Pain relief and quality of life following radiotherapy for bone metastases: a randomised trial of two fractionation schedules.
Radiother Oncol
; 45(2): 109-16, 1997 Nov.
Article
en En
| MEDLINE
| ID: mdl-9423999
ABSTRACT
BACKGROUND:
The optimum dose and fractionation schedule for the palliative irradiation of painful bone metastases is controversial.PURPOSE:
To compare the efficacy, side-effects and effect on quality of life of two commonly used radiotherapy schedules in the management of painful bone metastases. MATERIALS ANDMETHODS:
In a prospective trial, 280 patients were randomised to receive either a single 10 Gy treatment or a course of 22.5 Gy in five daily fractions for the relief of localised metastatic bone pain.RESULTS:
Response rates have been calculated from 240 assessable treated sites of pain. The overall response rates were 83.7% (single treatment) and 89.2% (five fractions). The complete response rates were 38.8% (single treatment) and 42.3% (five fractions). The median duration of pain control was 13.5 weeks (single treatment) and 14.0 weeks (five fractions). None of these differences was statistically significant. There were no differences between the groups in the effect of treatment on a variety of quality of life parameters.CONCLUSIONS:
It is concluded that a single 10 Gy treatment is as effective as a course of 22.5 Gy in five fractions in the management of painful bone metastases.
Buscar en Google
Bases de datos:
MEDLINE
Asunto principal:
Cuidados Paliativos
/
Calidad de Vida
/
Neoplasias Óseas
/
Radioterapia de Alta Energía
Tipo de estudio:
Clinical_trials
/
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Radiother Oncol
Año:
1997
Tipo del documento:
Article
País de afiliación:
Reino Unido