Evidence map›Paper›PMID 38009792›Full record

ArticleGlobal spine journal2025

Six-Month Survivorship Prediction in Spinal Metastatic Patients by Oncologists Shows Reliable Prognostication.

Kofi Cox, Hassam Ahmed, Priyanshu Saha, Wing Kin Liu, Katharine Aitken, Jason Bernard, Timothy Bishop, Pawan Minhas, Marios Papadopoulos, Francis Johnston and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% of its field
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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

14 authors at 3 institutions in 2 countries.

Kofi CoxDepartment of Medicine, St. George's University of London, London, UK.ORCID 0000-0002-1681-4805
Hassam AhmedDepartment of Medicine, St. George's University of London, London, UK.
Priyanshu SahaDepartment of Medicine, St. George's University of London, London, UK.ORCID 0000-0003-0054-5652
Wing Kin LiuDepartment of Oncology, St. George's University Hospitals NHS Foundation Trust, London, UK.ORCID 0000-0003-1791-3511
Katharine AitkenDepartment of Radiotherapy, Royal Marsden Hospital, London, UK.
Jason BernardDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Timothy BishopDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Pawan MinhasDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Marios PapadopoulosDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Francis JohnstonDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Alicia PiggottDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Erlick PereiraDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Darren LuiDepartment of Complex Neurosurgery, Atkinson Morley Wing, St. George's University Hospitals NHS Foundation Trust, London, UK.
Mehran AfsharDepartment of Oncology, St. George's University Hospitals NHS Foundation Trust, London, UK.
St George’s University Hospitals NHS Foundation Trust · GBSt George's, University of London · GBRoyal Marsden Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designA retrospective analysis of oncologist-provided prognoses vs actual survival outcomes of patients referred with Metastatic spinal cord compression (MSCC) to a supra-regional multidisciplinary team (MDT).

objectivesPrognostic scoring systems, such as the revised Tokuhashi, are commonly used to help guide the treatment of MSCC. However, scoring systems do not accommodate for the improved outcomes of contemporary cancer therapy. Oncologist-provided prognoses play an important role in real world rapid decision making. There is a paucity of evidence assessing the accuracy of the oncologist-provided prognosis. We conducted a retrospective study to evaluate this.

methodsData was captured between January 2015 and December 2018. Patients were split into 2 groups: Group 1 (prognosis estimated <6 months) and Group 2 (prognosis estimated >6 months). Median overall survival (mOS) and hazard ratio for death (HR) was assessed. Receiver operating characteristic (ROC) analysis was performed to assess the accuracy of the oncologist's prognosis.

results829 patients were included. mOS in Group 1 was 5.8 months (95% CI 4.2-7.4 m), and in Group 2 mOS was not reached. Log rank test gave a Chi

conclusionsOncologist-provided prognosis is accurate in this cohort of unselected, consecutive MSCC patients. It reduced reliance on scoring systems that can become outdated. Given the rapid progress in cancer treatment, the oncologist's prognostic prediction is integral in efficient and effective MSCC management to help rapidly determine surgical candidacy.

Indexed as

metastasesoncologyspinal cord compression

Identifiers

PMID38009792
PMCPMC11877491
OpenAlexW4389048178

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.