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. 2008 Sep 12;17(11):1488–1495. doi: 10.1007/s00586-008-0763-1

Table 6.

Prognostication of survival scores in patients with spinal metastases

Score (risk groups) Multiple myeloma excluded Multiple myeloma included
N Median 95% CI Mean 95% CI P N Median 95% CI Mean 95% CI P
Tokukashi 0.051 0.002*
 Palliative 15 5 2–8 12 4–20 15 5 2–8 12 4–20
 Indifferent 30 11 6–16 14 9–18 34 13 9–17 17 11–23
 Excisional 14 14 0–42 46 21–71 20 56 12–100 53 31–76
Tokuhashi revised 0.008* 0.005*
 No surgery 26 4 2–6 11 6–17 28 4 1–7 15 8–21
 Palliative 26 14 11–17 18 12–23 30 14 12–16 22 14–30
 Excisional 7 nd 60 26–95 11 56 10–102 58 29–87
Tomita 0.005* <0.001*
 Long-term 19 17 3–30 46 24–69 27 56 0–120 54 35–73
 Mid-term 13 19 9–29 20 12–28 14 19 8–29 23 14–31
 Palliative 12 6 4–9 9 5–14 13 7 6–9 10 6–14
 Supportive 15 3 0–5 10 3–17 15 3 0–5 10 3–17
Van der Linden** 0.014* 0.002*
 A (bad) 48 8 5–10 14 10–18 50 9 5–12 15 11–20
 B (middle) 11 24 13–35 48 17–79 17 24 0–70 52 29–74
 C (surgery) 0 nd nd nd nd 2 nd nd nd nd
Sioutos 0.584 0.364
 Excision 40 10 6–15 23 12–34 49 14 7–21 30 18–42
 Palliative 19 7 3–11 16 8–24 20 7 2–12 19 10–27
Bauer <0.001* <0.001*
 Bad 9 2 2–3 3 1–5 9 2 2–3 3 1–5
 Intermediate 34 10 6–14 15 10–21 39 10 5–15 18 13–24
 Good 16 21 10–31 46 23–68 21 56 9–103 51 31–72
Bauer modified <0.001* <0.001*
 No surgery 14 3 0–5 7 1–13 14 3 0–5 7 1–13
 Dorsal 20 9 3–14 13 8–18 22 10 2–18 15 10–20
 Ventral-dorsal 25 17 7–26 40 22–59 33 30 12–48 48 31–64

Log-rank test

* Significant at < 0.05

** Only two censored multiple myeloma patients in group C

n number of patients, 95% CI 95% confidence interval, mean/median survival period (months), nd not done