nach oben

Supportive Care in Cancer

Erschienen in:

01.09.2023 | Research

Prevalence of palliative radiotherapy abstracts presented at the annual scientific meetings of the Canadian Association of Radiation Oncology: 2003–2021

verfasst von: Saveen Sidhoo, Sunita Ghosh, Elizabeth A. Barnes, Julie Cuartero, Alysa Fairchild

Erschienen in: Supportive Care in Cancer | Ausgabe 9/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Approximately half of all radiotherapy (RT) is delivered with palliative intent. Clinical research in palliative RT aims to manage symptoms, improve quality of life (QoL), evaluate supportive care, and determine optimal dose-fractionation schedules. Our aim was to describe the prevalence of palliative research at the Canadian Association of Radiation Oncology (CARO) Annual Scientific Meeting (ASM) over time and compare this analysis to previously published work which evaluated the years 1992–2002.

Methods

Published abstracts (2003–2021) were independently reviewed by two authors who categorized each as curative-intent; palliative-intent; pertaining to both populations; or neither. Abstracts were considered palliative if they described incurable malignancy and interventions primarily for symptom control or QoL. Type of study, primary, site treated, and symptoms palliated were recorded. Descriptive and summary statistics were calculated including one-way ANOVA test for trend.

Results

Three hundred thirty-nine out of 4566 abstracts (7.4%, range 2.4–13.9% per year) were classified as palliative. 7.7% (26/339) described phase I–III trials. The main primary site was the lung (39/339) and the most common metastatic site was the bone (34.2%). QoL, symptom and toxicity outcomes were reported in 31.6% (107/339), 37.8% (128/339) and 17.7% (60/339), respectively. The most common symptom investigated was pain (38/339). The proportion of abstracts classified as curative, palliative or reporting toxicity endpoints demonstrated significant change over time (all p<0.0001).

Conclusion

While proportion of palliative themed abstracts has increased with time, there remains a significant gap before equivalence with the prevalence of palliative RT in clinical practice is achieved.

Sweeney C, Beattie-Palmer L, Palmer JL, Bruera E (2001) Changing patterns of symptom control and palliative care paper presentations at the Annual Meeting of the American Society of Clinical Oncology. JCO 19(14):3438–3442. https://doi.org/10.1200/JCO.2001.19.14.3438CrossRef

Whelan T, Mohide E, Willan A et al (1997) The supportive care needs of newly diagnosed cancer patients attending a regional cancer centre. Cancer 80(8):1518–1524. https://doi.org/10.1002/(sici)1097-0142(19971015)80:8<1518::aid-cncr21>3.0.co;2-7CrossRefPubMed

Komurcu S, Nelson K, Walsh D et al (2000) Common symptoms in advanced cancer. Semin Oncol 27:24–33PubMed

Gorman D, Balboni T, Taylor A, Krishnan M (2015) The supportive and palliative radiation oncology service: a dedicated model for palliative radiation oncology care. J Adv Pract Oncol 6(2):135–140. https://doi.org/10.6004/jadpro.2015.6.2.5CrossRefPubMedPubMedCentral

Shi D, DiGiovanni J, Skamene S et al (2018) Patterns of symptom control and palliative care-focused original research articles in the International Journal of Radiation Oncology, Biology, Physics, and the Radiotherapy and Oncology journal, 2005-2014. Ann Palliat Med 7(2):249–255. https://doi.org/10.21037/apm.2018.02.01CrossRefPubMed

Hill J, Alhumaid M, Ghosh S, Le A, Watanabe S, Fairchild A (2022) Comprehensive assessment during palliative radiotherapy consultation optimizes supportive care for patients with advanced breast cancer. Supp Care Cancer 30(10):8339–8347. https://doi.org/10.1007/s00520-022-07246-5CrossRef

Stavas M, Pagan J, Varma S et al (2017) Building a palliative radiation oncology program: from bedside to BED. Pract Rad Onc 7:203–208. https://doi.org/10.1016/j.prro.2016.09.006CrossRef

Barnes EA, Palmer JL, Bruera E (2002) Prevalence of symptom control and palliative care abstracts presented at the annual meeting of the America Society for Therapeutic Radiology and Oncology. Int J Radiat Oncol Biol Phys 54(1):211–214. https://doi.org/10.1016/s0360-3016(02)02919-xCrossRefPubMed

Parker G, LeBaron V, Krishnan M et al (2017) Burden of palliative care issues encountered by radiation oncologists caring for patients with advanced cancer. Pract Rad Onc 7:E517–E524. https://doi.org/10.1016/j.prro.2017.05.005CrossRef

10.

SCOPE Steering Committee and Sub-Committees (2002) Report of the American Society for Therapeutic Radiology and Oncology Working Group on the scope of Radiation Oncology. Int J Radiat Oncol Biol Phys 54:317–326. https://doi.org/10.1016/s0360-3016(02)03745-8CrossRef

11.

Benstead K, Lara P, Andreopoulos D et al (2019) Recommended ESTRO core curriculum for Radiation Oncology/Radiotherapy 4^th Edition. Radiother Oncol 141:1–4. https://doi.org/10.1016/j.radonc.2019.08.013CrossRefPubMed

12.

