Evidence map›Paper›PMID 28012079›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

The revised Tokuhashi score; analysis of parameters and assessment of its accuracy in determining survival in patients afflicted with spinal metastasis.

A Aoude, M Fortin, Sulta Aldebeyan, J Ouellet, L P Amiot, M H Weber, P Jarzem

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Article in 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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. Treatments and outcomes of spinal metastasis from thymic epithelial tumors: 10-year experience with 15 patients in a single center.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 · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

A AoudeMcGill Scoliosis and Spine Centre, Montreal General Hospital, McGill University Health Centre, 1650 Cedar Avenue, T8-200, Montreal, QC, H3G 1A4, Canada.ORCID http://orcid.org/0000-0002-9123-697X
M FortinMcGill Scoliosis and Spine Centre, Montreal General Hospital, McGill University Health Centre, 1650 Cedar Avenue, T8-200, Montreal, QC, H3G 1A4, Canada.
Sulta AldebeyanMcGill Scoliosis and Spine Centre, Montreal General Hospital, McGill University Health Centre, 1650 Cedar Avenue, T8-200, Montreal, QC, H3G 1A4, Canada. sultan.aldebeyan@gmail.com.
J OuelletMcGill Scoliosis and Spine Centre, Montreal General Hospital, McGill University Health Centre, 1650 Cedar Avenue, T8-200, Montreal, QC, H3G 1A4, Canada.
L P AmiotThe Department of Orthopedic Surgery-Spine, Hôpital Maisonneuve-Rosemont, Montréal, QC, Canada.
M H WeberMcGill Scoliosis and Spine Centre, Montreal General Hospital, McGill University Health Centre, 1650 Cedar Avenue, T8-200, Montreal, QC, H3G 1A4, Canada.
P JarzemMcGill Scoliosis and Spine Centre, Montreal General Hospital, McGill University Health Centre, 1650 Cedar Avenue, T8-200, Montreal, QC, H3G 1A4, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the significance of each parameter of the revised Tokuhashi score and identify which is associated with survival.

backgroundSpinal metastases are common and can be a challenging medical issue. Treatment options depend on patients' prognosis. Many scoring systems in the literature help estimate prognosis, such as the Tokuhashi, revised Tokuhashi, and Tomita scoring systems.

methodsA retrospective review of all patients from 2003 to 2012 treated for spinal metastases in one center was conducted. Imaging, pathology, and charts were reviewed to determine the modified Tokuhashi scores. Scores were then compared to the actual documented survival. Univariate and multiple regression analyses were used to assess the importance of each individual parameter and survival time. Linear regression was used to determine the relationship between the Tokuhashi score and weighted Tokuhashi score with survival time.

resultsA total of 126 patients were reviewed. All parameters in the revised Tokuhashi score were significantly associated with survival time except for primary site using univariate analysis. Only the number of spinal metastases and metastasis to major organs showed statistical significance when multiple variable analysis was used.

conclusionA number of spinal metastases and metastasis to major organs were the most important predictors of actual survival. Modification to the score based on population characteristics would help better identify patients with spinal metastases that can benefit from surgery.

Indexed as

Severity of Illness IndexAdultAgedFemaleHumansLinear ModelsMaleMiddle AgedPrognosisRetrospective StudiesSpinal NeoplasmsSpineSurvival RateModified Tokuhashi scoreOutcomePrognosisSpine metastasesTokuhashi score

Identifiers

PMID28012079

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.