Treatment strategies in advanced and metastatic cancer: Differences in attitude between the USA, Canada and Europe
Six-hundred and forty four radiation therapists from 21 European countries, Canada, and the USA responded to a questionnaire regarding the management of three cases of advanced cancer. The cases were a 64-year-old man with brain metastases from small cell carcinoma of the lung; a 64-year-old woman w...
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| Veröffentlicht in: | International journal of radiation oncology, biology, physics biology, physics, 1992, Vol.23 (1), p.239-244 |
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| container_end_page | 244 |
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| container_title | International journal of radiation oncology, biology, physics |
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| creator | Maher, E.J. Coia, L. Duncan, G. Lawton, P.A. |
| description | Six-hundred and forty four radiation therapists from 21 European countries, Canada, and the USA responded to a questionnaire regarding the management of three cases of advanced cancer. The cases were a 64-year-old man with brain metastases from small cell carcinoma of the lung; a 64-year-old woman with bone metastases from carcinoma of the breast and a 59-year-old man with squamous cell carcinoma of the bronchus and mediastinal nodes. There was variation as to the perceived prognosis and appropriate aims of therapy, particularly for the case of squamous cell carcinoma of the bronchus. The total dose and number of fractions could be related to the perceived aims and expectations of treatment, for example, those aiming to extend life gave higher doses of radiotherapy and those aiming only to relieve symptoms gave lower. Similarly, those describing treatment as radical and estimating longer survival gave higher doses and more fractions than those treating pallatively. Variations in the role of the radiation oncologist in the management of advanced and metastatic cancer in the USA, Canada and Europe are discussed. |
| doi_str_mv | 10.1016/0360-3016(92)90568-3 |
| format | Article |
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The cases were a 64-year-old man with brain metastases from small cell carcinoma of the lung; a 64-year-old woman with bone metastases from carcinoma of the breast and a 59-year-old man with squamous cell carcinoma of the bronchus and mediastinal nodes. There was variation as to the perceived prognosis and appropriate aims of therapy, particularly for the case of squamous cell carcinoma of the bronchus. The total dose and number of fractions could be related to the perceived aims and expectations of treatment, for example, those aiming to extend life gave higher doses of radiotherapy and those aiming only to relieve symptoms gave lower. Similarly, those describing treatment as radical and estimating longer survival gave higher doses and more fractions than those treating pallatively. 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The cases were a 64-year-old man with brain metastases from small cell carcinoma of the lung; a 64-year-old woman with bone metastases from carcinoma of the breast and a 59-year-old man with squamous cell carcinoma of the bronchus and mediastinal nodes. There was variation as to the perceived prognosis and appropriate aims of therapy, particularly for the case of squamous cell carcinoma of the bronchus. The total dose and number of fractions could be related to the perceived aims and expectations of treatment, for example, those aiming to extend life gave higher doses of radiotherapy and those aiming only to relieve symptoms gave lower. Similarly, those describing treatment as radical and estimating longer survival gave higher doses and more fractions than those treating pallatively. Variations in the role of the radiation oncologist in the management of advanced and metastatic cancer in the USA, Canada and Europe are discussed.</description><subject>Advanced cancer</subject><subject>Attitude of Health Personnel</subject><subject>Biological and medical sciences</subject><subject>Canada</subject><subject>Consensus management</subject><subject>Europe</subject><subject>Humans</subject><subject>Medical Oncology</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Neoplasm Metastasis</subject><subject>Neoplasms - radiotherapy</subject><subject>Palliative</subject><subject>Radical treatment strategies</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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| ispartof | International journal of radiation oncology, biology, physics, 1992, Vol.23 (1), p.239-244 |
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| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Advanced cancer Attitude of Health Personnel Biological and medical sciences Canada Consensus management Europe Humans Medical Oncology Medical sciences Miscellaneous Neoplasm Metastasis Neoplasms - radiotherapy Palliative Radical treatment strategies Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Surveys and Questionnaires United States |
| title | Treatment strategies in advanced and metastatic cancer: Differences in attitude between the USA, Canada and Europe |
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