Radiation oncology in palliative cancer care / edited by Stephen Lutz, Edward Chow, Peter Hoskin.

Format:

Book

Contributor:

Lutz, Stephen.

Chow, Edward.

Hoskin, Peter J.

Language:

English

Subjects (All):

Tumors--Radiotherapy.

Tumors.

Palliative treatment.

Radiation--Oncology.

Radiation.

Radiotherapy.

Physical Description:

1 online resource (xxi, 376 pages) : illustrations

Edition:

1st ed.

Place of Publication:

Chichester, West Sussex : John Wiley & Sons, 2013.

Language Note:

English.

Summary:

"This textbook, Radiation Oncology in Palliative Cancer Care , represents the full evolution of radiation therapy, and of oncology in general. ( ... ) It] is an acknowledgment that palliative radiotherapy is now a sub-specialty of radiation oncology. This formally makes palliative radiotherapy a priority within patient care, academic research, quality assurance, and medical education." - From the Foreword by Nora Janjan, MD, MPSA, MBA, National Center for Policy Analysis, Dallas, TX, USA Palliative Medicine is the professional medical practice of prevention and relief of suffering and the support of the best possible quality of life for patients and their families, regardless of the stage of the disease or the need for other therapies. The most common cause for palliative care referral is terminal cancer, and a large proportion of those referrals include patients who will need palliative radiotherapy during the course of their disease. Still, there are barriers to coordinated care between radiation oncologists and palliative care physicians that differ from one country to another. Until now, one overarching limitation to appropriate concurrent care between the specialties across all countries has been the lack of a comprehensive yet concise reference resource that educates each of the specialties about the potential synergistic effects of their cooperation. This book fills that void. Radiation Oncology in Palliative Cancer Care Is the first book-length treatment of this important topic available on the market Is authored by world-renowned experts in radiation oncology and palliative medicine Uses a multidisciplinary approach to content and patient treatment Features decision trees for palliative radiotherapy based upon factors such as patient performance status and prognosis Pays careful attention to current best practices and controversies in the delivery of end-of-life cancer care This book is an important resource for practicing radiation oncologists and radiation oncologists in training, as well as hospice and palliative medicine physicians and nurses, medical oncologists, and geriatricians.

Contents:

Cover; Title page; Copyright page; Contents; Contributor list; Foreword; PART 1: General principles of radiation oncology; CHAPTER 1: A brief history of palliative radiation oncology; Introduction; The early years; Fractionation; Advances in radiotherapy technique: the 1950's and 1960's; Fractionation revisited: explicit palliation; Stereotactic radiotherapy; Prognostication and tailoring palliative radiotherapy to anticipated survival; Conclusion; References; CHAPTER 2: The radiobiology of palliative radiation oncology; Introduction; Radiation effect on cells

Direct and indirect effect of radiation Shape of the cell survival curves; Cell cycle characteristics; Interaction of cell cycle and radiotherapy fractionation; Radiotherapy fractionation characteristics; Conclusion; References; CHAPTER 3: The physics of radiation oncology; Introduction; The development of radiation therapy technology; The early understanding of radiation therapy; The development of teletherapy machines; The proliferation of linear accelerators; The advent of intensity modulated radiation therapy; Brachytherapy radiation

The impact of diagnostic improvements on radiotherapy delivery Process of radiation therapy; Simulation; Dosimetry; Initiation of therapy; Patient immobilization; Management of patients during treatment; Special considerations in developing countries; Conclusion; References; CHAPTER 4: Curative intent versus palliative intent radiation oncology; Introduction; The determination of cure plus palliation intent versus pure palliative intent; Clinical diagnoses; High grade glioma; Pancreatic and biliary tract cancer; Lung cancer; Esophageal cancer; Gynecologic malignancies; Genitourinary cancer

Gastric cancer Colorectal cancer; Advanced head and neck cancers; Special considerations in developing countries; Conclusion; References; CHAPTER 5: Side effects of palliative radiotherapy; Introduction; Issues with interpreting palliative radiotherapy toxicity data; Acute side effects; General; Fatigue; Hematologic; Skin and bone; Head and neck; Thorax; Abdomen and pelvis; Central nervous system (CNS); Late side effects; General; Fatigue; Skin and bone; Thorax; Abdomen and pelvis; Central nervous system; Second malignancies; Additive toxicity; Clinical advice; New technologies

Challenges in developing countries Conclusion; References; PART 2: General principles of palliation and symptom control; CHAPTER 6: A history of hospice and palliative medicine; Introduction; Before the modern movement; St. Christopher's and the modern hospice; Palliative care in the United States; Global development of hospice and palliative care; Continuing challenges; References; CHAPTER 7: Radiation therapy and hospice care; Introduction; Hospice care around the world; Hospice care in the United States; Prognosis; Plan of care (POC); Physician role; Places of care; Payment to the hospice

Palliative radiation and hospice

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

Description based on print version record.

ISBN:

1-118-48417-7

1-118-60715-5

1-299-38579-6

1-118-60716-3

OCLC:

831118299