Metastatic Spinal Cord Compression PDF
By:National Collaborating Centre for Cancer (Great Britain)
Published on 2008 by Young Writers
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It is difficult to know what the true incidence of metastatic spinal cord compression (MSCC) is in England and Wales because the cases are not systematically recorded. However, evidence from an audit carried out in Scotland between 1997 and 1999 and from a published study from Ontario, Canada, suggests that the incidence may be up to 80 cases per million population per year. This would mean around 4000 cases per year in England and Wales or more than 100 cases per cancer network per year. The Clinical Resource and Audit Group (CRAG) audit clearly showed that there were significant delays from the time when patients first developed symptoms until hospital doctors and general practitioners recognised the possibility of spinal cord compression and made the appropriate referral. The median times from the onset of back pain and nerve root pain to referral were 3 months and 9 weeks respectively. As a result, 48% of patients were unable to walk at the time of diagnosis and of these the majority (67%) had recovered no function at 1 month. Of those walking unaided at the time of diagnosis (34%), 81% were able to walk (either alone or with aid) at 1 month. The ability to walk at diagnosis was also significantly related to overall survival. At present, relatively few patients with malignant spinal cord compression in the UK receive surgery for the condition. But research evidence suggests that early surgery may be more effective than radiotherapy in a selected subset of patients.
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Book ID of Metastatic Spinal Cord Compression's Books is GvN0RAAACAAJ, Book which was written byNational Collaborating Centre for Cancer (Great Britain)have ETAG "3f2uFmWuHx0"
Book which was published by Young Writers since 2008 have ISBNs, ISBN 13 Code is 9780955826511 and ISBN 10 Code is 0955826519
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Book which have "121 Pages" is Printed at BOOK under CategoryBone metastasis
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