Quality of life after palliative radiotherapy in bone metastases: A literature review

被引:54
作者
McDonald, Rachel [1 ]
Chow, Edward [1 ]
Rowbottom, Leigha [1 ]
Bedard, Gillian [1 ]
Lam, Henry [1 ]
Wong, Erin [1 ]
Popovic, Marko [1 ]
Pulenzas, Natalie [1 ]
Tsao, May [1 ]
机构
[1] Univ Toronto, Sunnybrook Hlth Sci Ctr, Odette Canc Ctr, Rapid Response Radiotherapy Program,Dept Radiat O, Toronto, ON, Canada
关键词
Quality of life; Radiation therapy; Bone metastases; Advanced cancer; HALF-BODY IRRADIATION; RADIATION-THERAPY; RANDOMIZED-TRIAL; CANCER-PATIENTS; PAIN RELIEF; DISEASE; WIDESPREAD;
D O I
10.1016/j.jbo.2014.11.001
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: To investigate the quality of life (QOL) following palliative radiotherapy for painful bone metastases. Methods: A literature search was conducted in OvidSP Medline (1946-jan Week 4 2014), Embase (1947 Week 5 2014), and the Cochrane Central Register of Controlled Trials (Dec 2013) databases. The search was limited to English. Subject headings and keywords included 'palliative radiation', 'cancer palliative therapy', 'bone metastases', 'quality of life', and 'pain'. All studies (prospective or retrospective) reporting change in QOL before and after palliative radiotherapy for painful bone metastases were included. Results: Eighteen articles were selected from a total of 1730. The most commonly used tool to evaluate QOL was the Brief Pain Inventory. Seventeen studies collected data prospectively. An improvement in symptoms and functional interference scores following radiotherapy was observed in all studies. The difference in changes in QOL between responders and non responders was inconsistently reported. Conclusion: QOL improves in patients who respond to palliative radiotherapy for painful bone metastases. (C) 2014 The Authors. Published by Elsevier GmbH.
引用
收藏
页码:24 / 31
页数:8
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