Palliative Care Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Unit of Biostatistics and Clinical Trials, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Support Care Cancer. 2023 Feb 21;31(3):174. doi: 10.1007/s00520-023-07584-y.
On the basis of substantial evidence demonstrate that palliative care combined with standard care improves patient, caregiver, and society outcomes, we have developed a new healthcare model called radiotherapy and palliative care (RaP) outpatient clinic were a radiation oncologist and a palliative care physician make a joint evaluation of advanced cancer patients.
We performed a monocentric observational cohort study on advanced cancer patients referred for evaluation at the RaP outpatient clinic. Measures of quality of care were carried out.
Between April 2016 and April 2018, 287 joint evaluations were performed and 260 patients were evaluated. The primary tumor was lung in 31.9% of cases. One hundred fifty (52.3%) evaluations resulted in an indication for palliative radiotherapy treatment. In 57.6% of cases was used a single dose fraction of radiotherapy (8 Gy). All the irradiated cohort completed the palliative radiotherapy treatment. An 8% of irradiated patients received the palliative radiotherapy treatment in the last 30 days of life. A total of 80% of RaP patients received palliative care assistance until the end of life.
At the first descriptive analysis, the radiotherapy and palliative care model seem to respond to the need of multidisciplinary approach in order to obtain an improvement on quality of care for advanced cancer patients.
大量证据表明，姑息治疗与标准治疗相结合可以改善患者、护理人员和社会的结局。在此基础上，我们开发了一种新的医疗保健模式，称为放疗和姑息治疗（RaP）门诊，放射肿瘤学家和姑息治疗医生对晚期癌症患者进行联合评估。
我们对在 RaP 门诊接受评估的晚期癌症患者进行了一项单中心观察性队列研究。进行了护理质量评估。
2016 年 4 月至 2018 年 4 月期间，进行了 287 次联合评估，评估了 260 例患者。原发性肿瘤为肺癌的占 31.9%。150 例（52.3%）评估结果表明有姑息性放疗治疗指征。57.6%的病例采用单次剂量分割放疗（8Gy）。所有接受放疗的患者均完成了姑息性放疗治疗。在 8%的放疗患者中，在生命的最后 30 天内接受了姑息性放疗治疗。80%的 RaP 患者接受姑息治疗，直至生命结束。
首次描述性分析显示，放疗和姑息治疗模式似乎满足了多学科方法的需求，以提高晚期癌症患者的护理质量。