Lam T, Tseng Y (2019) Defining the radiation oncologist’s role in palliative care and radiotherapy. Ann Palliat Med 8(3):246–263. https://doi.org/10.21037/apm.2018.10.02CrossRefPubMed

13.

Fitzpatrick C, Javor J, Zywine C, Job M, Gram V (2020) Advancing roles of healthcare professionals in palliative radiotherapy. Clin Oncol 32:753–757. https://doi.org/10.1016/j.clon.2020.07.024CrossRef

14.

Barnes EA, DeBoer G, Chow E (2004) Symptom control and palliative care content of abstracts presented at the Canadian Association of Radiation Oncologists annual meetings. Support Care Cancer 12:91–94. https://doi.org/10.1007/s00520-003-0564-3CrossRefPubMed

15.

Jones J, Lutz S (2011) Trends in symptom control and palliative care abstracts at ASTRO 2001 to 2010. Int J Radiat Oncol biol Phys 81(2 Suppl):S645. https://doi.org/10.1016/j.ijrobp.2011.06.1905. (Abstr 2907)CrossRef

16.

Cuartero J, Fairchild A, Ghosh S, Barnes E (2009) Symptom control and quality of life abstracts presented at Canadian Association of Radiation Oncology annual meetings: 2003-2008. Radiother Oncol 92(Suppl 2):S47, Abstr 147. https://doi.org/10.1016/S0167-8140(12)72534-3CrossRef

17.

Dennis K, Harris G, Kamel R et al (2020) Rapid access palliative radiotherapy programs. Clin Oncol 32(11):704–712. https://doi.org/10.1016/j.clon.2020.08.002CrossRef

18.

Canadian Cancer Statistics Advisory Committee. Canadian Cancer Statistics 2021, Toronto ON. Canadian Cancer Society (2021) URL: https://cdn.cancer.ca/-/media/files/research/cancer-statistics/2021-statistics/2021-pdf-en-final.pdf?rev=2b9d2be7a2d34c1dab6a01c6b0a6a32d&hash=01DE85401DBF0217F8B64F2B7DF43986&_gl=1*t9jw4v*_ga*MTg3ODEzNjg5Mi4xNjY3NjU2OTI3*_ga_23YMKBE2C3*MTY2NzY1NjkyOS4xLjEuMTY2NzY1Njk0My40Ni4wLjA. Accessed 5 Nov 2022.

19.

Berman R, Davies A, Cooksley T et al (2020) Supportive care: an indispensable component of modern oncology. Clin Oncol 32:781–788. https://doi.org/10.1016/j.clon.2020.07.020CrossRef

20.

Lo Presti G, Roncador M, Biggiogero M et al (2020) Radiation oncologists role, training and perceptions in palliative care: a systematic review. Rep Pract Oncol Radiother 25:939–942. https://doi.org/10.1016/j.rpor.2020.09.007CrossRefPubMedPubMedCentral

21.

Von Roenn JH, Scheinberg D, Loehrer P (2002) Role of symptom control and palliative care abstract presentations. JCO 20:880–882. https://doi.org/10.1200/JCO.2002.20.3.880CrossRef

22.

Roos D, Job M, Holt T (2022) Establishing a palliative Advanced Practice Radiation Therapist role: a viable alternative to a Rapid Access Palliative Radiation Therapy clinic in Australia. J Med Imag Radiat Oncol 66:117–128. https://doi.org/10.1111/1754-9485.13332CrossRef

Titel: Prevalence of palliative radiotherapy abstracts presented at the annual scientific meetings of the Canadian Association of Radiation Oncology: 2003–2021
verfasst von: Saveen Sidhoo
Sunita Ghosh
Elizabeth A. Barnes
Julie Cuartero
Alysa Fairchild
Publikationsdatum: 01.09.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 9/2023
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-023-07937-7

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Prevalence of palliative radiotherapy abstracts presented at the annual scientific meetings of the Canadian Association of Radiation Oncology: 2003–2021

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet Onkologie

Alter verschlechtert Prognose bei Endometriumkarzinom

Darf man die Behandlung eines Neonazis ablehnen?

Erhöhte Mortalität bei postpartalem Brustkrebs

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

Update Onkologie

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2023

“Chemobrain” in childhood cancer survivors—the impact on social, academic, and daily living skills: a qualitative systematic review

Mepitel film for the prevention and treatment of acute radiation dermatitis in breast cancer: a systematic review and meta-analysis of randomized controlled trials

Effects of exercise on immune cells with tumor-specific activity in breast cancer patients and survivors: a systematic review and meta-analysis

Habitual physical activity modulates cardiometabolic health in long-term testicular cancer survivors

Exploring motivations for participating in research among Australian women with advanced gynaecological cancer: a qualitative study

Staff experiences of the use of virtual consultations in non-surgical oncology systemic anticancer therapy services

Neu im Fachgebiet Onkologie

Alter verschlechtert Prognose bei Endometriumkarzinom

Darf man die Behandlung eines Neonazis ablehnen?

Erhöhte Mortalität bei postpartalem Brustkrebs

Hypertherme Chemotherapie bietet Chance auf Blasenerhalt

Update Onkologie