An audit of current practice and management of metastatic spinal cord compression at a regional cancer centre.

Hdl Handle:
http://hdl.handle.net/10147/207965
Title:
An audit of current practice and management of metastatic spinal cord compression at a regional cancer centre.
Authors:
Sui, J; Fleming, J S; Kehoe, M
Affiliation:
Waterford Regional Hospital, Dunmore Road, Waterford. slsui@yahoo.com
Citation:
Ir Med J. 2011 Apr;104(4):111-4.
Journal:
Irish medical journal
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207965
PubMed ID:
21675093
Abstract:
Metastatic spinal cord compression (MSCC) is an oncological emergency requiring prompt recognition and management to preserve neurological function and mobility. We performed an audit to assess current practice of MSCC against current best practice as outlined by NICE. Our retrospective audit identified 10 patients from January to December 2009 with confirmed MSCC. The most common primary tumours were prostate 3 (30%), breast 3 (30%) and lung 2 (20%). Pain was the main presenting symptom 9 (90%), followed by weakness 7 (70%) and sensory changes 1 (10%). 5 (50%) had MRI within 24 hours and only 6 (60%) underwent full MRI scan. 8 (80%) had corticosteroids before MRI scan. 6 (60%) received radiotherapy within 24 hours. Only 4 (40%) were referred to orthopaedics and none of these patients had been recommended surgery. Up 14 days following radiological confirmation of MSCC, the number of patients who were unable to walk increased by 20%. Only 5 (50%) were discharged during this period of study. Our audit reported a number of variances in management compared to NICE guideline. These can be improved by following a'fast track' referral pathway and regular education for junior doctors and primary care doctors.
Language:
eng
MeSH:
Aged; Female; Humans; Male; Spinal Cord Compression/diagnosis/*etiology/therapy; Spinal Neoplasms/*complications/*secondary
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorSui, Jen_GB
dc.contributor.authorFleming, J Sen_GB
dc.contributor.authorKehoe, Men_GB
dc.date.accessioned2012-02-01T10:52:46Z-
dc.date.available2012-02-01T10:52:46Z-
dc.date.issued2012-02-01T10:52:46Z-
dc.identifier.citationIr Med J. 2011 Apr;104(4):111-4.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid21675093en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207965-
dc.description.abstractMetastatic spinal cord compression (MSCC) is an oncological emergency requiring prompt recognition and management to preserve neurological function and mobility. We performed an audit to assess current practice of MSCC against current best practice as outlined by NICE. Our retrospective audit identified 10 patients from January to December 2009 with confirmed MSCC. The most common primary tumours were prostate 3 (30%), breast 3 (30%) and lung 2 (20%). Pain was the main presenting symptom 9 (90%), followed by weakness 7 (70%) and sensory changes 1 (10%). 5 (50%) had MRI within 24 hours and only 6 (60%) underwent full MRI scan. 8 (80%) had corticosteroids before MRI scan. 6 (60%) received radiotherapy within 24 hours. Only 4 (40%) were referred to orthopaedics and none of these patients had been recommended surgery. Up 14 days following radiological confirmation of MSCC, the number of patients who were unable to walk increased by 20%. Only 5 (50%) were discharged during this period of study. Our audit reported a number of variances in management compared to NICE guideline. These can be improved by following a'fast track' referral pathway and regular education for junior doctors and primary care doctors.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshSpinal Cord Compression/diagnosis/*etiology/therapyen_GB
dc.subject.meshSpinal Neoplasms/*complications/*secondaryen_GB
dc.titleAn audit of current practice and management of metastatic spinal cord compression at a regional cancer centre.en_GB
dc.contributor.departmentWaterford Regional Hospital, Dunmore Road, Waterford. slsui@yahoo.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceMunster-

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