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Puntuación de Tokuhashi (Metástasis Vertebrales)
Clinical Context & Background
La Puntuación de Tokuhashi Revisada (2005) es un sistema de puntuación pronóstica para pacientes con metástasis vertebrales. Evalúa el estado general, metástasis óseas extraespinales, número de metástasis vertebrales, metástasis en órganos internos, sitio primario y parálisis medular. La puntuación total ayuda a decidir entre cirugía excisional, cirugía paliativa o manejo no quirúrgico.
Referencia: Tokuhashi Y, Matsuzaki H, Oda H, Oshima M, Ryu J. A revised scoring system for preoperative evaluation of metastatic spine tumor prognosis. Spine (Phila Pa 1976). 2005;30(15):1786-1792.
Formula Logic
Suma de 6 parámetros (0-15 puntos).Reference Data
| Puntuación Total | Supervivencia Estimada | Estrategia de Tratamiento |
|---|---|---|
| 0 - 8 | < 6 meses | Conservador / Cirugía Paliativa |
| 9 - 11 | ≥ 6 meses | Cirugía Paliativa / Radioterapia |
| 12 - 15 | ≥ 1 año | Cirugía Excisional probablemente apropiada |
Calculation verification history
Verified
Calculation verification history
Verified: Production browser revalidation
- Three source-backed Tokuhashi cases passed through visible production controls at scores 0, 10, and 15 across all survival bands.
- No unexpected N/A, literal undefined value, stale control, or browser-console error was observed.
Case-level evidence is retained in validation/browser-revalidation/tokuhashi-spine-metastases-prognosis-2026-08-03.json.
: Production browser validation
- Ten source-backed cases were exercised on the public production route through visible browser controls; 10/10 case records passed their expected-versus-observed assertions across 11 visible submissions.
- Overall browser status: failed-console. medium: Production emitted minified React error #418 during route loads/reloads used by this run.
- Case-level inputs, expected and observed results, reset/repeat behavior, failure reproductions, and console evidence are retained in the production-browser evidence record.
Case-level production evidence is retained in validation/browser-production/tokuhashi-spine-metastases-prognosis.json.
: Browser input adapter corrected and reverified
- Accepted finite number values already normalized by the shared calculator form while retaining strict malformed-input rejection.
- No equation, cutoff, unit, classification, or applicability rule changed; calculator-specific verification and the calculator-wide browser-input audit passed.
: Full validation test
- 1,666/1,666 exhaustive source-combination, count and score-boundary, strict-input, UI/reset, trace, wording, immutability, registry, and no-panel checks passed with zero score or classification mismatches.
- Scope is the revised 2005 pretreatment score for established metastatic spinal tumors; no panel calculates Tokuhashi or inherits this verification.
: Calculation and input-contract correction
- Corrected the revised primary-site table: other primaries now score 2 points and kidney/uterus score 3 points, while rectum remains 4 and thyroid/prostate/breast/carcinoid remain 5.
- Replaced favorable point-coded defaults and unsafe summation with six required source-semantic inputs, raw integer metastasis counts, exact-key validation, and rejection of missing, extra, coercive, fractional, nonfinite, or unsupported values.
- Added an immutable six-contribution trace, exact 0-8, 9-11, and 12-15 historical survival rows, the correct publication citation, and explicit wording that vertebral multiplicity also informed the original treatment principles.
Verification confirms the calculator implementation against the cited model; it is not independent clinical validation, regulatory approval, or medical advice.
Evidence-based oncology decision support. Verify with clinical guidelines.