EP-1405: A Rapid Access Palliative Radiotherapy Clinic to reduce waiting time in a Regional Cancer Centre

Morris, Megan A.; O'Donovan, T.; Ofi, Bolanle; Flavin, Aileen

doi:10.1016/s0167-8140(17)31840-6

Cited by 4 publications

(1 citation statement)

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“…RAPRT programs have been adopted globally (65), with most published reports coming from centres in Canada (66-69), the United Kingdom (70), Ireland (71), the United States (61,72) Australia (62,73,74), and New Zealand (58). However, RAPRT clinics have been established in a minority of centres, predominantly within public institutions (62).…”

Section: Raprt Clinicsmentioning

confidence: 99%

Appropriateness of the 30-day expected mortality metric in palliative radiation treatment: a narrative review

Navarro-Domenech¹,

Behroozian²,

Hoskin³

et al. 2023

Ann Palliat Med

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Background and Objective: The 30-day expected mortality rate is frequently used as a metric to determine which patients benefit from palliative radiation treatment (RT). We conducted a narrative review to examine whether its use as a metric might be appropriate for patient selection.Methods: A literature review was conducted to identify relevant studies that highlight the benefits of palliative RT in timely symptom management among patients with a poor performance status, the accuracy of predicting survival near the end of life and ways to speed up the process of RT administration through rapid response clinics.Key Content and Findings: Several trials have demonstrated substantial response rates for pain and/or bleeding by four weeks and sometimes within the first two weeks after RT. Models of patient survival have limited accuracy, particularly for predicting whether patients will die within the next 30 days. Dedicated Rapid Access Palliative RT (RAPRT) clinics, in which patients are assessed, simulated and treated on the same day, reduce the number of patient visits to the radiation oncology department and hence the burden on the patient as well as costs.^ ORCID: 0000-0001-7347-2461.Conclusions: Single-fraction palliative RT should be offered to eligible patients if they are able to attend treatment and could potentially benefit from symptom palliation, irrespective of predicted life expectancy.We discourage the routine use of the 30-day mortality as the only metric to decide whether to offer RT.More common implementation of RAPRT clinics could result in a significant benefit for patients of all life expectancies, but particularly those having short ones.

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Section: Raprt Clinicsmentioning

confidence: 99%

Appropriateness of the 30-day expected mortality metric in palliative radiation treatment: a narrative review

Navarro-Domenech¹,

Behroozian²,

Hoskin³

et al. 2023

Ann Palliat Med

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

Hill¹,

Alhumaid²,

Ghosh³

et al. 2022

Support Care Cancer

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Rapid Access Palliative Radiotherapy Programmes

et al. 2020

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One of the greatest successes of radiotherapy has been its ability to palliate symptoms from advanced and metastatic cancers. Unfortunately, patients face barriers to accessing care and the demand for treatment is rising. Rapid access palliative radiotherapy programmes were created in response to these concerns, and over time they have proliferated and succeeded internationally. This narrative review provides an overview of programmes that have published their experiences, and discusses how they have improved access to care, increased evidence-based practice, met the needs of vulnerable populations, advanced the roles of multidisciplinary team members, collaborated across medical specialties, educated trainees and referring physicians, and developed new treatment platforms using advanced technologies.

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EP-1405: A Rapid Access Palliative Radiotherapy Clinic to reduce waiting time in a Regional Cancer Centre

Cited by 4 publications

References 0 publications

Appropriateness of the 30-day expected mortality metric in palliative radiation treatment: a narrative review

Appropriateness of the 30-day expected mortality metric in palliative radiation treatment: a narrative review

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

Rapid Access Palliative Radiotherapy Programmes

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