Palliative Radiotherapy In Advanced Cancer Of The Cervix

10.5580/2c2c ◽  
2012 ◽  
Vol 9 (1) ◽  
Keyword(s):  
Advanced Cancer ◽  
Palliative Radiotherapy ◽  
Cancer Of The Cervix

Pain, opioid use, and survival in hospitalized patients with advanced cancer.

1992 ◽  
Vol 10 (1) ◽  
pp. 149-155 ◽  
Author(s):  
F J Brescia ◽  
R K Portenoy ◽  
M Ryan ◽  
L Krasnoff ◽  
G Gray
Keyword(s):  
Advanced Cancer ◽  
Clinical Data ◽  
Severe Pain ◽  
Pain Severity ◽  
Opioid Use ◽  
Advanced Cancer Patients ◽  
Incurable Cancer ◽  
Wide Variability ◽  
Cancer Of The Cervix ◽  
Ongoing Assessment

PURPOSE Pain is a common and feared symptom for patients with incurable cancer. Comprehensive assessment provides the foundation for effective pain management, and data that clarify the relationship between pain and other relevant factors also facilitate this process. The main objective of the study was to develop a clinical data base for advanced cancer patients and to survey data to determine (1) pain severity at admission, (2) opioid use at admission, (3) change in opioid use during the hospital stay, and (4) survival in the hospital. PATIENTS AND METHODS Information was collected prospectively on 1,103 patients admitted and on 1,017 patients who died within 6 months of the study's end. Demographic and clinical data were recorded 72 hours after admission and soon after death or discharge. RESULTS Seventy-three percent of patients had pain at admission. Cancer of the cervix was frequently (68%) associated with severe pain, as were prostate (52%) and rectal/sigmoid tumors (49%). Severe pain was more probable in those with bone metastasis, those admitted from home, and in those younger than 55 years of age. The majority (71.7%) of patients had a stable dosing pattern, and only 4.2% of the patients required dose increases of at least 10% per day. CONCLUSION This study demonstrated the wide variability in opioid doses required. No reliable predictor of opioid requirement was identified, and this lack of predictability of cancer pain severity underscores the need for ongoing assessment.

Chemotherapy of advanced cancer of the cervix

1966 ◽  
Vol 94 (2) ◽  
pp. 208-213 ◽  
Author(s):  
Andrés S. Solidoro ◽  
Louis Esteves ◽  
Carlos Castellano ◽  
Eduardo Valdivia ◽  
Oscar Barriga
Keyword(s):  
Advanced Cancer ◽  
Cancer Of The Cervix

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
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