Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?

Quirina C.B.S. Thio; Nuno Rui Paulino Pereira; Olivier van Wulfften Palthe; Daniel M. Sciubba; Jos A.M. Bramer; Joseph H. Schwab

doi:10.1016/j.jor.2021.11.015

Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?

Quirina C.B.S. Thio, Nuno Rui Paulino Pereira, Olivier van Wulfften Palthe, Daniel M. Sciubba, Jos A.M. Bramer, Joseph H. Schwab

School of Medicine

Research output: Contribution to journal › Article › peer-review

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.

Original language	English (US)
Pages (from-to)	134-139
Number of pages	6
Journal	Journal of Orthopaedics
Volume	28
DOIs	https://doi.org/10.1016/j.jor.2021.11.015
State	Published - Nov 1 2021

Keywords

Bone metastasis
Spine
Survey
Survival estimation

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.jor.2021.11.015

Cite this

@article{9f1d9c8ea47c48bc89ece93866d9eeb4,

title = "Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?",

abstract = "Purpose: This study aimed to investigate spine surgeons{\textquoteright} 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.",

keywords = "Bone metastasis, Spine, Survey, Survival estimation",

author = "Thio, {Quirina C.B.S.} and {Paulino Pereira}, {Nuno Rui} and {van Wulfften Palthe}, Olivier and Sciubba, {Daniel M.} and Bramer, {Jos A.M.} and Schwab, {Joseph H.}",

note = "Funding Information: The Skeletal Oncology Research Group and the Dutch Spine Society for their contributions. Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2021",

month = nov,

day = "1",

doi = "10.1016/j.jor.2021.11.015",

language = "English (US)",

volume = "28",

pages = "134--139",

journal = "Journal of Orthopaedics",

issn = "0972-978X",

publisher = "Reed Elsevier India Pvt. Ltd.",

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TY - JOUR

T1 - Estimating survival and choosing treatment for spinal metastases

T2 - Do spine surgeons agree with each other?

AU - Thio, Quirina C.B.S.

AU - Paulino Pereira, Nuno Rui

AU - van Wulfften Palthe, Olivier

AU - Sciubba, Daniel M.

AU - Bramer, Jos A.M.

AU - Schwab, Joseph H.

PY - 2021/11/1

Y1 - 2021/11/1

N2 - 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.

AB - 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.

KW - Bone metastasis

KW - Spine

KW - Survey

KW - Survival estimation

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AN - SCOPUS:85120667426

SN - 0972-978X

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JO - Journal of Orthopaedics

JF - Journal of Orthopaedics

ER -

Estimating survival and choosing treatment for spinal metastases: Do spine surgeons agree with each other?

Abstract

Keywords

ASJC Scopus subject areas

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