasis. Conclusion: Overall survival was 22 months after di...

show abstract

“…Junkcionális gerinc (occiput-C2, C7-T2, T11-L1, L5-S1) [7][8][9]. A SINS számos guideline és klinikai vizsgálati protokoll részévé vált [10,11], továbbá két klinikai döntés támogatási rendszerébe is beillesztették.…”

Section: Lokalizációunclassified

Paradigmaváltás a csontmetasztázisok sebészetében. II. Gerincmetasztázisok kezelése

2018

View full text Add to dashboard Cite

A gerincmetasztázisok emelkedő incidenciájával párhuzamosan, az elmúlt évek orvostudományi fejlődésének eredményeként a betegek életkilátása és életminősége ugrásszerűen javult. A gerincmetasztázisok kezelése aprólékos, gondos kiértékelést követel, ugyanis az optimális terápia kiválasztása több tényezőn alapul: a tumor típusán, a szegmentális stabilitáson, a páciens tünetein és általános egészségi állapotán. A modern sugárkezelés kombinálása a minimálinvazív sebészeti technológiákkal (minimálinvazív stabilizáció, szeparációs műtét) tartós lokális kontroll lehetősé-gét nyújtja alacsony komplikációs ráta mellett a betegek relatíve nagy csoportjában. Összefoglaló közleményünkben a gerincmetasztázisok modern, komplex kezelésének elemeit és összehangolt rendszerét mutatjuk be a szakirodalomban publikált evidenciákra támaszkodva. Orv Hetil. 2018; 159(8): 297-302.Kulcsszavak: gerinc, metasztázis, minimálinvazív sebészet, stereotaxiás sugárterápia, biológiai terápia Change of paradigm in the surgical treatment of metastatic diseases of the bone Part II. Treatment of spinal metastasesThe incidence of spinal metastases is constantly growing, but due to the advancements in oncologic treatment methods, the survival and the quality of life of the patients are persistently improving. Choosing the optimal treatment method is essential, and several factors should be considered: type of the primary tumor, segmental stability, the symptoms caused by the metastasis and the general condition of the patient. Using modern radiotherapeutic methods combined with minimally invasive surgical techniques (minimally invasive stabilization, separation surgery) in the majority of patients permits adequate local control with low complication rate. In our review, we describe the stateof-the-art, modern spinal metastasis treatment options based on the recently published evidence. ÖSSZEFOGLALÓ KÖZLEMÉNYRövidítések ALK = anaplasticus lymphoma kináz; AOSpine KF = AOSpine Knowledge Forum; cEBRT = konvencionális sugárkezelés; CTLA4 = citotoxikus T-lymphocyta-asszociált antigén-4; EGFR = epidermális növekedési faktor; EML4 = echinoderm microtubule-associated protein-like 4; ER = ösztrogénrecep-tor; ESCC = epiduralis gerincvelői kompresszió; HER = humán epidermális növekedési faktor receptora; LMNOP = elhelyezkedés, mechanikai instabilitás, neurológiai status, onkoló-giai előzmény, fizikális status értékelését tartalmazó rendszer; MIS = minimálisan invazív sebészet; NOMS = neurológiai, onkológiai, mechanikai, szisztémás értékelés; NSCLC = nem kissejtes tüdőrák; PD-1 = programozott sejthalál-1; SINS = Spinal Instability Neoplastic Score; SOSG = Spine Oncology Study Group; SRS = stereotaxiás sugárkezelés; VEGF = vascularis endothelialis növekedési hormon

show abstract

Interobserver agreement for the spine instability neoplastic score varies according to the experience of the evaluator

Cited by 40 publications

References 18 publications

Assessment of Scores in Decision Making in Metastases of the Spine

Assessment of Scores in Decision Making in Metastases of the Spine

Survival of women with spinal compression syndrome due to bone metastasis secondary to breast cancer

Paradigmaváltás a csontmetasztázisok sebészetében. II. Gerincmetasztázisok kezelése

Contact Info

Product

Resources

About