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A systematic review of prognostic factors predicting survival in patients with spinal bone metastases

Overview of attention for article published in European Spine Journal, October 2017
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Title
A systematic review of prognostic factors predicting survival in patients with spinal bone metastases
Published in
European Spine Journal, October 2017
DOI 10.1007/s00586-017-5320-3
Pubmed ID
Authors

L. Bollen, W. C. H. Jacobs, Y. M. Van der Linden, O. Van der Hel, W. Taal, P. D. S. Dijkstra

Abstract

For the selection of treatment in patients with spinal bone metastases (SBM), survival estimation plays a crucial role to avoid over- and under-treatment. To aid clinicians in this difficult task, several prediction models have been developed, consisting of many different risk factors. The aim of this systematic review was to identify prognostic factors that are associated with survival in patients with SBM to support development of predictive models. A systematic review was performed with focus on prognostic factors associated with survival in patients with SBM. Two reviewers independently selected studies for inclusion and assessed the risk of bias. A level of evidence synthesis was performed for each prognostic factor. Inter-observer agreement for the risk of bias assessment was determined by the kappa-statistic. After screening, 142 full-text articles were obtained, of which 22 met the eligibility criteria. A total of 43 different prognostic factors were investigated in the included studies, of which 17 were relevant to pre-treatment survival estimation. The prognostic factors most frequently associated with survival were the primary tumor and the performance status. The prognostic factors most frequently not associated with survival were age, gender, number and location of the SBM and the presence of a pathologic fracture. Prognostication for patients with SBM should be based on an accurate primary tumor classification, combined with a performance score. The benefit of adding other prognostic factors is doubtful.

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Geographical breakdown

Country Count As %
Unknown 55 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 9 16%
Other 7 13%
Student > Doctoral Student 6 11%
Student > Postgraduate 6 11%
Student > Ph. D. Student 5 9%
Other 8 15%
Unknown 14 25%
Readers by discipline Count As %
Medicine and Dentistry 27 49%
Unspecified 2 4%
Agricultural and Biological Sciences 2 4%
Nursing and Health Professions 1 2%
Arts and Humanities 1 2%
Other 2 4%
Unknown 20 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 March 2018.
All research outputs
#18,591,506
of 23,028,364 outputs
Outputs from European Spine Journal
#2,504
of 4,670 outputs
Outputs of similar age
#250,985
of 327,781 outputs
Outputs of similar age from European Spine Journal
#41
of 51 outputs
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