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Patterns of practice in palliative radiotherapy for painful bone metastases: impact of a regional rapid access clinic on access to care

, : Patterns of practice in palliative radiotherapy for painful bone metastases: impact of a regional rapid access clinic on access to care. International Journal of Radiation Oncology, Biology, Physics 78(2): 533-538

External beam radiotherapy (RT) is commonly indicated for the palliation of symptomatic bone metastases, but there is evidence of underutilization of this treatment modality in palliative care for cancer populations. This study was conducted to investigate factors that influenced the use of palliative RT services at a regional comprehensive cancer center. A cohort of patients with radiographically confirmed bone metastases and first-time users of palliative RT between 2003 and 2005 was retrospectively reviewed from the time of initial diagnosis of bone metastases to death or last follow-up. Type of radiation treatment service provider used (rapid access or routine access) and patient-, tumor-, and treatment-related factors were analyzed for their influences on the number of treatment courses given over the duration of disease. A total of 887 patients received 1,354 courses of palliative RT for bone metastases at a median interval of 4.0 months between courses. Thirty-three percent of patients required more than one RT course. Increased age and travel distance reduced the likelihood and number of treatment courses, while service through a rapid access clinic was independently associated with an increase in subsequent use of palliative RT. A rapid access service model for palliative RT facilitated access to RT. Travel distance and other factors remained substantial barriers to use of palliative RT services. The pattern of practice suggests an unmet need for symptom control in patients with bone metastases.


PMID: 19910133

DOI: 10.1016/j.ijrobp.2009.07.1716

Other references

Parthasarathi, K.; Ranganathan, L.S., 2000: Chemical characterization of mono and polycultured soil wormcasts by tropical earthworms. Chemical characterization of soil worm casts produced by Eisenia fetida, Perionyx excavatus, Lampito mauritii and Eudrilus eugeniae was determined, using monoculture and polyculture techniques. Both cultured casts showed elevated pH (1.6-2.7%), EC...

Campos Andrada, M.P.; Santana, F.M.C.; Felgueiras, I.; Mimoso, M.J.; Empis, J.M.A., 2000: Nutritional value of Lupinus angustifolius and L. cosentinii accessions with diverse genetic origin. Sweet, semi-domesticated breeding lines of Lupinus angustifolius and L. cosentinii [L. varius] were developed within the breeding programmes at EAN, Oeiras. The chemical composition of seeds was determined and compared to that of the L. angustifol...

Hartia, S., 1973: The zoning of agricultural production in the 1990 year horizon. The zoning of agricultural production can be taken to represent a territorial forecast of future agricultural production. The present trend in Rumania to allot specialized zones to different types of agricultural production is described. On the ba...

Otte, Marcel, 1994: The origin of modern man A behavioural approach. Comptes Rendus de l'Academie des Sciences Serie II Sciences de la Terre et des Planetes 318(2): 267-273

Pollack, R., 2013: Frequently asked questions about medicare prescription drug coverage. Caring 32(2): 48-49

Rossi, M.; Fang, W.; Michaelides, A., 2016: Stability of Complex Biomolecular Structures: van der Waals, Hydrogen Bond Cooperativity, and Nuclear Quantum Effects. Biomolecules are complex systems stabilized by a delicate balance of weak interactions, making it important to assess all energetic contributions in an accurate manner. However, it is a priori unclear which contributions make more of an impact. He...

Anonymous, 1958: CIRCULAR nursing division runs rings around rectangle. Modern Hospital 91(5): 71-73

Schmid, R.W.; Bittner, C., 2002: Rationale development of a specific and efficient routine monitoring method of the immune suppressant sirolimus by HPLC-UV using solid phase extraction for sample preparation. Clinical Chemistry 48(6 Supplement): A51, June

Bagolini, G., 1963: Straphylococcal pneumopathy. Il Fracastoro 56: 112-120

Scheen, A.; Lemaire, P., 1983: A reduction in the hyperventilation threshold by intravenous infusion of adrenaline in the treadmill exercise. Seven healthy male subjects underwent a treadmill incremental work test in control conditions and during an intravenous epinephrine infusion (10 micrograms/min). At all exercise intensities, epinephrine increased heart rate, ventilation, respirato...