SHORT-COURSE RADIOTHERAPY EFFECTIVE FOR BONE METASTASES.
RTOG researchers previously reported that breast and prostate cancer patients with painful bone metastases who received a single radiotherapy treatment of 8 Gy had the same pain relief and narcotic use three months after treatment as patients who received ten radiotherapy treatments each consisting of 2 Gy for a total of 30 Gy. They also found that patients who received the 8 Gy regimen reported in fewer side effects, although those patients did have to be retreated more often than patients who received the higher dose.
In order to evaluate the effectiveness of short course radiotherapy in patients with painful vertebral bone metastases the RTOG investigators examined a 235 patient subset of the 909 patients entered on the original study, RTOG 9714. The RTOG researchers found the short course to be equally effective as the longer course (8 Gy vs. 30 Gy) showing no statistically significant difference in pain relief [70% vs. 62%, p=3D0.59] or narcotic use [27% vs. 24%, p=3D0.76] at 3 months.
"It is exciting to confirm that we can provide the same amount of pain relief for patients suffering with vertebral bone metastases with only one visit to their radiation oncologist as we have been providing with ten visits," relates David D Howell, M.D., the lead author of the analysis from the University of Michigan School of Medicine in Ann Arbor. "With fewer side-effects and comparable pain relief, the single dose treatment is very much appreciated, especially for patients who have already completed one or more courses of treatment for their primary disease."
ASCO Abstract #9521, Randomized trial of short-course versus long-course radiotherapy for palliation of painful vertebral bone metastases: A retrospective analysis of RTOG 97-14, is available at http://www.abstract.asco.org/AbstView_65_31723.html.
Information about RTOG is available at http://www.rtog.org.
In addition to Dr. Howell, authors include: J. James, Radiation Therapy Oncology Group, Philadelphia, PA; W. F. Hartsell, Good Samaritan Cancer Center, Downers Grove, IL; M. Suntharalingam, University of Maryland, Baltimore, MD; M. Machtay, Thomas Jefferson University, Philadelphia, PA; J. H. Suh, Cleveland Clinic Foundation, Cleveland, OH; W. F. Demas, Akron City Hospital, Akron, OH; H. M. Sandler, Cedars-Sinai Health System, Los Angeles, CA; L. A. Kachnic, Boston Medical Center, Boston, MA; L. B. Berk, Moffitt Cancer Center, Tampa, FL. The research was funded by National Cancer Institute grants CA21661 and CA37422.
The Radiation Therapy Oncology Group (RTOG) is administered by the American College of Radiology (ACR), and located in the ACR Center for Clinical Research in Philadelphia, PA. RTOG is a multi-institutional international clinical cooperative group funded primarily by National Cancer Institute grants CA21661 and CA37422. RTOG has 40 years of experience in conducting clinical trials and is comprised of over 300 major research institutions in the United States, Canada, and internationally. The group currently is currently accruing to 40 studies that involve radiation therapy alone or in conjunction with surgery and/or chemotherapeutic drugs or which investigate quality of life issues and their effects on the cancer patient.
The American College of Radiology (ACR) is a national professional organization serving more than 32,000 radiologists, radiation oncologists, interventional radiologists and medical physicists with programs focusing on the practice of radiology and the delivery of comprehensive health care services.
For more information, visit http://www.acr.org or call 703/648-8936.
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|Date:||Jul 1, 2009|
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