North of England Cancer Network Malignant Spinal Cord Compression Training 5th October 2012

Survival at 600 days 33% alive at 60 days, 27% alive at 90 days and 13% alive at the end of the first year post diagnosis. Ruth Mhlanga JCUH Sept 2011

Outcome by ambulation Ambulant state pre- RT Ambulant post-RT Walking90% Walking with help60% Unable to walk40% Paraplegic10% Rob Turner YCN

Training course objectives To improve these outcomes

Training course objectives Promote the initial identification of potential MSCC Ensure prompt investigation of potential MSCC Improve co-ordination of diagnosis to treatment pathway Discuss the management of the complications of MSCC

Training course programme Diagnosis and management Neurological examination Pain control MSCC pathway and admission document Bowel, bladder and skin care