The importance of multidisciplinary care for spine metastases: Initial tumor management Review
| Authors: | Newman, W. C.; Patel, A.; Goldberg, J. L.; Bilsky, M. H. |
| Review Title: | The importance of multidisciplinary care for spine metastases: Initial tumor management |
| Abstract: | Spine metastases are very common in cancer patients often requiring urgent assessment and the initiation of therapy. Treatment paradigms have changed exponentially over the past decade with the evolution and integration of stereotactic body radiotherapy, minimally invasive spine techniques, and systemic options including biologics and checkpoint inhibitors. These advances necessitate multidisciplinary assessments and interventions to optimize outcomes. The NOMS framework provides a mechanism for all practitioners to evaluate the 4 sentinel assessments required to make decisions in patients with spine metastases: Neurologic, Oncologic, Mechanical Stability, and Systemic disease. The NOMS framework is continuously updated with the integration of newer technologies and evidence-based medicine as they become available. This paper presents the current iteration of NOMS with a focus on the role of medical and neuro-oncologists in the assessment and treatment of metastatic spine tumors. © 2020 The Author(s) 2020. Published by Oxford University Press on behalf of the Society for Neuro-Oncology and the European Association of Neuro-Oncology. |
| Keywords: | range of motion; paresthesia; cancer growth; treatment planning; cancer radiotherapy; nuclear magnetic resonance imaging; follow up; evidence based medicine; cancer immunotherapy; melanoma; apoptosis; computer assisted tomography; multiple myeloma; histology; renal cell carcinoma; health care; dysphagia; spinal cord compression; spinal cord tumor; scoring system; radiosensitivity; micro-computed tomography; stereotactic radiosurgery; tumor growth; stereotactic body radiation therapy; decision making; kidney metastasis; esophageal squamous cell carcinoma; spine metastasis; tumor microenvironment; health care management; percutaneous vertebroplasty; pyramidal tract; spine metastases; human; priority journal; article; noms; numeric rating scale; multidisciplinary team; oswestry disability index |
| Journal Title: | Neuro-Oncology Practice |
| Volume: | 7 |
| Issue: | Suppl. 1 |
| ISSN: | 2054-2577 |
| Publisher: | Oxford University Press |
| Date Published: | 2020-11-01 |
| Start Page: | i25 |
| End Page: | i32 |
| Language: | English |
| DOI: | 10.1093/nop/npaa056 |
| PROVIDER: | scopus |
| PMCID: | PMC7705527 |
| PUBMED: | 33299571 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 4 January 2021 -- Source: Scopus |
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