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Mirels Score (Fracture Risk)
Clinical Context & Background
Mirels Score evaluates the risk of pathologic fracture in long bones with metastases. It guides the decision between prophylactic surgical fixation versus radiotherapy alone.
Formula Logic
Sum of points (1-3) for Site, Pain, Lesion Type, and Size.Reference Data
| Total Score | Fracture Risk | Recommendation |
|---|---|---|
| ≤ 7 | < 5% | Radiotherapy / Observation |
| 8 | 15% | Borderline / Clinical Judgement |
| ≥ 9 | > 33% | Prophylactic Fixation Recommended |
Evidence-based oncology decision support. Verify with clinical guidelines.