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Text
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URL Address
<a href="http://doi.org/10.1016/j.radonc.2017.10.006" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.radonc.2017.10.006</a>
Pages
541–546
Issue
3
Volume
126
Dublin Core
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Title
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Gender and age make no difference in the re-irradiation of painful bone metastases: A secondary analysis of the NCIC CTG SC.20 randomized trial.
Publisher
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Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Date
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2018
2018-03
Subject
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*Age; *Bone metastases; *Gender; *Pain response; *Quality of life; *Radiotherapy; *Re-irradiation; Age Factors; Aged; Bone Neoplasms/physiopathology/*radiotherapy/*secondary; Cancer Pain/etiology/*radiotherapy; Female; Humans; Male; Middle Aged; Pain Measurement; Palliative Care/methods/statistics & numerical data; Patient Reported Outcome Measures; Physicians'/*statistics & numerical data; Practice Patterns; Quality of Life; Re-Irradiation; Sex Factors
Creator
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Chow Ronald; Ding Keyue; Ganesh Vithusha; Meyer Ralph M; van der Linden Yvette M; Roos Daniel; Hartsell William F; Hoskin Peter; Wu Jackson S Y; Nabid Abdenour; van Acht Manouk; Wanders Rinus; Babington Scott; Demas William F; Wilson Carolyn F; Wong Rebecca K S; Brundage Michael; Zhu Liting; Chow Edward
Description
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BACKGROUND AND PURPOSE: Patient's gender and age may influence physicians in prescribing palliative radiotherapy. The purpose of this secondary analysis of the National Cancer Institute of Canada Clinical Trials Group Symptom Control Trial SC.20 was to explore the gender and age differences in pain and patient reported outcomes in cancer patients with bone metastases undergoing re-irradiation. MATERIALS AND METHODS: Response to radiation was evaluated using the International Bone Metastases Consensus Endpoint Definitions. Patients completed the Brief Pain Inventory (BPI) and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (C30) before and 2months after re-irradiation. RESULTS: A total of 847 patients were analyzed. At baseline, men had more dyspnea, and mild pain. Older patients consumed less analgesic. More women reported clinically significant improvement in mood and enjoyment of life in the BPI after radiation. Similarly, younger patients reported better improvement in enjoyment of life. There were no significant gender or age differences in overall survival, response to radiation, or in C30 scores at 2months. CONCLUSION: Similar benefit in terms of pain relief was observed across all patient groups. Cancer patients with bone metastases should be offered palliative re-irradiation irrespective of gender or age. TRIAL REGISTRATION: NCT00080912; https://clinicaltrials.gov/ct2/show/NCT00080912.
Identifier
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<a href="http://doi.org/10.1016/j.radonc.2017.10.006" target="_blank" rel="noreferrer noopener">10.1016/j.radonc.2017.10.006</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Age
*Bone metastases
*Gender
*Pain response
*Quality of Life
*Radiotherapy
*Re-irradiation
2018
Age Factors
Aged
Babington Scott
Bone Neoplasms/physiopathology/*radiotherapy/*secondary
Brundage Michael
Cancer Pain/etiology/*radiotherapy
Chow Edward
Chow Ronald
Demas William F
Ding Keyue
Female
Ganesh Vithusha
Hartsell William F
Hoskin Peter
Humans
Male
Meyer Ralph M
Middle Aged
Nabid Abdenour
Pain Measurement
Palliative Care/methods/statistics & numerical data
Patient Reported Outcome Measures
Physicians'/*statistics & numerical data
Practice Patterns
Quality of Life
Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Re-irradiation
Roos Daniel
Sex Factors
van Acht Manouk
van der Linden Yvette M
Wanders Rinus
Wilson Carolyn F
Wong Rebecca K S
Wu Jackson S Y
Zhu Liting