Palliative care 2016
Neurological complaints -> use prognostic system to choose appropriate treatment
Survival at 6 months (%)
Score
Type of primary tumor Breast cancer Prostate cancer Myeloma/lymphoma
78 66 85 25 40
8 7 9 3 4
Lung cancer Other tumors
Other bone metastases at the time of RT Yes No Visceral metastases at the time of RT Yes No
48 65
5 7
17 80
2 8
Treatment
Interval from tumor diagnosis to MSCC
15 months >15 months
41 71
4 7
A, B, C
-> 1x 8 Gy
Ambulatory status before RT Ambulatory Non-ambulatory Time of developing motor deficits before RT 1-7 days
71 31
7 3
D, E
-> 10x 3 Gy
26 55 78
3 6 8
8-14 days >14 days
Rades et al. Cancer 2008, IJROBP 2011
37
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