Comparison of two multifraction radiotherapy schedules in management of painful bone metastases: A single institution prospective study
| Autor: | Vivek Tiwari, O P Singh, R Jamre, Abhishek Shrivastava, HU Ghori |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment India Pain Bone Neoplasms Disease Quality of life medicine Humans Pain Management Prospective Studies Single institution Prospective cohort study Aged Pain Measurement Aged 80 and over business.industry Palliative Care Dose-Response Relationship Radiation Radiotherapy Dosage General Medicine Middle Aged Radiation therapy Exact test Treatment Outcome Disease Progression Quality of Life Female Observational study Dose Fractionation Radiation Health Facilities Radiology Complication business |
| Zdroj: | Nigerian Journal of Clinical Practice. 22:1539 |
| ISSN: | 1119-3077 |
| DOI: | 10.4103/njcp.njcp_387_18 |
| Popis: | Metastatic disease of bone is a common complication of most of the advanced malignancies. The majority of patients with bone metastases (BM) experience pain during their disease course and pain control can significantly improve their quality of life. Radiotherapy (RT) is an important modality in the management of BM and different schedules are followed worldwide.The aim of this study was to compare two multi-fractionated RT regimens (30Gy in 10 fractions and 20Gy in 5 fractions) with respect to the patient's performance, response and pain score in palliative management of painful BM.This prospective observational study was undertaken between October 2015 and September 2017 at a government medical college in central India. Two fractionation regimens (30 Gy/10 fractions and 20 Gy/5 fractions) were used to treat 50 patients with painful BM (n = 25 in each arm). Patients were treated on telecobalt machine and response assessment done in terms of complete/partial/intermediate response and pain progression. Assessment was performed at one, two and three months post treatment. Statistical analysis was done using Fisher's exact test, student t-test and Chi-square test. A value of P0.05 was considered significant.There were 9 males (36%) and 16 females (64%) in arm A, and 15 males (60%) and 10 females (40%) in arm B. The median age was 47.50 years (range 28-81 years) in arm A and 54 years (range 34-85 years) in arm B. There was no statistically significant difference between the two groups in terms of pain palliation at a 1 month (p = 0.73), 2 month (p = 0.75) or 3 month (p = 0.71) follow up. In addition, the mean performance scores at the end of 3A shorter treatment schedule (5 fractions) was equally efficacious as the standard schedule (10 fractions) in our setting. With the advantage of shorter overall treatment time and avoidance of re-irradiation, this schedule may be favourable for high volume centres. |
| Databáze: | OpenAIRE |
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