International Practice Survey on Palliative Lung Radiotherapy: Third International Consensus Workshop on Palliative Radiotherapy and Symptom Control

Rodrigues, George; Macbeth, Fergus; Burmeister, Bryan; Kelly, Karie-Lynn; Bezjak, Andrea; Langer, Corey J.; Hahn, Carol A.; Vichare, Anushree; Movsas, Benjamin

doi:10.1016/j.cllc.2011.11.002

Cited by 25 publications

(22 citation statements)

References 47 publications

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“…[4][5][6][7][8] Although this may simply reflect provider and patient preferences or differences in clinical scenarios, prior studies suggest that providers not only may be overly optimistic about patient prognosis but may also have difficulty communicating prognosis to patients with terminal cancer. [9][10][11][12] In addition, considerable evidence suggests that patients with cancer may hold unrealistic beliefs about prognosis and the potential efficacy of treatment.…”

Section: Introductionmentioning

confidence: 99%

Expectations About the Effectiveness of Radiation Therapy Among Patients With Incurable Lung Cancer

Chen

Cronin

Weeks

et al. 2013

JCO

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A B S T R A C T PurposeAlthough radiation therapy (RT) can palliate symptoms and may prolong life, it is not curative for patients with metastatic lung cancer. We investigated patient expectations about the goals of RT for incurable lung cancers. Patients and MethodsThe Cancer Care Outcomes Research and Surveillance Consortium enrolled a population-and health system-based cohort of patients diagnosed with lung cancer from 2003 to 2005. We identified patients with stage wet IIIB or IV lung cancer who received RT and answered questions on their expectations about RT. We assessed patient expectations about the goals of RT and identified factors associated with inaccurate beliefs about cure. ResultsIn all, 384 patients completed surveys on their expectations about RT. Seventy-eight percent of patients believed that RT was very or somewhat likely to help them live longer, and 67% believed that RT was very or somewhat likely to help them with problems related to their cancer. However, 64% did not understand that RT was not at all likely to cure them. Older patients and nonwhites were more likely to have inaccurate beliefs, and patients whose surveys were completed by surrogates were less likely to have inaccurate beliefs. Ninety-two percent of patients with inaccurate beliefs about cure from RT also had inaccurate beliefs about chemotherapy. ConclusionAlthough patients receiving RT for incurable lung cancer believe it will help them, most do not understand that it is not at all likely to cure their disease. This indicates a need to improve communication regarding the goals and limitations of palliative RT.

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Section: Introductionmentioning

confidence: 99%

Expectations About the Effectiveness of Radiation Therapy Among Patients With Incurable Lung Cancer

Chen

Cronin

Weeks

et al. 2013

JCO

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“…To the contrary, in patients with a poor PS and short expected survival time, hypofractionated short-course PTR is used most frequently [1,[3][4][5][6]11,[14][15][16][17][20][21][22][23]. In terms of relief of symptoms associated with locally growth of NSCLC, shorter courses of PTR are as effective as more protracted regimens [1,4,5,11,[14][15][16][17][23][24][25][26].…”

Section: Introductionmentioning

confidence: 99%

“…In these patients, the question whether to offer radiotherapy or not should be considered rather than the issue of fractionation schedule. The main factors that influence this decision are: performance status, estimated prognosis, symptom severity and patient's choice [1,3,10,13,14,18,19,27,28].…”

Section: Introductionmentioning

confidence: 99%

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Palliative thoracic radiotherapy for patients with advanced non-small cell lung cancer and poor performance status

et al. 2015

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“…The authors found that there was a greater likelihood of symptom improvement and a modest benefit in overall survival with radiotherapy schedules of 35 Gy 10 BED (i.e., 30 Gy in ten fractions) or greater. These findings informed various consensus papers including the American Society for Radiation Oncology (ASTRO) practice guideline [21], and an international consensus statement [22]. The general recommendations from the above reviews and guidelines are that radiotherapy schedules of 35Gy 10 BED (i.e., 30 Gy in ten fractions) or greater should be considered for patients with good performance status.…”

Section: External-beam Radiotherapymentioning

confidence: 99%

A review of palliative radiotherapy for lung cancer and lung metastases

et al. 2012

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Introduction Treatment of thoracic symptoms related to lung cancer with palliative radiotherapy is routinely performed in conjunction with radiation oncology practice. Various clinical trials, meta-analyses, practice guidelines, consensus statements, and Cochrane reviews have been conducted on different questions related to palliative thoracic radiotherapy considerations including: patient selection, external-beam radiotherapy dose fractionation, endobronchial brachytherapy, and chemotherapy. Discussion Novel radiotherapy technologies such as stereotactic ablative radiotherapy may allow new populations to benefit from radiotherapy. These new populations include: early stage lung cancer patients not fit for surgery that previously would be treated with best supportive care or palliative approaches and the treatment of oligometastatic lung metastases. ConclusionThe goal of this narrative review is: (1) to review the foundations of what has already been established in palliative thoracic radiotherapy, with a focus on published clinical trials, (2) to review and discuss emerging data and trends in radiotherapeutic options for patients with advanced thoracic malignancies, with a focus on both clinical trials and other forms comparative-effectiveness research, and (3) to discuss active areas of research and future directions for research in this challenging patient population.

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International Practice Survey on Palliative Lung Radiotherapy: Third International Consensus Workshop on Palliative Radiotherapy and Symptom Control

Cited by 25 publications

References 47 publications

Expectations About the Effectiveness of Radiation Therapy Among Patients With Incurable Lung Cancer

Expectations About the Effectiveness of Radiation Therapy Among Patients With Incurable Lung Cancer

Palliative thoracic radiotherapy for patients with advanced non-small cell lung cancer and poor performance status

A review of palliative radiotherapy for lung cancer and lung metastases

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