ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE
Objective : The aim of this study is to assess the intra- and interobserver concordance of SINS, Harrington, Tokuhashi and Tomita scores among general orthopedic surgeons and spine surgeons with experience above 5 and 10 years in the evaluation of patients with spinal metastasis. Methods : Twenty cases of patients with metastatic lesion of the spine were presented to 10 examiners and the scores aforementioned have been applied. After six weeks, the cases were reintroduced in a different order and data were analyzed. Results : The intraobserver reliability showed better agreement in SINS score among examiners with less experience and Harrington and Tomita scores among those who had more than 10-year experience. The interobserver reliability of the examiners of the group with over 10-year experience showed higher precision when using these scores, especially Harrington and Tomita. The SINS score was the choice for daily practice and was able to modify the management more often. Conclusions : This study demonstrated that the use of predictive scores of instability, Harrington, and prognosis, Tomita, had a higher intra- and interobserver reliability particularly among spine surgeons with experience above 10 years.
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Sociedade Brasileira de Coluna
2015
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oai:scielo:S1808-185120150004003122015-12-16ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINEFerreira,Marcus Vinicius de OliveiraUeta,Renato Hiroshi SalvioniCurto,David DelPuertas,Eduardo Barros Prognosis Neoplasm metastasis Spinal neoplasms Life expectancy Objective : The aim of this study is to assess the intra- and interobserver concordance of SINS, Harrington, Tokuhashi and Tomita scores among general orthopedic surgeons and spine surgeons with experience above 5 and 10 years in the evaluation of patients with spinal metastasis. Methods : Twenty cases of patients with metastatic lesion of the spine were presented to 10 examiners and the scores aforementioned have been applied. After six weeks, the cases were reintroduced in a different order and data were analyzed. Results : The intraobserver reliability showed better agreement in SINS score among examiners with less experience and Harrington and Tomita scores among those who had more than 10-year experience. The interobserver reliability of the examiners of the group with over 10-year experience showed higher precision when using these scores, especially Harrington and Tomita. The SINS score was the choice for daily practice and was able to modify the management more often. Conclusions : This study demonstrated that the use of predictive scores of instability, Harrington, and prognosis, Tomita, had a higher intra- and interobserver reliability particularly among spine surgeons with experience above 10 years.info:eu-repo/semantics/openAccessSociedade Brasileira de ColunaColuna/Columna v.14 n.4 20152015-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000400312en10.1590/S1808-185120151404132726 |
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Ferreira,Marcus Vinicius de Oliveira Ueta,Renato Hiroshi Salvioni Curto,David Del Puertas,Eduardo Barros |
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Ferreira,Marcus Vinicius de Oliveira Ueta,Renato Hiroshi Salvioni Curto,David Del Puertas,Eduardo Barros ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE |
author_facet |
Ferreira,Marcus Vinicius de Oliveira Ueta,Renato Hiroshi Salvioni Curto,David Del Puertas,Eduardo Barros |
author_sort |
Ferreira,Marcus Vinicius de Oliveira |
title |
ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE |
title_short |
ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE |
title_full |
ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE |
title_fullStr |
ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE |
title_full_unstemmed |
ASSESSMENT OF SCORES IN DECISION MAKING IN METASTASES OF THE SPINE |
title_sort |
assessment of scores in decision making in metastases of the spine |
description |
Objective : The aim of this study is to assess the intra- and interobserver concordance of SINS, Harrington, Tokuhashi and Tomita scores among general orthopedic surgeons and spine surgeons with experience above 5 and 10 years in the evaluation of patients with spinal metastasis. Methods : Twenty cases of patients with metastatic lesion of the spine were presented to 10 examiners and the scores aforementioned have been applied. After six weeks, the cases were reintroduced in a different order and data were analyzed. Results : The intraobserver reliability showed better agreement in SINS score among examiners with less experience and Harrington and Tomita scores among those who had more than 10-year experience. The interobserver reliability of the examiners of the group with over 10-year experience showed higher precision when using these scores, especially Harrington and Tomita. The SINS score was the choice for daily practice and was able to modify the management more often. Conclusions : This study demonstrated that the use of predictive scores of instability, Harrington, and prognosis, Tomita, had a higher intra- and interobserver reliability particularly among spine surgeons with experience above 10 years. |
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Sociedade Brasileira de Coluna |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000400312 |
work_keys_str_mv |
AT ferreiramarcusviniciusdeoliveira assessmentofscoresindecisionmakinginmetastasesofthespine AT uetarenatohiroshisalvioni assessmentofscoresindecisionmakinginmetastasesofthespine AT curtodaviddel assessmentofscoresindecisionmakinginmetastasesofthespine AT puertaseduardobarros assessmentofscoresindecisionmakinginmetastasesofthespine |
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