Comprehensive assessment during palliative radiotherapy consultation optimizes supportive care for patients with advanced breast cancer

Hill, Jordan; Alhumaid, Mohannad; Ghosh, Sunita; Le, Alexander; Watanabe, Sharon; Fairchild, Alysa

doi:10.1007/s00520-022-07246-5

Cited by 4 publications

(6 citation statements)

References 41 publications

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“…The EQ5D asks patients to evaluate their overall QOL in mobility, self-care, usual activities, pain/discomfort, and anxiety/depression domains [12] . This extensive pre-assessment is not completed for patients referred for PRT through the usual tumour site-specific pathways at this centre, who are triaged by an RO or RO-nurse pair [7] .…”

Section: Resultsmentioning

confidence: 99%

“…This can lead to workflow challenges for the clinic as well as MDT members [19] . Recognizing needs early, during review of referral information and the triage phone call by the PCSRT, allows coordination of required MDT members in advance of the consult visit [7] , [8] , [17] , [18] . Having MDT members review responses to standardized questionnaires ahead of time enhances: communication; problem detection; symptom management; workflow; team cohesiveness; and patient outcomes [17] .…”

Section: Resultsmentioning

confidence: 99%

“…Along with responding to patient’s current needs, this helps to anticipate problems and try to prevent future complications [25] . Pre-screening contributed to 46.4% of rapid access patients being referred to allied health providers versus 8.2% of standard pathway patients in one centre [7] ( Table 2 ). In the weekly Orthopedic Radiation Oncology Clinic in Hamilton, Ontario, CSRT triage and navigation resulted in 38% of patients receiving weight-bearing restrictions, 14% referred for prosthetics and 10% for physiotherapy [29] .…”

Section: Resultsmentioning

confidence: 99%

“…Triage is defined as “the process of sorting people in need of medical attention in order to determine priority” [6] . Triage is important in the setting of patients with advanced cancer who could potentially benefit from PRT [7] . Efficient triage performed at receipt of first referral is crucial to identify a patient’s clinical needs and urgency in order to match them with an appropriate provider and care setting with as little wait time as is reasonably achievable.…”

Section: Introductionmentioning

confidence: 99%

“…Efficient triage performed at receipt of first referral is crucial to identify a patient’s clinical needs and urgency in order to match them with an appropriate provider and care setting with as little wait time as is reasonably achievable. In general, patients who require assessment for PRT can be seen in tumour site-specific outpatient clinics, on inpatient wards, or by Radiation Oncologists (ROs) in the on-treatment review area [7] . (Please note, the term Radiation Oncologist will be used throughout to encompass any physician specialist who prescribes radiation therapy, such as a Clinical Oncologist in the United Kingdom.)…”

Section: Introductionmentioning

confidence: 99%

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Triage for palliative radiotherapy by clinical specialist radiation therapists: A scoping review

Paterson

Fairchild

2023

Technical Innovations & Patient Support in Radiation Oncolo

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Triage for palliative radiotherapy by clinical specialist radiation therapists: A scoping review

Paterson

Fairchild

2023

Technical Innovations & Patient Support in Radiation Oncolo

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Prevalence of palliative radiotherapy abstracts presented at the annual scientific meetings of the Canadian Association of Radiation Oncology: 2003–2021

