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. 2014 Jul 18;5(3):262–271. doi: 10.5312/wjo.v5.i3.262

Table 2.

Revised Tokuhashi score (2005)[4]

Predictive factor Score (points)
General condition (KPS)
Poor (KPS 10%-40%) 0
Moderate (KPS 50%-70%) 1
Good (KPS 80%-100%) 2
Number of extraspinal bone metastases foci
≥ 3 0
1-2 1
0 2
Number of metastases in the vertebral body
≥ 3 0
2 1
1 2
Metastases to the major internal organs
Unremovable 0
Removable 1
No metastases 2
Primary site of the cancer
Lung, osteosarcoma, stomach, bladder, esophagus, pancreas 0
Liver, gallbladder, unidentified 1
Others 2
Kidney, uterus 3
Rectum 4
Thyroid, prostate, breast, carcinoid tumor 5
Spinal cord palsy
Complete (Frankel A, B) 0
Incomplete (Frankel C, D) 1
None (Frankel E) 2
Total points Mean survival periods
0-8 < 6 mo
9-11 ≥ 6 mo
12-15 ≥ 12 mo

KPS: Karnofsky’s performance status.