Rapid Access Palliative Radiotherapy Programmes

被引:27
作者
Dennis, K. [1 ,2 ]
Harris, G. [3 ]
Kamel, R. [1 ]
Barnes, T. [4 ]
Balboni, T. [5 ,6 ,7 ,8 ]
Fenton, P. [9 ]
Rembielak, A. [10 ]
机构
[1] Ottawa Hosp, Div Radiat Oncol, Ottawa, ON K1H 8L6, Canada
[2] Univ Ottawa, Ottawa, ON K1H 8L6, Canada
[3] Chris OBrien Lifehouse, Dept Radiat Oncol, Camperdown, NSW, Australia
[4] Univ Toronto, Odette Canc Ctr, Sunnybrook Hlth Sci Ctr, Dept Radiat Oncol, Toronto, ON, Canada
[5] Dana Farber Canc Inst, Dept Radiat Oncol, Boston, MA 02115 USA
[6] Dana Farber Canc Inst, Dept Psychosocial Oncol, Boston, MA 02115 USA
[7] Dana Farber Canc Inst, Dept Palliat Care, Boston, MA 02115 USA
[8] Harvard Med Sch, Boston, MA 02115 USA
[9] Univ Hosp Southampton NHS Fdn Trust, Dept Radiotherapy, Southampton, Hants, England
[10] Christie NHS Fdn Trust, Manchester, Lancs, England
关键词
hospice care; palliative care; radiation oncology; radiotherapy; rapid access; SPECIALIST RADIATION THERAPIST; CONE-BEAM CT; REFERRING PHYSICIANS; CARE; PATIENT; PATTERNS; MODEL; SATISFACTION; TOMOTHERAPY; DELIVERY;
D O I
10.1016/j.clon.2020.08.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
One of the greatest successes of radiotherapy has been its ability to palliate symptoms from advanced and metastatic cancers. Unfortunately, patients face barriers to accessing care and the demand for treatment is rising. Rapid access palliative radiotherapy programmes were created in response to these concerns, and over time they have proliferated and succeeded internationally. This narrative review provides an overview of programmes that have published their experiences, and discusses how they have improved access to care, increased evidence-based practice, met the needs of vulnerable populations, advanced the roles of multidisciplinary team members, collaborated across medical specialties, educated trainees and referring physicians, and developed new treatment platforms using advanced technologies. (C) 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:704 / 712
页数:9
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