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A survey of patterns of practice on palliative radiation therapy for bone metastasis in Korea

Authors
 Yoonsun Chung  ;  Woong Sub Koom  ;  Yong Chan Ahn  ;  Hee-Chul Park  ;  Hak Jae Kim  ;  Sang Min Yoon  ;  Sangjin Shin  ;  Yoon Jae Lee 
Citation
 JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY, Vol.139(12) : 2089-2096, 2013 
Journal Title
 JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY 
ISSN
 0171-5216 
Issue Date
2013
MeSH
Adult ; Bone Neoplasms/epidemiology ; Bone Neoplasms/radiotherapy* ; Bone Neoplasms/secondary* ; Data Collection ; Dose Fractionation ; Female ; Humans ; Life Expectancy ; Male ; Middle Aged ; Palliative Care/statistics & numerical data* ; Practice Patterns, Physicians'/statistics & numerical data* ; Radiotherapy Dosage ; Republic of Korea/epidemiology
Keywords
Adult ; Bone Neoplasms/epidemiology ; Bone Neoplasms/radiotherapy* ; Bone Neoplasms/secondary* ; Data Collection ; Dose Fractionation ; Female ; Humans ; Life Expectancy ; Male ; Middle Aged ; Palliative Care/statistics & numerical data* ; Practice Patterns, Physicians'/statistics & numerical data* ; Radiotherapy Dosage ; Republic of Korea/epidemiology
Abstract
PURPOSE: The aim of this study was to understand the practice patterns of palliative radiation therapy for bone metastasis in Korea among Korean radiation oncologists by survey and to determine the decision factors affecting the prescription of radiation therapy fractionation schedules. METHODS: An Internet-based survey was performed from October 5 to October 23, 2009, among 177 active full members of the Korean Society for Radiation and Oncology (KOSRO). The survey questionnaire included general information about the respondent, three types of clinical scenario, depending on the life expectancy of the patients, and the decision factors that affected the prescription of a radiation therapy schedule. RESULTS: The most prescribed schedule was 30 Gy in 10 fractions regardless of the life expectancy of the patient. Also, it was found that a single fraction was seldom prescribed routinely in Korea. An increasing number prescribed fewer than 10 fractions as the life expectancy shortened; however, the prescription rate of a single fraction was still low. The general performance (and/or accompanying diseases) of patients and the life expectancy were the most considered factors in deciding the prescription of radiation therapy. CONCLUSIONS: Despite the abundant evidence supporting the equivalence of single- and multi-fraction radiation therapy, still, most Korean radiation oncologists continue to prescribe multi-fraction schedules depending on the general performance and life expectancy of the patients. Thus, we confirmed that there was a gap between evidence and practice, and treatment prescriptions can be strongly affected by decision factors other than published literature results.
Full Text
http://link.springer.com/article/10.1007%2Fs00432-013-1531-0
DOI
10.1007/s00432-013-1531-0
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
Yonsei Authors
Koom, Woong Sub(금웅섭) ORCID logo https://orcid.org/0000-0002-9435-7750
Chung, Yoon Sun(정윤선)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88454
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