Palliative Radiotherapy Tailored to Live Expectancy in Terminally Ill Cancer Patients: Reality or Myth?

Gripp, Stephan; Matuschek, Christiane; Moeller, S.; Budach, Wilfried; Willers, R.; Boelke, E.

doi:10.1016/j.ijrobp.2007.07.1842

Cited by 2 publications

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“…8 To our knowledge there are no available data on how palliative radiation oncology care is delivered within the US, but indirect findings suggest that palliative radiation oncology practices require quality improvement. The frequent use of protracted RT regimens for patients with uncomplicated bone metastases, 12 even close to death, 13 suggests that radiation oncologists often do not follow evidence-based guidelines or tailor treatment courses to patient life expectancy. At the same time, training in general palliative cancer care competencies (eg, patient/family communication, prognostication), such as those outlined within the ASCO 2011 Statement, 5 may be lacking.…”

Section: Discussionmentioning

confidence: 99%

The Supportive and Palliative Radiation Oncology Service: The Impact of a Dedicated Service on Palliative Cancer Care

Krishnan¹,

Tseng²,

Sullivan

et al. 2013

International Journal of Radiation Oncology*Biology*Physics

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Purpose-The American Society of Clinical Oncology has recommended tailoring palliative cancer care (PCC) to the distinct and complex needs of advanced cancer patients. The Supportive and Palliative Radiation Oncology (SPRO) service was initiated July 2011 to provide dedicated palliative radiation oncology (RO) care to cancer patients. We used care providers' ratings to assess SPRO's impact on the quality of PCC and compared perceptions of PCC delivery among physicians practicing with and without a dedicated palliative RO service.Methods and materials-An online survey was sent to 117 RO care providers working at 4 Boston-area academic centers. Physicians and nurses at the SPRO-affiliated center rated the impact of the SPRO service on 8 PCC quality measures (7-point scale, "very unfavorably" to "very favorably"). Physicians at all sites rated their department's performance on 10 measures of PCC (7-point scale, "very poorly" to "very well").Results-Among 102 RO care providers who responded (response rate, 89% for physicians; 83% for nurses), large majorities believed that SPRO improved the following PCC quality measures: overall quality of care (physician/nurse, 98%/92%); communication with patients and families (95%/96%); staff experience (93%/84%); time spent on technical aspects of PCC (eg, reviewing imaging) (88%/56%); appropriateness of treatment recommendations (85%/84%); appropriateness of dose/fractionation (78%/60%); and patient follow-up (64%/68%). Compared with physicians practicing in departments without a dedicated palliative RO service, physicians at Conflicts of interest: None HHS Public Access Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript the SPRO-affiliated department rated the overall quality of their department's PCC more highly (P = .02).Conclusions-Clinicians indicated that SPRO improved the quality of PCC. Physicians practicing within this dedicated service rated their department's overall PCC quality higher than physicians practicing at academic centers without a dedicated service. These findings point to dedicated palliative RO services as a promising means of improving PCC quality.

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Section: Discussionmentioning

confidence: 99%

The Supportive and Palliative Radiation Oncology Service: The Impact of a Dedicated Service on Palliative Cancer Care

Krishnan¹,

Tseng²,

Sullivan

et al. 2013

International Journal of Radiation Oncology*Biology*Physics

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“…In der Auswahl prognostisch adjustierter Therapiekonzepte besteht noch Verbesserungsbedarf, z. B. durch zügigen Therapiebeginn und Vermeidung zu lang angelegter Therapieserien [4].…”

Section: » Eine Palliative Bestrahlung Ist Auch Im Reduzierten Allgemunclassified

Strahlentherapie spinaler Metastasen

Berger¹

2016

Onkologe

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Palliative Radiotherapy Tailored to Live Expectancy in Terminally Ill Cancer Patients: Reality or Myth?

Cited by 2 publications

References 0 publications

The Supportive and Palliative Radiation Oncology Service: The Impact of a Dedicated Service on Palliative Cancer Care

The Supportive and Palliative Radiation Oncology Service: The Impact of a Dedicated Service on Palliative Cancer Care

Strahlentherapie spinaler Metastasen

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