• Login
    View Item 
    •   Home
    • Hospital Research
    • Munster
    • University Hospital Waterford
    • View Item
    •   Home
    • Hospital Research
    • Munster
    • University Hospital Waterford
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    5081
    UlsterS
    5081
    Connacht
    1698
    Munster
    58
    Leinster
    466

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideNational Health Library & Knowledge ServiceGuide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

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

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    Sui, J
    Fleming, J S
    Kehoe, M
    Affiliation
    Waterford Regional Hospital, Dunmore Road, Waterford. slsui@yahoo.com
    Issue Date
    2012-02-01T10:52:46Z
    MeSH
    Aged
    Female
    Humans
    Male
    Spinal Cord Compression/diagnosis/*etiology/therapy
    Spinal Neoplasms/*complications/*secondary
    
    Metadata
    Show full item record
    Citation
    Ir Med J. 2011 Apr;104(4):111-4.
    Journal
    Irish medical journal
    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
    ISSN
    0332-3102 (Print)
    0332-3102 (Linking)
    Collections
    University Hospital Waterford

    entitlement

    Related articles

    • Malignant spinal cord compression: NICE guidance, improvements and challenges.
    • Authors: Savage P, Sharkey R, Kua T, Schofield L, Richardson D, Panchmatia N, Papanastasopoulos P, Williams M, Falconer A, Power D, Arnold F, Ulbricht C
    • Issue date: 2014 Apr
    • Early diagnosis and treatment is crucial for neurological recovery after surgery for metastatic spinal cord compression in prostate cancer.
    • Authors: Crnalic S, Hildingsson C, Bergh A, Widmark A, Svensson O, Löfvenberg R
    • Issue date: 2013 May
    • A population-based study of spinal metastatic disease in South-East Norway.
    • Authors: Zaikova O, Giercksky KE, Fosså SD, Kvaløy S, Johannesen TB, Skjeldal S
    • Issue date: 2009 Dec
    • Prognostic factors for local control and survival after radiotherapy of metastatic spinal cord compression.
    • Authors: Rades D, Fehlauer F, Schulte R, Veninga T, Stalpers LJ, Basic H, Bajrovic A, Hoskin PJ, Tribius S, Wildfang I, Rudat V, Engenhart-Cabilic R, Karstens JH, Alberti W, Dunst J, Schild SE
    • Issue date: 2006 Jul 20
    • Prognosis in patients with symptomatic metastatic spinal cord compression: survival in different cancer diagnosis in a cohort of 2321 patients.
    • Authors: Morgen SS, Lund-Andersen C, Larsen CF, Engelholm SA, Dahl B
    • Issue date: 2013 Jul 15
    Health Library Ireland | Health Service Executive | Jervis House, Jervis Street | Republic of Ireland | Eircode: D01 W596
    lenus@hse.ie | Tel: +353-1-7786275
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.