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Related Experiment Video

Updated: Apr 27, 2026

Author Spotlight: Improving Radiation Therapy Access with Radiation Planning Assistant
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Palliative Radiotherapy with or without Additional Care by a Multidisciplinary Palliative Care Team: A Retrospective

Carsten Nieder1, Kent Angelo2, Astrid Dalhaug1

  • 1Department of Oncology and Palliative Medicine, Nordland Hospital, 8092 Bodø, Norway ; Institute of Clinical Medicine, Faculty of Health Sciences, University of Tromsø, 9037 Tromsø, Norway.

ISRN Oncology
|July 10, 2014
PubMed
Summary

Multidisciplinary palliative care teams (MPCT) may improve radiotherapy completion rates in cancer patients. While not impacting survival, MPCT care was associated with more referrals for younger, female patients with poorer performance status.

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Area of Science:

  • Oncology
  • Palliative Care
  • Radiotherapy

Background:

  • Palliative radiotherapy (RT) is crucial for symptom management in cancer patients.
  • Integrating multidisciplinary palliative care teams (MPCT) may optimize patient care.
  • Patterns of care and outcomes for patients receiving RT with or without MPCT support are not well-defined.

Purpose of the Study:

  • To compare patterns of care and survival in patients receiving palliative radiotherapy (RT).
  • To evaluate the impact of multidisciplinary palliative care team (MPCT) involvement versus standard oncology care.
  • To identify differences in patient characteristics and treatment approaches between the two groups.

Main Methods:

  • Retrospective analysis of 522 palliative radiotherapy courses.
  • Comparison between patients managed with MPCT and those without.
  • Multivariate analysis to adjust for confounding factors.

Main Results:

  • MPCT care was more common in female patients (<65 years) and those with poor performance status or liver metastases.
  • Steroid and opioid use was significantly higher in the MPCT group.
  • While median survival was shorter in the MPCT group (3.9 vs. 6.9 months), MPCT care was not independently associated with survival but reduced the likelihood of incomplete RT by 33%.

Conclusions:

  • Referral patterns and care characteristics differ between MPCT and standard care groups.
  • MPCT care may reduce the likelihood of incomplete radiotherapy.
  • Further research is needed to investigate MPCT's impact on symptom control and develop objective referral criteria.