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- Title
Therapeutic guidelines for the treatment of bone metastasis: a report from the American College of Radiology Appropriateness Criteria Expert Panel on Radiation Oncology.
- Authors
Janjan, Nora; Lutz, Stephen T; Bedwinek, John M; Hartsell, William F; Ng, Andrea; Pieters, Richard S, Jr; Ratanatharathorn, Vaneerat; Silberstein, Edward B; Taub, Robert J; Yasko, Alan W; Rettenmaier, Andrew; American College of Radiology
- Abstract
Bone metastases remain a therapeutic challenge because of the diversity of the problems they cause, the relative paucity of data regarding their treatment, and the necessity for management by a multidisciplinary palliative care team. The American College of Radiology convened an Appropriateness Criteria Expert Panel on Radiation Oncology for the treatment of bone metastasis to create representative clinical case scenarios and then rank the appropriate use of treatment modalities as well as the most reasonable radiotherapy dose schema and treatment planning methods. Here we present both the resulting Appropriateness Criteria and the rationale for making these decisions. The treatment recommendations are placed within the larger framework of the role of radiation in palliative care by discussing the efficiency of palliative radiotherapy schedules, cost effectiveness issues, and the need for additional research regarding the proper multidisciplinary care of patients with symptomatic bone metastasis.
- Publication
Journal of palliative medicine, 2009, Vol 12, Issue 5, p417
- ISSN
1557-7740
- Publication type
Journal Article
- DOI
10.1089/jpm.2009.9633