Management of metastatic spinal cord compression (MSCC) in a university teaching hospital

BACKGROUND CONTEXT: A previous audit in Scotland had shown that there were significant delays, in their practice, prior to patients being suspected to have metastatic spinal cord compression (MSCC) either in the community or in the hospital, resulting in very few patients qualifying for a surgical intervention. The National Institute for Health and Clinical Excellence (NICE) has developed a guideline in managing patients with suspected MSCC emphasising on early diagnosis and definitive management.