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Agreement in the assessment of metastatic spine disease using scoring systems

2015; Elsevier BV; Volume: 115; Issue: 1 Linguagem: Inglês

10.1016/j.radonc.2015.03.016

1879-0887

Estanislao Arana, Francisco M. Kovacs, Ana Royuela, Beatriz Asenjo, Úrsula Pérez‐Ramírez, Javier Zamora, Víctor Abraira, Lucía Alcázar, Ana Alonso, Luis Álvarez, Marco Antonio Álvarez Vega, Guillermo Amengual, Aida Antuña, Fernando Aparici, Joan Bagó, Andrés Barriga-Martín, María Dolores Mondéjar Barrios, Paloma Bas, J. Begara, Francisco Bravo-Rodríguez, A Cabrera, Carlos Casillas, G. Catalán, A. Conde, R. de las Peñas, Laura K. Diaz, Diego Dualde, Ana Estremera, J Fenollosa, C. Hernández Fernández, Eva Fernández, Nicomedes Fernández-Baíllo, Pilar Ferrer, Salvador Fuster, María Isabel Galarraga, C. García Villar, Luis García-Ferrer, Maria Isabel Osorio Garcia, Sara García-Duque, J. Garde, Andrés González‐Mandly, Rafael González Fernández, A. Hernández-Fernández, O. Hernando, R. Hernánz, A. Hervás, Esther Holgado, M.J. Juan, Javier Lavernia, A. Lazo, Ana Lersundi, Escarlata López, Rosa Magallón-Botaya, Margarita Majem, Martín Antonio, M. I. Martin, Javier Martínez-Gómez, Julia Montoya, Paloma Leticia Martín-Moreno, Arturo Navarro-Martín, Esther Noguerón, Ana Ortiz de Méndivil, J.C. Palomino, Juan Carlos Paniagua, David Pereira, Luís A. Pérez-Romasanta, R. Sirera Perez, Ángel R. Piñera, Pilar Piñero, Julio Plata‐Bello, José Poblete, José Ramírez, Daniel Rivas, Héctor Roldán, Fernando Ruiz, José Miguel Sánchez, S. Sancho, Helena Sarasíbar, Juan Manuel Sepúlveda-Sánchez, Antonio Silvestre, Beatriz Sobrino, Felix Tomé-Bermejo, I. Tovar, María del Carmen Vallejo, Vicente Vanaclocha, Asunción Villanueva, Joaquín Zamarro, Idoya Zazpe,

Spinal Fractures and Fixation Techniques

Abstract Purpose To assess variability in the use of Tomita and modified Bauer scores in spine metastases. Materials and methods Clinical data and imaging from 90 patients with biopsy-proven spinal metastases, were provided to 83 specialists from 44 hospitals. Spinal levels involved and the Tomita and modified Bauer scores for each case were determined twice by each clinician, with a minimum of 6-week interval. Clinicians were blinded to every evaluation. Kappa statistic was used to assess intra and inter-observer agreement. Subgroup analyses were performed according to clinicians' specialty (medical oncology, neurosurgery, radiology, orthopedic surgery and radiation oncology), years of experience (⩽7, 8–13, ⩾14), and type of hospital (four levels). Results For metastases identification, intra-observer agreement was "substantial" (0.60 k <0.80) at sacrum, and "almost perfect" ( k >0.80) at the other levels. Inter-observer agreement was "almost perfect" at lumbar spine, and "substantial" at the other levels. Intra-observer agreement for the Tomita and Bauer scores was almost perfect. Inter-observer agreement was almost perfect for the Tomita score and substantial for the Bauer one. Results were similar across specialties, years of experience and type of hospital. Conclusion Agreement in the assessment of metastatic spine disease is high. These scoring systems can improve communication among clinicians involved in oncology care.