The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit.

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Abstract Text:

A prospective study of functional assessment of response to palliative radiotherapy (RT) in malignant spinal cord compression (SCC) is reported. The relevant components of the Barthel Activities of Daily Living Index (ADLI: walking, transfer, and bladder and bowel control) were used to assess functional capacity, and compared with a standard neurological assessment. Fifty-one consecutive patients (38 men, 13 women; mean age 63.9 years) were assessed, all of whom were treated by primary or postoperative radiotherapy. Five of the 51 patients had had decompressive laminectomy prior to RT. Median survival was 34 days (range 2-570). Walking improved in only five of 12 patients who had an improvement in motor power. The ability to transfer from bed to chair improved in 11 patients. Ambulation at presentation was the single most important determinant of outcome. Of the eight patients ambulatory at presentation, all were alive at 1 month and seven remained ambulatory. Of the 43 non-ambulatory patients, only four were able to walk following treatment (all prostatic carcinomas). Only four patients regained urinary continence, and none regained bowel control after this was lost. Functional assessment using ADLI and standard neurological examination provide a more useful guide to outcome in malignant SCC than neurological examination alone.

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Publishing Authors By Initials

For similar urogenital system: urinary tract: urinary bladder research abstracts see: urogenital system: urinary tract: urinary bladder research

PUBMED ID PMID:

MEDLINE DATE:

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Clinical oncology (Royal College of Radiologists (

VOLUME: 7

Page Numbers: 82-6

Journal Abbreviation: Clin Oncol (R Coll Radiol)

ISSN: 0936-6555

DAY: 10

MONTH: 03

YEAR: 1995

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9002902

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Keywords Mesh Terms:

KEYWORDS: Urinary Bladder

MESH TERMS: radiation effects

Chemical & Substance for Abstract: The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit.

AFFILIATION: Weston Park Hospital, Sheffield, UK.

Country: ENGLAND

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Clin Oncol (R Coll Radiol)

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit Related Publications

• Carcinoma of the male breast metastatic to the mandible.
• Controversies in the management of metastatic spinal cord compression.
• Docetaxel-induced radiation recall dermatitis and successful rechallenge without recurrence.
• Impact of Breast Radiotherapy on Quality of Life in Older Patients: A Phase III Trial.
• Locoregional treatment in breast cancer: new paradigm raises new questions.
• PRIME II breast cancer trial.
• The Barthel Index in assessing the response to palliative radiotherapy in malignant spinal cord compression: a prospective audit.
• The use of single fraction Leksell stereotactic radiosurgery in the treatment of uveal melanoma.
• [Not Available.]