The use of the Baumber scoring system for metastatic disease of the vertebral column
Abstract Objective The prognostic assessment of metastatic spinal disease is predominantly tumour, rather than patient based. In 2021, Baumber et al. published a prognostic scoring system based on the patient as a whole rather than the tumour within the patient for metastatic disease of the appendic...
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| Language: | English |
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BMC
2025-07-01
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| Series: | BMC Research Notes |
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| Online Access: | https://doi.org/10.1186/s13104-025-07390-1 |
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| author | Sam Hodgson Paul Pynsent Simon Hughes Petr Rehousek Adrian Gardner |
| author_facet | Sam Hodgson Paul Pynsent Simon Hughes Petr Rehousek Adrian Gardner |
| author_sort | Sam Hodgson |
| collection | DOAJ |
| description | Abstract Objective The prognostic assessment of metastatic spinal disease is predominantly tumour, rather than patient based. In 2021, Baumber et al. published a prognostic scoring system based on the patient as a whole rather than the tumour within the patient for metastatic disease of the appendicular skeleton. This paper assesses that prediction formula in those with metastatic disease of the spine. Results Survival was recorded for 65 individuals who underwent surgery for spinal metastatic disease. Using the same parameters and hazard ratio as Baumber, the projected survival was longer than actually occurred (over-prediction of 39% at 6 months and 54% at 12 months). The relative contributions of the individual parameters as part of the overall survival was different between the groups with a greater contribution seen if the individual had hyponatraemia, hypoalbuminaemia and low levels of creatinine. The reasons for the differences seen between the spinal and appendicular groups with regards to these parameters are not clear but may represent a poorer level of general health or the behaviour of different types and subtypes of malignancy. Further work is required to develop a specific tool for the calculation of prognosis in a metastatic spinal cohort using a general health perspective. |
| format | Article |
| id | doaj-art-7b01c94fc56e41aabda740bfdf5866c2 |
| institution | Kabale University |
| issn | 1756-0500 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Research Notes |
| spelling | doaj-art-7b01c94fc56e41aabda740bfdf5866c22025-08-20T03:42:45ZengBMCBMC Research Notes1756-05002025-07-011811610.1186/s13104-025-07390-1The use of the Baumber scoring system for metastatic disease of the vertebral columnSam Hodgson0Paul Pynsent1Simon Hughes2Petr Rehousek3Adrian Gardner4Institute of Clinical Sciences, University of BirminghamInstitute of Clinical Sciences, University of BirminghamThe Royal Orthopaedic Hospital NHS Foundation TrustThe Royal Orthopaedic Hospital NHS Foundation TrustThe Royal Orthopaedic Hospital NHS Foundation TrustAbstract Objective The prognostic assessment of metastatic spinal disease is predominantly tumour, rather than patient based. In 2021, Baumber et al. published a prognostic scoring system based on the patient as a whole rather than the tumour within the patient for metastatic disease of the appendicular skeleton. This paper assesses that prediction formula in those with metastatic disease of the spine. Results Survival was recorded for 65 individuals who underwent surgery for spinal metastatic disease. Using the same parameters and hazard ratio as Baumber, the projected survival was longer than actually occurred (over-prediction of 39% at 6 months and 54% at 12 months). The relative contributions of the individual parameters as part of the overall survival was different between the groups with a greater contribution seen if the individual had hyponatraemia, hypoalbuminaemia and low levels of creatinine. The reasons for the differences seen between the spinal and appendicular groups with regards to these parameters are not clear but may represent a poorer level of general health or the behaviour of different types and subtypes of malignancy. Further work is required to develop a specific tool for the calculation of prognosis in a metastatic spinal cohort using a general health perspective.https://doi.org/10.1186/s13104-025-07390-1MetastasisSpineTumourSurvivalPrognosis |
| spellingShingle | Sam Hodgson Paul Pynsent Simon Hughes Petr Rehousek Adrian Gardner The use of the Baumber scoring system for metastatic disease of the vertebral column BMC Research Notes Metastasis Spine Tumour Survival Prognosis |
| title | The use of the Baumber scoring system for metastatic disease of the vertebral column |
| title_full | The use of the Baumber scoring system for metastatic disease of the vertebral column |
| title_fullStr | The use of the Baumber scoring system for metastatic disease of the vertebral column |
| title_full_unstemmed | The use of the Baumber scoring system for metastatic disease of the vertebral column |
| title_short | The use of the Baumber scoring system for metastatic disease of the vertebral column |
| title_sort | use of the baumber scoring system for metastatic disease of the vertebral column |
| topic | Metastasis Spine Tumour Survival Prognosis |
| url | https://doi.org/10.1186/s13104-025-07390-1 |
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