Palliative Care
Conditions
Keywords
palliative care, radiotherapy, pain, quality of life, esophageal cancer
Brief summary
The study wants to define the efficacy of a short course 2D-radiation therapy in patients with symptomatic advanced esophageal cancer.
Detailed description
The study wants to define the efficacy of a short course accelerated 2D-radiation therapy delivered in twice daily fractions and 2 consecutive days for symptomatic palliation of advanced esophageal cancer.
Interventions
An accelerated hypo-fractionation 2D-radiotherapy is delivered for palliation in patients with advanced esophageal cancer.
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically proven advanced esophageal cancer * excluded from curative therapy because of disease stage and/or presence of multiple comorbidities and/or poor performance status * age \> 18 years * Eastern Cooperative Oncology Group (ECOG) \<3
Exclusion criteria
* prior radiotherapy to the same region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of symptoms [odynophagia, chest-back pain, dysphagia, regurgitation] | 1 year | Symptoms were graded using the IAEA scoring system. Values range from 0 (no symptom) to 4 (severe symptom). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events [Acute radiation toxicity] | 1 year | Acute toxicity after treatment is evaluated with the Radiation Therapy Oncology Group (RTOG) scale. Values range from 0 (no acute toxicity) to 4 (maximum acute toxicity). |
| Assessment of the Performance Status | 1 year | Performance Status after the treatment is evaluated according with the Eastern Cooperative Oncology Group (ECOG) score. Values range from 0 (better status) to 5 (worst status). |
| Assessment of the Overall Survival | 1 year | Overall Survival is evaluated from the end of radiotherapy to the last date of follow-up. It is calculated in months. |