Sidhoo,

Ghosh,

Barnes

et al. 2023

Support Care Cancer

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Purpose.Approximately half of all radiotherapy (RT) is delivered with palliative intent. Clinical research in palliative RT aims to manage symptoms, improve quality of life (QoL), evaluate supportive care, and determine optimal dose-fractionation schedules. Our aim was to describe the prevalence of palliative research at the Canadian Association of Radiation Oncology (CARO) Annual Scienti c Meeting (ASM) over time. Methods. Published abstracts (2003-2021 were independently reviewed by two authors who categorized each as: curative-intent; palliative-intent; pertaining to both populations; or neither. Abstracts were considered palliative if they described incurable malignancy and interventions primarily for symptom control or QoL. Type of study, primary, site treated, and symptoms palliated were recorded. Descriptive and summary statistics were calculated including one-way ANOVA test for trend.Results. 339/4566 abstracts (7.4%, range 2.4-13.9% per year) were classi ed as palliative. 7.7% (26/339) described phase I-III trials. The main primary site was lung (39/339) and the most common metastatic site was bone (34.2%). QoL, symptom and toxicity outcomes were reported in 31.6% (107/339), 37.8% (128/339) and 17.7% (60/339), respectively. The most common symptom investigated was pain (38/339). The proportion of abstracts classi ed as curative, palliative or reporting toxicity endpoints demonstrated signi cant change over time (all p<0.0001).Conclusion. While proportion of palliative themed abstracts has increased with time, there remains a signi cant gap before equivalence with the prevalence of palliative RT in clinical practice is achieved.regarding palliative treatment of symptoms can be complex, requiring cost-bene t decision-making in the context of a limited life expectancy [5]. The choice of an optimal PRT regimen and management of disease-and treatment-related symptoms should be evidence-based whenever possible [8].Research is therefore essential to develop, re ne and disseminate the roles of RT (and ROs) in supportive cancer care [8,13]. Oncology conferences provide an opportunity to improve the collective body of knowledge, discuss research developments as well as provide continuing education [1,[13][14]. The breadth of data presented provides a window into a eld's research focus and current trajectory of inquiry [5]. Research is also important to increase consistency in working practices, and provide opportunities to apply positive outcomes from one setting to work in other settings [13]. However, despite the prevalence and importance of PRT delivery and RO involvement in routine supportive care, related research is infrequently reported at major conferences [1, 8,[14][15][16] or in high-pro le journals [5].The Canadian Association of Radiation Oncology (CARO) Annual Scienti c Meeting (ASM) provides opportunities to discuss new developments and disseminate knowledge to ROs and attendees from related disciplines. Our objective was to evaluate time-based trends in the number of palliative abstracts

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Palliative care in the treatment of women with breast cancer: A scoping review

Velasco Yanez,

Carvalho Fernandes,

de Freitas Corpes

et al. 2023

Pall Supp Care

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Objectives Recent studies on the quality of life in women with breast cancer show a high prevalence of signs and symptoms that should be the focus of palliative care (PC), leading us to question the current role they play in addressing breast cancer. Therefore, the objective of this review is to map the scope of available literature on the role of PC in the treatment of women with breast cancer. Methods This is a methodologically guided scoping review by the Joanna Briggs Institute and adapted to the PRISMA Extension for Scoping Reviews (PRISMA-ScR) Checklist for report writing. Systematic searches were conducted in 8 databases, an electronic repository, and gray literature. The searches were conducted with the support of a librarian. The study selection was managed through the RAYYAN software in a blind and independent manner by 2 reviewers. The extracted data were analyzed using the qualitative thematic analysis technique and discussed through textual categories. Results A total of 9,812 studies were identified, of which only 136 articles and 3 sources of gray literature are included in this review. In terms of general characteristics, the majority were published in the USA (35.7%), had a cross-sectional design (44.8%), and were abstracts presented at scientific events (19.6%). The majority of interventions focused on palliative radiotherapy (13.6%). Thematic analysis identified 14 themes and 12 subthemes. Significance of results Our findings offer a comprehensive view of the evidence on PC in the treatment of breast cancer. Although a methodological quality assessment was not conducted, these results could guide professionals interested in the topic to position themselves in the current context. Additionally, a quick synthesis of recommendations on different palliative therapies is provided, which should be critically observed. Finally, multiple knowledge gaps are highlighted, which could be used for the development of future studies in this field.

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Comprehensive assessment during palliative radiotherapy consultation optimizes supportive care for patients with advanced breast cancer

Cited by 4 publications

References 41 publications

Triage for palliative radiotherapy by clinical specialist radiation therapists: A scoping review

Triage for palliative radiotherapy by clinical specialist radiation therapists: A scoping review

Prevalence of palliative radiotherapy abstracts presented at the annual scientific meetings of the Canadian Association of Radiation Oncology: 2003–2021

Palliative care in the treatment of women with breast cancer: A scoping review

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