Cited 61 times in

Palliative radiation therapy in the last 30 days of life: A systematic review

Authors
 Kyung Ran Park  ;  Chang Geol Lee  ;  Yolanda D. Tseng  ;  Jay J. Liao  ;  Suresh Reddy  ;  Eduardo Bruera  ;  Sriram Yennurajalingam 
Citation
 RADIOTHERAPY AND ONCOLOGY, Vol.125(2) : 193-199, 2017 
Journal Title
RADIOTHERAPY AND ONCOLOGY
ISSN
 0167-8140 
Issue Date
2017
MeSH
Databases, Factual ; Humans ; Neoplasms/mortality ; Neoplasms/radiotherapy* ; Palliative Care/methods ; Palliative Care/utilization* ; Radiotherapy/utilization* ; Terminal Care/methods ; Terminal Care/utilization*
Keywords
End-of-life ; Last 30 days of life ; Palliative radiation therapy ; Systematic review
Abstract
PURPOSE: To investigate the utilization of palliative radiation therapy (RT), predictors for the use of RT, and symptom palliation following RT during the last 30 days of life through systemic review of literature.

MATERIALS/METHODS: A systematic search of available medical literature databases was performed on patients receiving palliative RT in the last 30 days of life. A total of 18 studies were evaluated.

RESULTS: The overall palliative RT utilization rates during the last month of life were in the range of 5-10% among patients who died of cancer and 9-15.3% of patients who received palliative RT. The most commonly used regimen was 30 Gy in 10 fractions (36-90%). Single fraction RT utilization ranged from 0% to 59%. ECOG performance status 3-4 was significantly associated with patients receiving RT in the last 30 days of life and shorter survival. Twenty-six percent of patients who survived less than 1 month were reported to show symptom palliation following RT.

CONCLUSION: Palliative RT was performed in approximately 10% of patients who died of cancer near their end of life, with the most commonly used regimen of 30 Gy in 10 fractions. This study suggests that greater use of shorter or single fraction regimens may be beneficial, especially in patients with poor performance status.
Full Text
https://www.sciencedirect.com/science/article/pii/S0167814017325835
DOI
10.1016/j.radonc.2017.09.016
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
Yonsei Authors
Lee, Chang Geol(이창걸) ORCID logo https://orcid.org/0000-0002-8702-881X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161369
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links