Cancer Metastatic
Conditions
Keywords
Cancer Patients Hospice Care, Palliative Radiation Therapy
Brief summary
Feasibility study to report on the impact of ACCESS of single-fraction radiation therapy on cancer patients with bone metastases enrolled in hospice care.
Detailed description
Hospice care for terminally ill patients with metastatic cancer improves quality of life, pain control, and potentially also survival when patients are enrolled early.1-3 However, hospice programs are often seen by patients and their caregivers as the last resort after exhaustion of all effective treatment options. The need to revoke active treatment (for all hospice patients with cancer outside of the VA system) discourages hospice enrollment. This study aims to understand and analyze barriers to access specifically for short course palliative radiation therapy in cancer patients enrolled in hospice.
Interventions
All subjects will be undergo single-fraction palliative radiation therapy who have cancer and associated bone metastases and symptomatic bone pain.
Sponsors
Study design
Eligibility
Inclusion criteria
* Solid Tumor Malignancies and Multiple Myeloma with Bone Metastases and Associated Bone Pain Enrolled in Hospice
Exclusion criteria
* Decisionally-Impaired Subjects, Pregnant Women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Opioid Use for Pain Management | Through study completion, an average of 1 year | Opioid Dosage (mg/day) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improved Quality of Life Measures | During study completion | Questionnaires using Herth Hope Index, Timed Up and Go, and Edmonton Symptom Assessment Scale |
| Improved Activities of Daily Living | During study completion | Questionnaires using Hearth Hope Index, Timed Up and Go, and Edmonton Symptom Assessment Scale |
Countries
United States