Publicado 04/11/2026
Palavras-chave
- Compressão Medular Neoplásica,
- Protocolo Clínico,
- Urgência Oncológica,
- Melhoria Contínua da Qualidade,
- Cuidados Multidisciplinares
Direitos de Autor (c) 2026 Nídia Maltez Cunha, Joana Magalhães, Tânia Madureira, Daniel Bandarra, Nathalie Guerreiro, Cindy Fazenda, Francisco Castro Sousa, Rita A. Soares, Paulo Luz
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição 4.0.
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Resumo
Introduction: Neoplastic spinal cord compression (NSCC) is an oncological emergency requiring prompt and coordinated action. Variability in clinical approaches affects therapeutic efficacy and functional outcomes. This article describes the development and implementation of an institutional protocol to standardize the management of NSCC.
Methods: A non-systematic review of key international guidelines (ESMO, ASCO, NICE) was performed, along with qualitative assessment of local practices. The resulting protocol included clinical/imaging criteria, time-to-intervention goals and a therapeutic algorithm. Quality indicators were defined and implementation planned.
Results: The protocol is structured around four axes: early recognition, multidisciplinary therapeutic decision-making, stratified treatment (surgery, radiotherapy or palliative care), and quality monitoring. Key targets include MRI within 48h, immediate corticosteroid initiation, and final therapeutic decision within 72h. Training sessions were initiated.
Discussion: Operational translation of international recommendations into a context-adapted protocol enhances clinical consistency and enables quality. Implementation may improve patient outcomes and be replicated in other institutions.
Conclusion: Standardizing NSCC management through a structured institutional protocol promotes quality, efficiency, and safety. Prospective evaluation will validate its clinical and functional impact.
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Referências
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