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. 2022 Oct;30(10):8339-8347.
doi: 10.1007/s00520-022-07246-5. Epub 2022 Jul 22.

Comprehensive assessment during palliative radiotherapy consultation optimizes supportive care for patients with advanced breast cancer

Jordan Hill #  1 , Mohannad Alhumaid #  1 , Sunita Ghosh  2 , Alexander Le  3 , Sharon M Watanabe  3   4 , Alysa Fairchild  5   6
Affiliations

Comprehensive assessment during palliative radiotherapy consultation optimizes supportive care for patients with advanced breast cancer

Jordan Hill et al. Support Care Cancer. 2022 Oct.

Abstract

Purpose: Palliative radiotherapy (PRT) in advanced cancer improves symptom control and quality of life. PRT consultations take place in various clinical settings, including through dedicated rapid access clinics. We examined holistic assessment and PRT delivery by consultation setting.

Methods: We analyzed patients with breast cancer who died (01/04/2013-31/03/2014), after at least one lifetime PRT consultation. Data abstracted included Karnofsky Performance Status (KPS), Edmonton Symptom Assessment System Revised (ESAS-r) ratings, and PRT timelines. Descriptive statistics, t tests of proportions, independent t tests, and chi-square tests were calculated.

Results: One hundred thirty patients were assessed for PRT over 224 consults, 28/224 (12.5%) in the rapid access clinic. In non-rapid access versus rapid access visits, KPS was documented in 30.1% versus 89.3%, and medication history in 53.6% versus 96.4%, respectively (both p < 0.0001). Baseline ESAS-r scores were available for 67.9% of rapid access visits, versus no non-rapid access visit. Rapid access consults had a higher proportion of subsequent supportive care referrals (46.4% versus 8.2%; p < 0.0001). Same day PRT start occurred in 37% of rapid access versus 23.4% of non-rapid access visits (p = 0.13).

Conclusions: Assessment for PRT by a dedicated multidisciplinary team provides a comprehensive picture of patient needs and streamlines PRT delivery, essential to personalizing supportive care.

Keywords: Multidisciplinary; Palliative radiotherapy; Rapid access; Supportive care.

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References

    1. 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%3c1518::aid-cncr21... - DOI - PubMed
    1. 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.2015.6.2.5 - DOI - PubMed - PMC
    1. 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.2016.09.006 - DOI
    1. Casson C, Round G, Johnson J (2014) Implementation and evaluation of a rapid access palliative clinic in a New Zealand cancer centre. J Med Rad Sci 61:217–224. https://doi.org/10.1002/jmrs.84 - DOI
    1. Shorthouse A, Johnston N, Francis K, Stevens C. (2014) Initial operation of a multidisciplinary palliative radiotherapy rapid access clinic. J Med Imag Radiat Oncol 146, Abstr

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