RESUMO
This article is a summary of the revised Dutch multidisciplinary evidence-based guideline 'Spinal metastases' (English translation available at: https://www.oncoline.nl/spinal-metastases) that was published at the end of 2015. This summary provides an easy-to-use overview for physicians to use in their daily practice.
Assuntos
Guias de Prática Clínica como Assunto , Neoplasias da Medula Espinal/secundário , Neoplasias da Coluna Vertebral/secundário , Corticosteroides/uso terapêutico , Antineoplásicos/uso terapêutico , Conservadores da Densidade Óssea/uso terapêutico , Terapia Combinada , Gerenciamento Clínico , Humanos , Neoplasias Primárias Desconhecidas , Países Baixos , Neuroimagem/métodos , Procedimentos Neurocirúrgicos , Cuidados Paliativos/métodos , Cuidados Paliativos/normas , Educação de Pacientes como Assunto , Seleção de Pacientes , Prognóstico , Ablação por Radiofrequência , Radioterapia/métodos , Compressão da Medula Espinal/etiologia , Compressão da Medula Espinal/terapia , Neoplasias da Medula Espinal/diagnóstico , Neoplasias da Medula Espinal/terapia , Neoplasias da Coluna Vertebral/diagnóstico , Neoplasias da Coluna Vertebral/terapia , Vertebroplastia/métodosRESUMO
Here, we describe the development of a Dutch national guideline on metastases and hematological malignancies localized within the spine. The aim was to create a comprehensive guideline focusing on proactive management of these diseases, enabling healthcare professionals to weigh patient perspectives, life expectancy, and expected outcomes to make informed treatment recommendations. A national multidisciplinary panel consisting of clinicians, a nurse, a patient advocate, an epidemiologist, and a methodologist drafted the guideline. The important role of patients in the realization of the guideline enabled us to identify and address perceived shortcomings in patient care. The guideline covers not only metastatic epidural spinal cord compression, but also the treatment of uncomplicated metastases and hematological malignancies localized within the spine. The guideline is applicable in daily practice and provides an up-to-date and concise overview of the diagnostic and treatment possibilities for patients suffering from a disease that can have a serious impact on their quality of life. Suggestions for the practical implementation of patient care in hospitals are also provided, including approaches for pursuing proactive management. The crucial role of the patient in decision making is emphasized in this guideline.
Assuntos
Medicina Baseada em Evidências , Neoplasias Hematológicas/terapia , Comunicação Interdisciplinar , Guias de Prática Clínica como Assunto/normas , Neoplasias da Coluna Vertebral/terapia , Gerenciamento Clínico , Neoplasias Hematológicas/patologia , Humanos , Expectativa de Vida , Qualidade de Vida , Neoplasias da Coluna Vertebral/secundárioRESUMO
In 2015, the Dutch Neuro-Oncology Working Group produced the multidisciplinary evidence-based guideline 'Spinal metastasis'. The guideline applies to patients with spinal metastases of solid tumours and patients with spinal localisations of haematological malignancies. This article gives a short overview of some key recommendations in the areas of diagnostics, treatment and follow-up.