Palliative radiotherapy with or without additional care by a multidisciplinary palliative care team in patients with newly diagnosed cancer: A retrospective matched pairs comparison

Autor: Ellinor Haukland, Bård Mannsåker, Carsten Nieder, Adam Pawinski, Kirsten Engljähringer, Astrid Dalhaug
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Adult
Male
medicine.medical_specialty
Palliative care
Multivariate analysis
Lung Neoplasms
medicine.medical_treatment
Matched-Pair Analysis
Bone Neoplasms
Quality of life
Palliative team
Internal medicine
Carcinoma
Non-Small-Cell Lung
medicine
Palliative radiotherapy
Humans
Radiology
Nuclear Medicine and imaging
Survival rate
Aged
Neoplasm Staging
Retrospective Studies
Aged
80 and over
Performance status
business.industry
Brain Neoplasms
VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762
Research
Cancer
Retrospective cohort study
Radiotherapy Dosage
Middle Aged
medicine.disease
Prognosis
Surgery
Radiation therapy
Survival Rate
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762
Oncology
Radiology Nuclear Medicine and imaging
Quality of Life
Female
business
Supportive care
Follow-Up Studies
Zdroj: Radiation Oncology (London, England)
Popis: License: Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) Purpose: To analyze survival after early palliative radiotherapy (RT) in patients managed exclusively by regular oncology staff or a multidisciplinary palliative care team (MPCT) in addition. Methods: Retrospective matched pairs analysis. Comparison of two groups of 29 patients each: MPCT versus none. Early RT started within three months after cancer diagnosis. Results: Bone and brain metastases were common RT targets. No significant differences in baseline characteristics were observed between both groups. Twelve patients in each group had non-small cell lung cancer. Median performance status was 2 in each group. Twenty-seven patients in each group had distant metastases. Median survival was not significantly different. In multivariate analysis, MPCT care was not associated with survival, while performance status and liver metastases were. Rate of radiotherapy during the last month of life was comparable. Only one patient in each group failed to complete radiotherapy. Conclusions: MPCT care was not associated with survival in these two matched groups of patients. The impact of MPCT care on other relevant endpoints such as symptom control, side effects and quality of life should be investigated prospectively.
Databáze: OpenAIRE
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