Journal of the American College of Radiology
Volume 5, Issue 11 , Pages 1102-1105 , November 2008

The Influence of the Newly Formed Hospice and Palliative Medicine Subspecialty on Radiation Oncology and End-of-Life Care

  • Stephen Lutz, MD

      Affiliations

    • Department of Radiation Oncology, Blanchard Valley Regional Cancer Center, Findlay, Ohio
    • Corresponding Author InformationStephen Lutz, MD, Blanchard Valley Regional Cancer Center, Department of Radiation Oncology, 15990 Medical Drive South, Findlay, OH, 45840
    • ,
  • Dale Lupu, PhD

      Affiliations

    • American Academy of Hospice and Palliative Medicine, Glenview, Illinois
    • ,
  • Peter Johnstone, MD

      Affiliations

    • Department of Radiation Oncology, Indiana University, Indianapolis, Indiana
    • ,
  • David D. Howell, MD

      Affiliations

    • Department of Radiation Oncology, University of Michigan and Morey Cancer Center, Mount Pleasant, Michigan
    • ,
  • Nora Janjan, MD, MPSA, MBA

      Affiliations

    • Department of Radiation Oncology, M.D. Anderson Cancer Center, Houston, Texas

References 

  1. American Academy of Hospice and Palliative Medicine. History and future of board certification. http://www.aahpm.org/certification/overview.htmlAccessed June 28, 2008
  2. Allen J. The English hospice in Rome. Leominster, United Kingdom: Gracewing; 2005;
  3. National Hospice and Palliative Care Organization. History of hospice care. http://www.nhpco.org/i4a/pages/index.cfm?pageid=3285Accessed June 3, 2008
  4. National Hospice and Palliative Care Organization. NHPCO facts and figures: hospice care in America. http://www.nhpco.org/files/public/Statistics_Research/NHPCO_facts-and-figures_Nov2007.pdfAccessed June 3, 2008
  5. National Consensus Project for Quality Palliative Care. Clinical practice guidelines for quality palliative care. http://www.nationalconsensusproject.orgAccessed June 3, 2008
  6. Coia L, Hanks G, Martz K, et al. Practice patterns of palliative care for the United States 1984-1985. Int J Radiat Oncol Biol Phys. 1988;14:1261–1269
  7. Janjan N. Palliative radiotherapy: cost, utilization, and efficacy. Presented at: National meeting of the American Society for Therapeutic Radiology and Oncology; Salt Lake City, Utah; October 21 2003;
  8. Wu JSY, Wong R, Johnston M, et al. Meta-analysis of dose-fractionation radiotherapy trials for the palliation of painful bone metastasis. Int J Radiat Oncol Biol Phys. 2003;55:594–605
  9. Hartsell W, Scott C, Bruner D, et al. Randomized trial of short- versus long-course radiotherapy for palliation of bone metastases. J Natl Cancer Inst. 2005;97:798–804
  10. Roos D, Turner S, O'Brien P, et al. Randomized trial of 8 Gy in 1 versus 20 Gy in 5 fractions of radiotherapy for neuropathic pain due to bone metastases (Trans-Tasman Radiation Oncology Group, TROG 96.05). Radiothera Oncol. 2005;75:54–63
  11. Van den Hout W, van der Linden Y, Steenland E, et al. Single- versus multiple-fraction radiotherapy in patients with painful bone metastases: cost utility analysis based on a randomized trial. J Natl Cancer Inst. 2003;95:222–229
  12. Lutz S, Kerr M, Chow E, Connor S. An economic analysis of single fraction radiotherapy for treatment of hospice patients with symptomatic bone metastasis. J Clin Oncol. 2004;22:14S
  13. Konski A. Radiotherapy is a cost-effective palliative treatment for patients with bone metastasis from prostate cancer. Int J Radiat Oncol Biol Phys. 2004;60:1373–1378
  14. Macklis R, Cornelli H, Lasher J. Brief course of palliative radiotherapy for metastatic bone pain: a pilot cost-minimization comparison with narcotic analgesics. Am J Clin Oncol. 1998;21:617–622
  15. Janjan N. An emerging respect for palliative care in radiation oncology. J Pall Med. 1988;1:83–88
  16. Lutz S, Chow E, Hartsell W, Konski A. A review of hypofractionated palliative radiotherapy. Cancer. 2007;109:1462–1470
  17. Lutz S, Spence C, Chow E, et al. Survey on utilization of palliative radiotherapy in hospice care. J Clin Oncol. 2004;22:3581–3586
  18. Lutz S, Ashworth J, Spence C, Connor S. The use of radiotherapy in hospice patients: a population-based study from the National Hospice Outcomes Project. J Clin Oncol. 2005;23:8074
  19. McCloskey S, Tao M, Rose C, Fink A, Amadeo A. National survey of perspectives of palliative radiation therapy: role, barriers, and needs. Cancer J. 2007;13:130–137

PII: S1546-1440(08)00330-X

doi: 10.1016/j.jacr.2008.06.015

Journal of the American College of Radiology
Volume 5, Issue 11 , Pages 1102-1105 , November 2008

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