Predicting 30-day mortality after surgery for metastatic disease of the spine: the H
Metastasis
Mortality
Outcomes
Prediction
Score
Spine tumor
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
Jul 2023
Jul 2023
Historique:
received:
02
12
2022
accepted:
06
04
2023
revised:
14
03
2023
medline:
26
6
2023
pubmed:
15
5
2023
entrez:
15
5
2023
Statut:
ppublish
Résumé
Scoring systems for metastatic spine disease focus on predicting long- to medium-term mortality or a combination of perioperative morbidity and mortality. However, accurate prediction of perioperative mortality alone may be the most important factor when considering surgical intervention. We aimed to develop and evaluate a new tool, the H Using the National Surgical Quality Improvement Program database, we identified 1195 adults who underwent surgery for metastatic spine disease from 2010 to 2018. Incidence of 30-day mortality was 8.7% (n = 104). Independent predictors of 30-day mortality were used to derive the H Predicted 30-day mortality was 1.8% for an H The H Prognostic level III.
Identifiants
pubmed: 37186159
doi: 10.1007/s00586-023-07713-5
pii: 10.1007/s00586-023-07713-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2513-2520Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Maccauro G, Spinelli MS, Mauro S et al (2011) Physiopathology of spine metastasis. Int J Surg Oncol 2011:107969. https://doi.org/10.1155/2011/107969
doi: 10.1155/2011/107969
pubmed: 22312491
pmcid: 3265280
Klimo P, Thompson CJ, Kestle JRW, Schmidt MH (2005) A meta-analysis of surgery versus conventional radiotherapy for the treatment of metastatic spinal epidural disease. Neuro Oncol 7:64–76. https://doi.org/10.1215/S1152851704000262
doi: 10.1215/S1152851704000262
pubmed: 15701283
pmcid: 1871618
Lenz M, Freid JR (1931) Metastases to the skeleton, brain and spinal cord from cancer of the breast and the effect of radiotherapy. Ann Surg 93:278–293. https://doi.org/10.1097/00000658-193101000-00036
doi: 10.1097/00000658-193101000-00036
pubmed: 17866472
pmcid: 1398734
Wong DA, Fornasier VL, MacNab I (1990) Spinal metastases: the obvious, the occult, and the impostors. Spine (Phila Pa 1976) 15:1–4
doi: 10.1097/00007632-199001000-00001
pubmed: 2326692
Ghori AK, Leonard DA, Schoenfeld AJ et al (2015) Modeling 1-year survival after surgery on the metastatic spine. Spine J 15:2345–2350. https://doi.org/10.1016/j.spinee.2015.06.061
doi: 10.1016/j.spinee.2015.06.061
pubmed: 26160329
De la Garza RR, Goodwin CR, Jain A et al (2016) Development of a metastatic spinal tumor frailty index (MSTFI) using a nationwide database and its association with inpatient morbidity, mortality, and length of stay after spine surgery. World Neurosurg 95:548-555.e4. https://doi.org/10.1016/j.wneu.2016.08.029
doi: 10.1016/j.wneu.2016.08.029
Hersh EH, Sarkiss CA, Ladner TR et al (2018) Perioperative risk factors for thirty-day morbidity and mortality in the resection of extradural thoracic spine tumors. World Neurosurg 120:e950–e956. https://doi.org/10.1016/j.wneu.2018.08.195
doi: 10.1016/j.wneu.2018.08.195
pubmed: 30189310
Lakomkin N, Zuckerman SL, Stannard B et al (2019) Preoperative risk stratification in spine tumor surgery: a comparison of the modified Charlson Index, Frailty Index, and ASA score. Spine (Phila Pa 1976) 44:E782–E787. https://doi.org/10.1097/BRS.0000000000002970
doi: 10.1097/BRS.0000000000002970
pubmed: 31205174
Paulino Pereira NR, Janssen SJ, van Dijk E et al (2016) Development of a prognostic survival algorithm for patients with metastatic spine disease. J Bone Joint Surg Am 98:1767–1776. https://doi.org/10.2106/JBJS.15.00975
doi: 10.2106/JBJS.15.00975
pubmed: 27807108
