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Agreement in metastatic spinal cord compression

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Agreement in metastatic spinal cord compression

dc.contributor.author	Arana, Estanislao
dc.contributor.author	Kovacs, Francisco M.
dc.contributor.author	Royuela, Ana
dc.contributor.author	Asenjo, Beatriz
dc.contributor.author	Pérez-Ramírez, Úrsula
dc.contributor.author	Zamora, Javier
dc.contributor.author	Vanaclocha Vanaclocha, Vicente
dc.contributor.author	Silvestre Muñoz, Antonio
dc.contributor.author	Spanish Back Pain Research Network Task Force
dc.date.accessioned	2023-03-27T10:41:12Z
dc.date.available	2023-03-27T10:41:12Z
dc.date.issued	2015
dc.identifier.citation	Arana, Estanislao Kovacs, Francisco M. Royuela, Ana Asenjo, Beatriz Pérez-Ramírez, Úrsula Zamora, Javier Vanaclocha Vanaclocha, Vicente Silvestre Muñoz, Antonio Spanish Back Pain Research Network Task Force 2015 Agreement in metastatic spinal cord compression Journal Of The National Comprehensive Cancer Network
dc.identifier.uri	https://hdl.handle.net/10550/85935
dc.description.abstract	Background: Metastatic epidural spinal cord compression (ESCC) is a devastating medical emergency. The purpose of this study was to determine the reliability of the 6-point ESCC scoring system and the identification of the spinal level presenting ESCC. Methods: Clinical data and imaging from 90 patients with biopsy-proven spinal metastases were provided to 83 specialists from 44 hospitals. The spinal levels presenting metastases and the ESCC scores for each case were calculated twice by each clinician, with a minimum of 6 weeks' interval. Clinicians were blinded to assessments made by other specialists and their own previous assessment. Fleiss kappa (κ) statistic was used to assess intraobserver and interobserver agreement. Subgroup analyses were performed according to clinicians' specialty (medical oncology, neurosurgery, radiology, orthopedic surgery, and radiation oncology), years of experience, and type of hospital. Results: Intraobserver and interobserver agreement on the location of ESCC was substantial (κ>0.61). Intraobserver agreement on the ESCC score was 'excellent' (κ=0.82), whereas interobserver agreement was substantial (κ=0.64). Overall agreement with the tumor board classification was substantial (κ=0.71). Results were similar across specialties, years of experience and hospital category. Conclusions: The ESCC score can help improve communication among clinicians involved in oncology care.
dc.language.iso	eng
dc.relation.ispartof	Journal Of The National Comprehensive Cancer Network, 2015
dc.subject	Càncer
dc.title	Agreement in metastatic spinal cord compression
dc.type	journal article	es_ES
dc.date.updated	2023-03-27T10:41:13Z
dc.identifier.idgrec	117621
dc.rights.accessRights	open access	es_ES