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A new instrument for estimating the survival of patients with metastatic epidural spinal cord compression from esophageal cancer.

Rades D, Huttenlocher S, Bajrovic A, Karstens JH, Bartscht T - Radiol Oncol (2015)

Bottom Line: According to Bonferroni correction, p-values of < 0.006 were significant representing an alpha level of < 0.05.ECOG performance score (p < 0.001), number of involved vertebrae (p = 0.005), and visceral metastases (p = 0.004) had a significant impact on survival and were included in the predictive instrument.This is important to know for optimally personalizing the treatment of these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiation Oncology, University of Lubeck, Lubeck, Germany.

ABSTRACT

Background: This study was initiated to create a predictive instrument for estimating the survival of patients with metastatic epidural spinal cord compression (MESCC) from esophageal cancer.

Methods: In 27 patients irradiated for MESCC from esophageal cancer, the following nine characteristics were evaluated for potential impact on survival: age, gender, Eastern Cooperative Oncology Group (ECOG) performance score, histology, number of involved vertebrae, ambulatory status before irradiation, further bone metastases, visceral metastases, and dynamic of developing motor deficits before irradiation. In addition, the impact of the radiation regimen was investigated. According to Bonferroni correction, p-values of < 0.006 were significant representing an alpha level of < 0.05.

Results: ECOG performance score (p < 0.001), number of involved vertebrae (p = 0.005), and visceral metastases (p = 0.004) had a significant impact on survival and were included in the predictive instrument. Scoring points for each characteristic were calculated by dividing the 6-months survival rates (in %) by 10. The prognostic score for each patient was obtained by adding the scoring points of the three characteristics. The prognostic scores were 4, 9, 10, 14 or 20 points. Three prognostic groups were formed, 4 points (n = 11), 9-14 points (n = 12) and 20 points (n = 4). The corresponding 6-months survival rates were 0%, 33% and 100%, respectively (p < 0.001). Median survival times were 1 month, 5 months and 16.5 months, respectively.

Conclusions: This new instrument allows the physician estimate the 6-months survival probability of an individual patient presenting with MESCC from esophageal cancer. This is important to know for optimally personalizing the treatment of these patients.

No MeSH data available.


Related in: MedlinePlus

The 6-months survival rates of the prognostic scores (4, 9, 10, 14 or 20 points).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4362612&req=5

f1-rado-49-01-86: The 6-months survival rates of the prognostic scores (4, 9, 10, 14 or 20 points).

Mentions: The three significant characteristics were included in the predictive instrument as follows. Scoring points for each characteristic were calculated by dividing the 6-months survival rate (in %) by 10 (Table 3). The prognostic score for each patient was calculated by adding the scoring points of the three significant characteristics. The addition resulted in prognostic scores of 4, 9, 10, 14 or 20 points. The 6-months survival rates of the prognostic scores are shown in Figure 1. Taking into account the 6-months survival rates of the prognostic scores, the following three survival groups were formed: 4 points (n = 11), 9–14 points (n = 12), and 20 points (n = 4). The corresponding survival rates at 6 months were 0%, 33% and 100%, respectively (p < 0.001). Median survival times following irradiation were 1 month (range: 0–3 months), 5 months (range: 2–11 months) and 16.5 months (range: 8–19 months), respectively.


A new instrument for estimating the survival of patients with metastatic epidural spinal cord compression from esophageal cancer.

Rades D, Huttenlocher S, Bajrovic A, Karstens JH, Bartscht T - Radiol Oncol (2015)

The 6-months survival rates of the prognostic scores (4, 9, 10, 14 or 20 points).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4362612&req=5

f1-rado-49-01-86: The 6-months survival rates of the prognostic scores (4, 9, 10, 14 or 20 points).
Mentions: The three significant characteristics were included in the predictive instrument as follows. Scoring points for each characteristic were calculated by dividing the 6-months survival rate (in %) by 10 (Table 3). The prognostic score for each patient was calculated by adding the scoring points of the three significant characteristics. The addition resulted in prognostic scores of 4, 9, 10, 14 or 20 points. The 6-months survival rates of the prognostic scores are shown in Figure 1. Taking into account the 6-months survival rates of the prognostic scores, the following three survival groups were formed: 4 points (n = 11), 9–14 points (n = 12), and 20 points (n = 4). The corresponding survival rates at 6 months were 0%, 33% and 100%, respectively (p < 0.001). Median survival times following irradiation were 1 month (range: 0–3 months), 5 months (range: 2–11 months) and 16.5 months (range: 8–19 months), respectively.

Bottom Line: According to Bonferroni correction, p-values of < 0.006 were significant representing an alpha level of < 0.05.ECOG performance score (p < 0.001), number of involved vertebrae (p = 0.005), and visceral metastases (p = 0.004) had a significant impact on survival and were included in the predictive instrument.This is important to know for optimally personalizing the treatment of these patients.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiation Oncology, University of Lubeck, Lubeck, Germany.

ABSTRACT

Background: This study was initiated to create a predictive instrument for estimating the survival of patients with metastatic epidural spinal cord compression (MESCC) from esophageal cancer.

Methods: In 27 patients irradiated for MESCC from esophageal cancer, the following nine characteristics were evaluated for potential impact on survival: age, gender, Eastern Cooperative Oncology Group (ECOG) performance score, histology, number of involved vertebrae, ambulatory status before irradiation, further bone metastases, visceral metastases, and dynamic of developing motor deficits before irradiation. In addition, the impact of the radiation regimen was investigated. According to Bonferroni correction, p-values of < 0.006 were significant representing an alpha level of < 0.05.

Results: ECOG performance score (p < 0.001), number of involved vertebrae (p = 0.005), and visceral metastases (p = 0.004) had a significant impact on survival and were included in the predictive instrument. Scoring points for each characteristic were calculated by dividing the 6-months survival rates (in %) by 10. The prognostic score for each patient was obtained by adding the scoring points of the three characteristics. The prognostic scores were 4, 9, 10, 14 or 20 points. Three prognostic groups were formed, 4 points (n = 11), 9-14 points (n = 12) and 20 points (n = 4). The corresponding 6-months survival rates were 0%, 33% and 100%, respectively (p < 0.001). Median survival times were 1 month, 5 months and 16.5 months, respectively.

Conclusions: This new instrument allows the physician estimate the 6-months survival probability of an individual patient presenting with MESCC from esophageal cancer. This is important to know for optimally personalizing the treatment of these patients.

No MeSH data available.


Related in: MedlinePlus