Radiation for palliation: Role of palliative radiotherapy in allevieating pain/symptoms in a prospective observational study at two Tertiary Care Centers.

Purpose: Approximately one-third of patients attending the tertiary care center require palliative management. The purpose of this study was to investigate the role of palliative radiation in alleviating the pain and symptoms and improvement in quality of life (QOL). Methods: This was a prospective...

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Publicado en:Indian Journal of Palliative Care Vol. 25; no. 3; pp. 391 - 398
Autores principales: Kumar, Ashok, Mukundan, Hari, Bhatnagar, Sharad, Sarin, Arti, Taneja, Sachin, Sahoo, Srimukta
Formato: research tables/charts Journal Article
Publicado: Scientific Scholar LLC Jul-Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul-Sep2019
      vid: 25
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      pub: Scientific Scholar LLC
      place: Pittsford, New York
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        10.4103/IJPC.IJPC_35_19
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        atl: Radiation for palliation: Role of palliative radiotherapy in allevieating pain/symptoms in a prospective observational study at two Tertiary Care Centers.
      aug:
        au:
          Kumar, Ashok
          Mukundan, Hari
          Bhatnagar, Sharad
          Sarin, Arti
          Taneja, Sachin
          Sahoo, Srimukta
        affil: Department of Radiation Oncology, Army Hospital R and R, Delhi
      sug:
        subj:
          Cancer Pain Radiotherapy
          Pain Management
          Palliative Care
          Cancer Patients Psychosocial Factors
          Quality of Life Evaluation
          Tertiary Health Care
          Cancer Care Facilities
          Human
          Prospective Studies
          Nonexperimental Studies
          Lung Neoplasms Radiotherapy
          Breast Neoplasms Radiotherapy
          Prostatic Neoplasms Radiotherapy
          Middle Age
          Aged
          Cancer Pain
          Edema
          Headache
          Neoplasm Metastasis
          Spinal Neoplasms Radiotherapy
          Brain Neoplasms Radiotherapy
          Radiation Dosage
          Treatment Outcomes
          Radiation Oncology
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Purpose: Approximately one-third of patients attending the tertiary care center require palliative management. The purpose of this study was to investigate the role of palliative radiation in alleviating the pain and symptoms and improvement in quality of life (QOL). Methods: This was a prospective study aimed to evaluate patients attending two oncology centers and those who require palliative radiation. During 3 years, 1365 patients attended radiation oncology center for various malignancies. Of these patients, 304 patients were treated with palliative radiation for various indications. These patients were followed up for a period of up to 6 months for symptom relief and improved QOL. Results: About 22% of patients received palliative radiation primarily for carcinoma lung, breast, and prostate malignancy. Analysis revealed elderly patients in the age group of 50–70 being the most commonly affected and most common presentation was pain, swelling, and headache. The most common site of metastases was bone including the spine and brain. Most commonly employed schedule of palliative radiation was 30 Gy in 10 fractions and 20 Gy in 5 fractions. Patients responded well to palliative radiation and had improved pain relief and QOL. Conclusions: Palliative radiation is an important part of the management of cancer care and when given improves QOL, and significant pain relief.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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