Palliative care 2016

Neurological complaints -> use prognostic system to choose appropriate treatment

Survival at 6 months (%)

Score

Type of primary tumor Breast cancer Prostate cancer Myeloma/lymphoma

78 66 85 25 40

8 7 9 3 4

Lung cancer Other tumors

Other bone metastases at the time of RT Yes No Visceral metastases at the time of RT Yes No

48 65

5 7

17 80

2 8

Treatment

Interval from tumor diagnosis to MSCC

 15 months >15 months

41 71

4 7

A, B, C

-> 1x 8 Gy

Ambulatory status before RT Ambulatory Non-ambulatory Time of developing motor deficits before RT 1-7 days

71 31

7 3

D, E

-> 10x 3 Gy

26 55 78

3 6 8

8-14 days >14 days

Rades et al. Cancer 2008, IJROBP 2011

37