Quraishi NA, Manoharan SR, Arealis G et al (2013) Accuracy of the revised Tokuhashi score in predicting survival in patients with metastatic spinal cord compression (MSCC). Eur Spine J 22(Suppl 1):S21-26. https://doi.org/10.1007/s00586-012-2649-5
doi: 10.1007/s00586-012-2649-5
pubmed: 23328875
Sarkiss CA, Hersh EH, Ladner TR et al (2018) Risk factors for thirty-day morbidity and mortality in extradural lumbar spine tumor resection. World Neurosurg 114:e1101–e1106. https://doi.org/10.1016/j.wneu.2018.03.155
doi: 10.1016/j.wneu.2018.03.155
pubmed: 29609084
Tabouret E, Cauvin C, Fuentes S et al (2015) Reassessment of scoring systems and prognostic factors for metastatic spinal cord compression. Spine J 15:944–950. https://doi.org/10.1016/j.spinee.2013.06.036
doi: 10.1016/j.spinee.2013.06.036
pubmed: 24120144
Schoenfeld AJ, Le HV, Marjoua Y et al (2016) Assessing the utility of a clinical prediction score regarding 30-day morbidity and mortality following metastatic spinal surgery: the New England Spinal Metastasis Score (NESMS). Spine J 16:482–490. https://doi.org/10.1016/j.spinee.2015.09.043
doi: 10.1016/j.spinee.2015.09.043
pubmed: 26409416
Lape EC, Katz JN, Blucher JA et al (2020) Patient experiences of decision-making in the treatment of spinal metastases: a qualitative study. Spine J 20:905–914. https://doi.org/10.1016/j.spinee.2019.12.018
doi: 10.1016/j.spinee.2019.12.018
pubmed: 31899375
Shiloach M, Frencher SK, Steeger JE et al (2010) Toward robust information: data quality and inter-rater reliability in the American College of Surgeons National Surgical Quality Improvement Program. J Am Coll Surg 210:6–16. https://doi.org/10.1016/j.jamcollsurg.2009.09.031
doi: 10.1016/j.jamcollsurg.2009.09.031
pubmed: 20123325
CPT code lookup, CPT codes and search. In: Codify by AAPC. https://www.aapc.com/codes/cpt-codes-range . Accessed 14 Oct 2021
ICD-10 Codes: lookup and conversion. https://icdcodelookup.com/icd-10/codes . Accessed 14 Oct 2021
Moons KGM, Altman DG, Reitsma JB et al (2015) Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD): explanation and elaboration. Ann Intern Med 162:W1-73. https://doi.org/10.7326/M14-0698
doi: 10.7326/M14-0698
pubmed: 25560730
Steyerberg EW, Harrell FE, Borsboom GJ et al (2001) Internal validation of predictive models: efficiency of some procedures for logistic regression analysis. J Clin Epidemiol 54:774–781. https://doi.org/10.1016/s0895-4356(01)00341-9
doi: 10.1016/s0895-4356(01)00341-9
pubmed: 11470385
Kumar N, Thomas AC, Ramos MRD et al (2021) Readmission-free survival analysis in metastatic spine tumour surgical patients: a novel concept. Ann Surg Oncol 28:2474–2482. https://doi.org/10.1245/s10434-020-09404-7
doi: 10.1245/s10434-020-09404-7
pubmed: 33393052
Tokuhashi Y, Uei H, Oshima M, Ajiro Y (2014) Scoring system for prediction of metastatic spine tumor prognosis. World J Orthop 5:262–271. https://doi.org/10.5312/wjo.v5.i3.262
doi: 10.5312/wjo.v5.i3.262
pubmed: 25035829
pmcid: 4095019
Ragel BT, Mendez GA, Reddington J et al (2017) Life expectancy and metastatic spine scoring systems: an academic institutional experience. Clin Spine Surg 30:335–342. https://doi.org/10.1097/BSD.0000000000000154
doi: 10.1097/BSD.0000000000000154
pubmed: 28937454
Laufer I, Rubin DG, Lis E et al (2013) The NOMS framework: approach to the treatment of spinal metastatic tumors. Oncologist 18:744–751. https://doi.org/10.1634/theoncologist.2012-0293
doi: 10.1634/theoncologist.2012-0293
pubmed: 23709750
pmcid: 4063402
Schoenfeld AJ, Leonard DA, Saadat E et al (2016) Predictors of 30- and 90-day survival following surgical intervention for spinal metastases: a prognostic study conducted at four academic centers. Spine (Phila Pa 1976) 41:E503-509. https://doi.org/10.1097/BRS.0000000000001273
doi: 10.1097/BRS.0000000000001273
pubmed: 27064339