Impacts of radiation therapy on quality of life and pain relief in patients with bone metastases.

IF 2 Q2 ORTHOPEDICS World Journal of Orthopedics Pub Date : 2024-09-18 DOI:10.5312/wjo.v15.i9.841
Armin Hoveidaei, Mehdi Karimi, Vida Khalafi, Patrick Fazeli, Amir Human Hoveidaei
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Abstract

Bone metastases (BM) are a common complication in advanced cancer patients, significantly contributing to morbidity and mortality due to their ability to cause pain, fractures, and spinal cord compression. Radiation therapy (RT) is vital in managing these complications by targeting metastatic lesions to ease pain, improve mobility, and reduce the risk of skeletal-related events such as fractures. Evidence supports the effectiveness of RT in pain relief, showing its ability to provide significant palliation and lessen the need for opioid painkillers, thereby enhancing the overall quality of life (QoL) for patients with BM. However, optimizing RT outcomes involves considerations such as the choice of radiation technique, dose fractionation schedules, and the integration of supportive care measures to mitigate treatment-related side effects like fatigue and skin reactions. These factors highlight the importance of personalized treatment planning tailored to individual patient needs and tumor characteristics. This mini-review aims to provide comprehensive insights into the multifaceted impacts of RT on pain management and QoL enhancement in BM patients, with implications for refining clinical practices and advancing patient care through the synthesis of findings from various studies.

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放疗对骨转移患者生活质量和疼痛缓解的影响。
骨转移瘤(BM)是晚期癌症患者的常见并发症,由于其能够引起疼痛、骨折和脊髓压迫,因此大大增加了患者的发病率和死亡率。放射治疗(RT)在控制这些并发症方面至关重要,它以转移病灶为靶点,缓解疼痛,改善活动能力,降低骨折等骨骼相关事件的风险。有证据支持 RT 在缓解疼痛方面的有效性,表明 RT 能够显著缓解疼痛并减少对阿片类止痛药的需求,从而提高 BM 患者的整体生活质量(QoL)。然而,要优化 RT 的疗效,还需要考虑放射技术的选择、剂量分次计划,以及整合支持性护理措施以减轻疲劳和皮肤反应等治疗相关副作用。这些因素凸显了根据患者个体需求和肿瘤特征制定个性化治疗计划的重要性。这篇微型综述旨在通过综合各项研究的结果,全面深入地探讨 RT 对 BM 患者疼痛管理和 QoL 改善的多方面影响,并对完善临床实践和促进患者护理具有重要意义。
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CiteScore
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814
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