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Published in: Annals of Surgical Oncology 2/2007

01-02-2007

Prognosis Scores of Tokuhashi and Tomita for Patients With Spinal Metastases of Renal Cancer

Authors: Benjamin Ulmar, MD, Ulrike Naumann, BSc, Sibel Catalkaya, BSc, Rainer Muche, PhD, Balkan Cakir, MD, Rene Schmidt, MD, Heiko Reichel, MD, Professor, Klaus Huch, MD

Published in: Annals of Surgical Oncology | Issue 2/2007

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Abstract

Background

Retrospective evaluation of the prognosis scores of Tokuhashi and Tomita for life expectancy in 37 consecutive patients with spinal metastases secondary to renal cancer who underwent surgery. The score of Tokuhashi, composed of six parameters, each rated from zero to two, has been proposed in 1990 for the prognostic assessment of patients with spinal metastases. In 2001, Tomita et al. created another prognostic score, composed of three parameters, growth behaviour of the primary tumor (slow, moderate and rapid) and the evidence of visceral and bony metastases.

Methods

Thirty-seven patients, surgically treated for vertebral metastases secondary to renal cancer were studied. The scores according to Tokuhashi and Tomita were calculated for each patient.

Results

Applying the Tokuhashi Score for the estimation of life expectancy of renal cancer patients with vertebral metastases was found to provide very reliable results with a statistically high significance. The analysis according to Tomita showed no correlation between predicted and real survival. The statistical analysis did not show any significance.

Conclusion

For surgical decisions in renal cancer patients with spinal metastases, the prognostic score of Tokuhashi appears to be much more valuable than the Tomita score.
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Metadata
Title
Prognosis Scores of Tokuhashi and Tomita for Patients With Spinal Metastases of Renal Cancer
Authors
Benjamin Ulmar, MD
Ulrike Naumann, BSc
Sibel Catalkaya, BSc
Rainer Muche, PhD
Balkan Cakir, MD
Rene Schmidt, MD
Heiko Reichel, MD, Professor
Klaus Huch, MD
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 2/2007
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-006-9000-5

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