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Impacts of Radiation Therapy on Quality of Life and Pain Relief in Patients with Bone Metastases

Overview
Journal World J Orthop
Specialty Orthopedics
Date 2024 Sep 25
PMID 39318492
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Abstract

Bone metastases (BM) are a common complication in advanced cancer patients, significantly contributing to morbidity and mortality due to their ability to cause pain, fractures, and spinal cord compression. Radiation therapy (RT) is vital in managing these complications by targeting metastatic lesions to ease pain, improve mobility, and reduce the risk of skeletal-related events such as fractures. Evidence supports the effectiveness of RT in pain relief, showing its ability to provide significant palliation and lessen the need for opioid painkillers, thereby enhancing the overall quality of life (QoL) for patients with BM. However, optimizing RT outcomes involves considerations such as the choice of radiation technique, dose fractionation schedules, and the integration of supportive care measures to mitigate treatment-related side effects like fatigue and skin reactions. These factors highlight the importance of personalized treatment planning tailored to individual patient needs and tumor characteristics. This mini-review aims to provide comprehensive insights into the multifaceted impacts of RT on pain management and QoL enhancement in BM patients, with implications for refining clinical practices and advancing patient care through the synthesis of findings from various studies.

References
1.
Colosia A, Njue A, Bajwa Z, Dragon E, Robinson R, Sheffield K . The Burden of Metastatic Cancer-Induced Bone Pain: A Narrative Review. J Pain Res. 2022; 15:3399-3412. PMC: 9617513. DOI: 10.2147/JPR.S371337. View

2.
Epstein A, Prigerson H, OReilly E, Maciejewski P . Discussions of Life Expectancy and Changes in Illness Understanding in Patients With Advanced Cancer. J Clin Oncol. 2016; 34(20):2398-403. PMC: 4981977. DOI: 10.1200/JCO.2015.63.6696. View

3.
Ise M, Nakata E, Katayama Y, Hamada M, Kunisada T, Fujiwara T . Prevalence of Psychological Distress and Its Risk Factors in Patients with Primary Bone and Soft Tissue Tumors. Healthcare (Basel). 2021; 9(5). PMC: 8151264. DOI: 10.3390/healthcare9050566. View

4.
Burgess L, Nguyen E, Tseng C, Guckenberger M, Lo S, Zhang B . Practice and principles of stereotactic body radiation therapy for spine and non-spine bone metastases. Clin Transl Radiat Oncol. 2024; 45:100716. PMC: 10788412. DOI: 10.1016/j.ctro.2023.100716. View

5.
van de Haar J, Hoes L, Coles C, Seamon K, Frohling S, Jager D . Caring for patients with cancer in the COVID-19 era. Nat Med. 2020; 26(5):665-671. DOI: 10.1038/s41591-020-0874-8. View