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Palliative radiation oncology programs: improving value through high-quality and cost-effective care
Andrew R Bruggeman1, Jared R Robbins2, Eric M Chang3
1Department of Radiation Oncology, Douglas & Nancy Barnhart Cancer Center, Sharp Chula Vista Medical Center, Chula Vista, CA, USA.
Annals of Palliative Medicine
|June 13, 2025
Summary
Palliative radiation oncology programs (PROPs) improve care for patients receiving non-curative radiation therapy. These programs enhance patient satisfaction, reduce costs, and ensure guideline-concordant care.
Area of Science:
- Oncology
- Palliative Care
- Health Services Research
Background:
- Approximately 40% of radiation treatments are non-curative.
- Early integration of palliative care services benefits patients receiving non-curative radiation therapy.
Purpose of the Study:
- To outline the development and benefits of Palliative Radiation Oncology Programs (PROPs).
- To discuss elements for establishing sustainable PROPs.
- To highlight the value and cost-effectiveness of PROPs.
Main Methods:
- PROPs integrate palliative care principles into radiation oncology.
- Sustainable PROPs require institutional commitment, standardized pathways, and collaboration.
- PROPs involve dedicated infrastructure and resources.
Main Results:
- PROPs improve timely access to care and patient/provider satisfaction.
- PROPs advance guideline-concordant care and standardize palliative needs assessment.
- PROPs reduce hospital stays and healthcare costs.
Conclusions:
- PROPs are valuable for patients with advanced cancer and the healthcare system.
- Despite not being widely adopted, PROPs demonstrate significant benefits.
- Establishing sustainable PROPs is crucial for optimizing palliative radiation therapy.
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