Compass Oncology, 265 North Broadway Street, Portland, OR 97227, USA.
Inpatient Oncology, Department of Hematology/Oncology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Hematol Oncol Clin North Am. 2020 Feb;34(1):253-277. doi: 10.1016/j.hoc.2019.09.009. Epub 2019 Oct 28.
Palliative radiotherapy is an effective treatment in alleviating many symptoms of advanced cancer. Short courses of radiotherapy provide rapid symptom relief and minimize impact on patients. Patients referred for palliative radiotherapy have many concerns beyond radiotherapy; often, these concerns are not fully addressed in traditional radiotherapy clinics. Discussions of prognosis, patient goals, and concerns are areas for improved collaboration. Innovative, dedicated palliative radiotherapy programs have developed over the past 20 years to provide holistic care to patients referred for palliative radiotherapy and have improved patient-focused outcomes. Advanced radiotherapy techniques may provide opportunities to further improve palliative radiotherapy outcomes.
姑息性放疗是缓解晚期癌症多种症状的有效治疗手段。短程放疗能迅速缓解症状,对患者的影响最小化。接受姑息性放疗的患者除了放疗之外还有许多担忧;通常,这些担忧在传统的放疗诊所中并没有得到充分解决。对预后、患者目标和担忧的讨论是需要改进协作的领域。在过去的 20 年中,创新性的、专门的姑息性放疗项目已经发展起来,为接受姑息性放疗的患者提供全面的护理,并改善了以患者为中心的治疗效果。先进的放疗技术可能为进一步改善姑息性放疗结果提供机会。