Delays occur in referring and treating malignant spinal cord compression

Metastatic malignant spinal cord compression is a major cause of morbidity in cancer. The most important prognostic factor is neurological status before treatment, and patients are commonly non-ambulant and need a urinary catheter by the time of treatment. On p 18 Husband examines the delays in referral and treatment in a consecutive series of patients presenting to a regional cancer centre. Unacceptable delay occurred in most patients, primarily at the general practitioner and district general hospital stage, and was associated with deterioration in function.


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Relevant Article

Malignant spinal cord compression: prospective study of delays in referral and treatment
D J Husband
BMJ 1998 317: 18-21. [Abstract] [Full Text] [PDF]




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