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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.