دورية أكاديمية

Proton therapy in the palliative setting.

التفاصيل البيبلوغرافية
العنوان: Proton therapy in the palliative setting.
المؤلفون: Lubas MJ; Department of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA., Santos PMG; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Yerramilli D; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA., Simone CB 2nd; Department of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA; New York Proton Center, New York, NY, USA.
المصدر: Annals of palliative medicine [Ann Palliat Med] 2023 Nov; Vol. 12 (6), pp. 1331-1344. Date of Electronic Publication: 2023 Aug 04.
نوع المنشور: Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: AME Publishing Company Country of Publication: China NLM ID: 101585484 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2224-5839 (Electronic) Linking ISSN: 22245820 NLM ISO Abbreviation: Ann Palliat Med Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hong Kong : AME Publishing Company
مواضيع طبية MeSH: Proton Therapy* , Neoplasms*/radiotherapy, Adult ; Humans ; Retrospective Studies ; Quality of Life ; Prospective Studies
مستخلص: Given its sharp dose fall off and ability to spare healthy surrounding tissue, proton beam therapy (PBT) has traditionally been used to treat various types of malignancies in the definitive setting, with strong, empirical data supporting its utility and safety. In the palliative setting, however, photon therapy has generally remained the standard of care in radiation treatment delivery due to lower cost, and greater availability. However, recent data suggest that the use of PBT may provide benefit in terms of symptom management and disease control in patients with locally advanced or recurrent disease who do not qualify for definitive therapy or with metastatic disease. Additionally, due to its unique dosimetric properties, PBT may confer less overall toxicity, thus helping preserve or improve the quality of life in this patient population, especially for those who are nearing end of life. While there is a need for further study, initial data analyzed from both retrospective and prospective single-institution and multi-institution trials are promising. This review aims to explore the efficacy and safety of PBT in the palliative setting among adults and to summarize pertinent studies that support its usage. To the authors' knowledge, this is the first review of the literature pertaining to PBT used in the palliative setting across multiple disease sites.
فهرسة مساهمة: Keywords: End-of-life care; advanced modalities; palliative care; palliative radiation therapy; proton therapy
تواريخ الأحداث: Date Created: 20230813 Date Completed: 20231216 Latest Revision: 20231216
رمز التحديث: 20231217
DOI: 10.21037/apm-23-230
PMID: 37574582
قاعدة البيانات: MEDLINE
الوصف
تدمد:2224-5839
DOI:10.21037/apm-23-230