Letters Metastatic spinal compression

Coordination improves outcomes in malignant cord compression

BMJ 2009; 338 doi: http://dx.doi.org/10.1136/bmj.a3151 (Published 06 January 2009) Cite this as: BMJ 2009;338:a3151
  1. Pamela Levack, consultant in palliative medicine1,
  2. Lynsay Allan, project manager1,
  3. Lee Baker, statistician2,
  4. Trudy McLeay, radiographer1,
  5. Graeme Houston, consultant radiologist1,
  6. John Dewar, consultant oncologist1,
  7. Sam Eljamel, consultant neurosurgeon1,
  8. Robert Grant, general practitioner3,
  9. Alastair Munro, consultant oncologist1
  1. 1Ninewells Hospital, Dundee DD1 9SY
  2. 2University of Dundee, Dundee
  3. 3Kirkcaldy
  1. pamela.levack{at}nhs.net

    The guidance from the National Institute for Health and Clinical Excellence (NICE) on malignant cord compression argues that a committed, coordinated approach is needed.1 Following the Scottish audit (CRAG),2 all health boards in Scotland were advised to implement rapid referral systems and coordinate the process of early diagnosis. This Macmillan supported initiative has made good …

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