A review of the Rapid Response Radiotherapy Program in patients with advanced cancer referred for palliative radiotherapy over two decades

2018 ◽  
Vol 27 (6) ◽  
pp. 2131-2134 ◽  
Author(s):  
Yasmeen Razvi ◽  
Stephanie Chan ◽  
Liying Zhang ◽  
May Tsao ◽  
Elizabeth Barnes ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Palliative Radiotherapy ◽  
Rapid Response

Does a radiographer-led palliative radiotherapy pathway provide an efficient service for patients with symptoms of advanced cancer? The Northampton experience

2020 ◽  
pp. 1-6
Author(s):  
M. Graveling ◽  
K. Jarral ◽  
A. Gore
Keyword(s):  
Advanced Cancer ◽  
Retrospective Review ◽  
Treatment Time ◽  
Palliative Radiotherapy ◽  
Dose Fractionation ◽  
Skeletal Metastases ◽  
Access To Treatment ◽  
Single Fraction

Abstract Aim: To investigate whether a radiographer-led radiotherapy pathway can provide an efficient service for patients requiring treatment for symptomatic skeletal metastases. Materials and Methods: A retrospective review of 425 courses of palliative radiotherapy was conducted. Data was analysed assessing diagnosis, dose/fractionation, time from referral to treatment, gender, age, inpatient/outpatient status and referring clinic location for radiographer- and clinical oncologist-led cohorts. Results: Patients aged ≥70 years were more likely to be planned by radiographers (n = 162/57, p < 0·001). Patients were more likely to be treated with 8 Gy in single fraction than with 20 Gy in five fractions (n = 279/136, p = 0·012). The median referral to treatment time in 8-Gy single-fraction prescriptions was 3 days for radiographer-led versus 7 days for clinical oncologist-led cohorts. In all patients and in 20 Gy in five-fraction prescriptions, it was 4 versus 8 days. A comparison of all prescriptions (p < 0·001), 8 Gy in single-fraction (p < 0·001) and 20 Gy in five-fraction prescriptions (p = 0·001) showed radiographer-led procedures as enabling faster access to treatment in each category. Findings: A radiographer-led service can facilitate faster access to treatment than a clinical oncologist-led pathway for an appropriately selected patient caseload.

Patient communication prior to initial consultation for palliative radiotherapy.

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 30-30 ◽  
Author(s):  
Anna Paulsson ◽  
Steve E. Braunstein
Keyword(s):  
Radiation Therapy ◽  
Advanced Cancer ◽  
Radiation Treatment ◽  
Care Pathway ◽  
Palliative Radiotherapy ◽  
Patient Communication ◽  
Radiation Oncologist ◽  
Treatment Delivery ◽  
Patient Reported ◽  
Survey Results

30 Background: For patients undergoing radiation treatment for advanced cancer, coordination between multiple care teams is required. The radiation therapy care pathway is complex, with numerous components, including consultation, planning, treatment delivery, and follow up care. Fragmented care can result from suboptimal communication among referring providers and patients. Prior to initial consult with a radiation oncologist, many patients are unaware of the complex logistics, resulting in additional distress. We conducted a survey to determine how to improve communication to better prepare patients for radiation therapy. Methods: In a pilot project to address communication barriers for patients receiving radiotherapy, a brief 10-question multiple choice survey was developed to gather patient-reported data at the time of initial consultation for palliative or primary CNS radiation treatment. The survey addressed patient understanding of the indication, logistics, and expected outcomes and toxicity of radiotherapy. Results: Our preliminary data is gathered from 16 patients who filled out a survey at the time of consult. Of this group, 10 patients received palliative radiotherapy for advanced malignant disease. Ninety percent of patients were able to correctly identify the role of the radiation oncologist in cancer care. Only 30% demonstrated understanding of the logistics of radiotherapy, including details of planning and multisession treatment delivery. Several patients noted concerns about the logistics and expected efficacy of treatment. No patients were previously informed of the indication of radiotherapy for pain palliation. Conclusions: Initial survey results suggest that advanced cancer patients are often mis- or under-informed about their disease status and the indication of radiotherapy in treatment and palliation of symptoms. Improved communication with patients referred for radiation therapy consultation may alleviate their concerns and enable them to set appropriate expectations for subsequent radiotherapy, minimizing distress. Ongoing survey results will be utilized to identify opportunities to educate providers towards better patient communication.

Impact of dyspnea on advanced cancer patients referred to a palliative radiotherapy clinic

2017 ◽  
Vol 25 (9) ◽  
pp. 2691-2696 ◽  
Author(s):  
Leigha Rowbottom ◽  
Stephanie Chan ◽  
Liying Zhang ◽  
Rachel McDonald ◽  
Elizabeth Barnes ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Palliative Radiotherapy ◽  
Advanced Cancer Patients

Patients with Advanced Cancer: A Survey of the Understanding of Their Illness and Expectations from Palliative Radiotherapy for Symptomatic Metastases

2001 ◽  
Vol 13 (3) ◽  
pp. 204-208 ◽  
Author(s):  
E. Chow ◽  
L. Andersson ◽  
R. Wong ◽  
M. Vachon ◽  
G. Hruby ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Palliative Radiotherapy

The Incidence of DNR Documentation in Patients Referred for Palliative Radiotherapy in the Rapid Response Radiotherapy Program

2014 ◽  
Vol 17 (12) ◽  
pp. 1296-1297
Author(s):  
Natalie Pulenzas ◽  
Breanne Lechner ◽  
Liying Zhang ◽  
Nemica Thavarajah ◽  
Erin Wong ◽  
...  
Keyword(s):  
Palliative Radiotherapy ◽  
Rapid Response

scholarly journals Palliative radiotherapy in advanced cancer patients treated with immune‑checkpoint inhibitors: The PRACTICE study

2019 ◽  
Author(s):  
Melissa Bersanelli ◽  
Elisabetta Lattanzi ◽  
Nunziata D'Abbiero ◽  
Sebastiano Buti ◽  
Alessandro Leonetti ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Advanced Cancer ◽  
Immune Checkpoint ◽  
Immune Checkpoint Inhibitors ◽  
Checkpoint Inhibitors ◽  
Palliative Radiotherapy ◽  
Advanced Cancer Patients ◽  
Practice Study

An innovative rapid response radiotherapy program to reduce waiting time for palliative radiotherapy

2005 ◽  
Vol 14 (1) ◽  
pp. 38-43 ◽  
Author(s):  
C. Danjoux ◽  
E. Chow ◽  
A. Drossos ◽  
L. Holden ◽  
C. Hayter ◽  
...  
Keyword(s):  
Waiting Time ◽  
Palliative Radiotherapy ◽  
Rapid Response

Rapid response radiotherapy program — new approach of palliative radiotherapy delivery. It's efficiency in retrospective analysis

1999 ◽  
Vol 35 ◽  
pp. S363
Author(s):  
E. Szumacher ◽  
R. Wong ◽  
E. Chow ◽  
C. Danjoux ◽  
L. Andersson ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Palliative Radiotherapy ◽  
Rapid Response ◽  
New Approach
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