Patterns of practice in palliative radiotherapy for bone metastases in UK centres

KHAN, Nida and GREEN, David (2018). Patterns of practice in palliative radiotherapy for bone metastases in UK centres. Journal of Radiotherapy in Practice, 1-7.

[img]
Preview
PDF
Green-PatternsOfPractice(AM).pdf - Accepted Version
All rights reserved.

Download (556kB) | Preview
Official URL: https://www.cambridge.org/core/journals/journal-of...
Link to published version:: https://doi.org/10.1017/S1460396918000584
Related URLs:

    Abstract

    Background There is abundant evidence of the comparative efficacy of single-fraction (SF) radiotherapy and multi-fraction (MF) radiotherapy when treating patients with bone metastases. Despite this, previous surveys have shown SF schedules to be underutilised. Aim To determine current patterns of practice in patients with bone metastasis and to investigate the factors that influence practice. Method An electronic audit was performed amongst 46 physicians, within 7 hospital trusts in the UK. The audit comprised of four hypothetical cases in which consultants and registrars chose which dose and fractionation they would recommend and their reasons for this recommendation. Results SF radiotherapy was the most common radiotherapy schedule in hypothetical cases 1, 3 and 4. SF radiotherapy was recommended by 65% of respondents in case 1, 47% in case 2, 89% in case 3 and 46% in case 4. For case 2, 50% proposed MF radiotherapy. For case 4, 22% of respondents recommended Stereotactic Body Radiotherapy (SABR). The following deciding factors were cited as influencing choice of an SF schedule: prognosis, published evidence, performance status and spinal cord compression. Conclusion The most common radiotherapy schedule selected was SF. However, there were inter-institution differences regarding the use of SF radiotherapy. Furthermore, the survey had shown that a third of respondents recommended an MF regime, despite evidence supporting the efficacy of an SF schedule.

    Item Type: Article
    Uncontrolled Keywords: 1103 Clinical Sciences; Oncology & Carcinogenesis
    Identification Number: https://doi.org/10.1017/S1460396918000584
    Page Range: 1-7
    SWORD Depositor: Symplectic Elements
    Depositing User: Symplectic Elements
    Date Deposited: 19 Dec 2018 12:22
    Last Modified: 08 May 2019 01:18
    URI: http://shura.shu.ac.uk/id/eprint/23662

    Actions (login required)

    View Item View Item

    Downloads

    Downloads per month over past year

    View more statistics