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Background In recent years, the incidence of spinal metastasis (SM) has been increasing steadily. In response to this serious public health problem, researchers have made progress by using the integration of traditional Chinese and Western medicine. However, considerable heterogeneity in the definition and measurement of outcomes across clinical research studies, along with the lack of uniform measurement standards for study data, makes it difficult for researchers to compare different treatments. Therefore, it is crucial to accurately evaluate clinical research on the integration of traditional Chinese and Western medicine for SM.Methods This study protocol outlines a comprehensive research programme based on the Core Outcome Set Standards Protocol Items. The study consists of four phases: a literature review, semistructured interviews, a two-round modified Delphi survey, a consensus meeting. Phase 1 involves a comprehensive literature review to extract outcomes used in current clinical studies of integrated traditional Chinese and Western medicine or Western medicine for the treatment of SM. A semistructured interview format will be used to survey patients and caregivers in phase 2 to collect suggestions from the patient perspective. Phase 3 involves a two-round modified Delphi survey to complete a prioritisation evaluation of outcomes to generate a candidate list for core outcome set (COS). Finally, phase 4 involves a face-to-face consensus meeting to review and establish the COS.Ethics and dissemination Conducted in response to the current dilemma of SM, the study was endorsed by the Spine Oncology Group of the Orthopaedic Surgeons Branch of the Chinese Physicians’ Association. It will be developed and reported through a rigorous process, with the results of the study to be published in a peer-reviewed journal.Registration: COMET Registry: COMET 2938; https://www.comet-initiative.org/Studies/Details/2938.

Eco-environmental quality assessment is an important process for ensuring sustainable regional development because it encourages the construction of an ecological civilization. This assessment also lays a foundation for informing digital management and decision-making for the ecological environment in the near future. Due to the particularity of mountainous areas, its Eco-environmental quality assessment needs to be deeply specific and may require re-working. Here, the AHP-Entropy model was developed and constructed to scientifically analyze and evaluate the Eco-environmental quality in mountainous Western Sichuan in 2009 and 2019 at the township (street) unit. It is based on indicators representing Biological richness, Vegetation cover, Water network density, Land stress, and Social-economic stress. This newly developed model offers a more complete assessment, is based on more easily acquired data and has a higher accuracy than past models. The Eco-environmental quality index (EQI) representing eco-environmental quality (EEQ) has five levels of rating: Better, Good, Moderate, Bad and Worse. After applying this model to the region, the results show that: 1) The ecological environmental quality in the Western Sichuan mountains has improved over the past 10 years. 2) The eco-environment in the study area is generally Good, with small areas receiving a rating of Moderate. 3) The areas considered Better are mainly distributed on Longmen Mountain, Daliang mountain and Qionglai mountain, while the Moderate areas are mainly distributed in the western Chengdu Plain, the Panzhihua urban area, and Shaluli mountain. 4) The areas rated Better earn their rating due to high vegetation coverage, high habitat quality, and low degree of land degradation, such as land desertification and soil erosion. The areas with moderate eco-environmental quality were mainly affected by frequent human activity or serious land degradation. This comprehensive regional Eco-environmental quality assessment can also be used in other areas with mountains.