ArticleInternational journal of radiation oncology, biology, physics2014
Patterns of care among patients receiving radiation therapy for bone metastases at a large academic institution.
Article in International journal of radiation oncology, biology, physics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
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- Practice Patterns of Palliative Radiotherapy for Advanced Cancer at a Large Institute in Saudi Arabia.Palliative medicine reports · 2025Article
- Evaluation of the Clinical Utility of the Bone Metastases Ensemble Trees for Survival Decision Support Platform (BMETS-DSP): A Case-Based Pilot Assessment.JCO clinical cancer informatics · 2022Article
- Efficacy and Survival after Palliative Radiotherapy for Malignant Pulmonary Obstruction.Journal of palliative medicine · 2022Article
- Single-institution analysis of the prevalence, indications and outcomes of end-of-life radiotherapy.Clinical and translational radiation oncology · 2021Article
- A scoping review characterizing "Choosing Wisely®" recommendations for breast cancer management.Breast cancer research and treatment · 2021Article
- 30-Day Mortality Following Palliative Radiotherapy.Frontiers in oncology · 2021Article
- Frequency of Complicated Symptomatic Bone Metastasis Over a Breadth of Operational Definitions.International journal of radiation oncology, biology, physics · 2020Article
- Palliative radiotherapy near the end of life.BMC palliative care · 2019Article
- Are radiation oncologists following guidelines? An audit of practice in patients with uncomplicated bone metastases.Technical innovations & patient support in radiation oncology · 2019Article
- End of life care for glioblastoma patients at a large academic cancer center.Journal of neuro-oncology · 2017Article
- Oligometastatic prostate cancer: definitions, clinical outcomes, and treatment considerations.Nature reviews. Urology · 2017Review
- Influence of the treatment schedule on the physicians' decisions to refer bone metastases patients for palliative radiotherapy: a questionnaire survey of physicians in various specialties.Nagoya journal of medical science · 2016Article
- Utilization of palliative radiotherapy for bone metastases near end of life in a population-based cohort.BMC palliative care · 2016Article
- Radical Prostatectomy or External Beam Radiation Therapy vs No Local Therapy for Survival Benefit in Metastatic Prostate Cancer: A SEER-Medicare Analysis.The Journal of urology · 2015Article
- Palliative Radiotherapy for the Management of Metastatic Cancer: Bone Metastases, Spinal Cord Compression, and Brain Metastases.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2015Article
- International patterns of practice in radiotherapy for bone metastases: A review of the literature.Journal of bone oncology · 2014Review
- Impact of Performance Status and Comorbidity on Palliative Radiation Treatment Tolerance and End-Of-Life Decision-Making.Advances in radiation oncologyArticle
- Timing of Urgent Inpatient Palliative Radiation Therapy.Advances in radiation oncologyArticle
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6 authors.
Funding
Abstract
purposeThis study evaluates outcomes and patterns of care among patients receiving radiation therapy (RT) for bone metastases at a high-volume academic institution. METHODS AND MATERIALS: Records of all patients whose final RT course was for bone metastases from April 2007 to July 2012 were identified from electronic medical records. Chart review yielded demographic and clinical data. Rates of complicated versus uncomplicated bone metastases were not analyzed.
resultsWe identified 339 patients whose final RT course was for bone metastases. Of these, 52.2% were male; median age was 65 years old. The most common primary was non-small-cell lung cancer (29%). Most patients (83%) were prescribed ≤10 fractions; 8% received single-fraction RT. Most patients (52%) had a documented goals of care (GOC) discussion with their radiation oncologist; hospice referral rates were higher when patients had such discussions (66% with vs 50% without GOC discussion, P=.004). Median life expectancy after RT was 96 days. Median survival after RT was shorter based on inpatient as opposed to outpatient status at the time of consultation (35 vs 136 days, respectively, P<.001). Hospice referrals occurred for 56% of patients, with a median interval between completion of RT and hospice referral of 29 days and a median hospice stay of 22 days.
conclusionsThese data document excellent adherence to American Society for Radiation Oncolology Choosing Wisely recommendation to avoid routinely using >10 fractions of palliative RT for bone metastasis. Nonetheless, single-fraction RT remains relatively uncommon. Participating in GOC discussions with a radiation oncologist is associated with higher rates of hospice referral. Inpatient status at consultation is associated with short survival.
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