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Consensus statement on palliative lung radiotherapy: third international consensus workshop on palliative radiotherapy and symptom control.

Publication ,  Journal Article
Rodrigues, G; Macbeth, F; Burmeister, B; Kelly, K-L; Bezjak, A; Langer, C; Hahn, C; Movsas, B
Published in: Clin Lung Cancer
January 2012

The purpose of this work is to disseminate a consensus statement on palliative radiotherapy (RT) of lung cancer created in conjunction with the Third International Lung Cancer Consensus Workshop. The palliative lung RT workshop committee agreed on 5 questions relating to (1) patient selection, (2) thoracic external-beam radiation therapy (XRT) fractionation, (3) endobronchial brachytherapy (EBB), (4) concurrent chemotherapy (CC), and (5) palliative endpoint definitions. A PubMed search for primary/cross-referenced practice guidelines, consensus statements, meta-analyses, and/or systematic reviews was conducted. Final consensus statements were created after review and discussion of the available evidence. The following summary statements reflect the consensus of the international working group. 1. Key factors involved in the decision to deliver palliative RT include performance status, tumor stage, pulmonary function, XRT volume, symptomatology, weight loss, and patient preference. 2. Palliative thoracic XRT is generally indicated for patients with stage IV disease with current/impending symptoms and for patients with stage III disease treated for palliative intent. 3. There is no evidence to routinely recommend EBB alone or in conjunction with other palliative maneuvers in the initial palliative management of endobronchial obstruction resulting from lung cancer. 4. There is currently no evidence to routinely recommend CC with palliative-intent RT. 5. Standard assessment of symptoms and health-related quality of life (QOL) using validated questionnaires should be carried out in palliative RT lung cancer trials. Despite an expanding literature, continued prospective randomized investigations to better define the role of XRT, EBB, and CC in the context of thoracic palliation of patients with lung cancer is needed.

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Published In

Clin Lung Cancer

DOI

EISSN

1938-0690

Publication Date

January 2012

Volume

13

Issue

1

Start / End Page

1 / 5

Location

United States

Related Subject Headings

  • Palliative Care
  • Oncology & Carcinogenesis
  • Lung Neoplasms
  • International Agencies
  • Humans
  • Consensus
  • Brachytherapy
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
  • 1112 Oncology and Carcinogenesis
 

Citation

APA
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Rodrigues, G., Macbeth, F., Burmeister, B., Kelly, K.-L., Bezjak, A., Langer, C., … Movsas, B. (2012). Consensus statement on palliative lung radiotherapy: third international consensus workshop on palliative radiotherapy and symptom control. Clin Lung Cancer, 13(1), 1–5. https://doi.org/10.1016/j.cllc.2011.04.004
Rodrigues, George, Fergus Macbeth, Bryan Burmeister, Karie-Lynn Kelly, Andrea Bezjak, Corey Langer, Carol Hahn, and Benjamin Movsas. “Consensus statement on palliative lung radiotherapy: third international consensus workshop on palliative radiotherapy and symptom control.Clin Lung Cancer 13, no. 1 (January 2012): 1–5. https://doi.org/10.1016/j.cllc.2011.04.004.
Rodrigues G, Macbeth F, Burmeister B, Kelly K-L, Bezjak A, Langer C, et al. Consensus statement on palliative lung radiotherapy: third international consensus workshop on palliative radiotherapy and symptom control. Clin Lung Cancer. 2012 Jan;13(1):1–5.
Rodrigues, George, et al. “Consensus statement on palliative lung radiotherapy: third international consensus workshop on palliative radiotherapy and symptom control.Clin Lung Cancer, vol. 13, no. 1, Jan. 2012, pp. 1–5. Pubmed, doi:10.1016/j.cllc.2011.04.004.
Rodrigues G, Macbeth F, Burmeister B, Kelly K-L, Bezjak A, Langer C, Hahn C, Movsas B. Consensus statement on palliative lung radiotherapy: third international consensus workshop on palliative radiotherapy and symptom control. Clin Lung Cancer. 2012 Jan;13(1):1–5.
Journal cover image

Published In

Clin Lung Cancer

DOI

EISSN

1938-0690

Publication Date

January 2012

Volume

13

Issue

1

Start / End Page

1 / 5

Location

United States

Related Subject Headings

  • Palliative Care
  • Oncology & Carcinogenesis
  • Lung Neoplasms
  • International Agencies
  • Humans
  • Consensus
  • Brachytherapy
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
  • 1112 Oncology and Carcinogenesis