緩和ケアと医学

抽象的な

Improving the Quality of Palliative Radiotherapy: A Literature Review

Simoff Michael

Palliative radiotherapy (PRT) is recognized for its efficacy in relieving cancer-related symptoms. However, the implementation of PRT faces various barriers that hinder its widespread use and may impact patient support during treatment. This literature review aims to provide a concise summary of potential solutions to overcome these barriers and enhance the quality of PRT. Proposed strategies include specialized training for supportive and palliative care specialists in PRT and palliative care training for radiation oncologists. Additionally, the introduction of dedicated pathways and organizational models for PRT is suggested. While evidence on innovative organizational models and training experiences remains limited, existing studies highlight the advantages of integrating PRT with supportive therapies. To actively contribute to this integration and better meet the needs of patients with advanced cancer, radiation oncologists should not only plan PRT but also assess and manage symptoms, rapidly refer patients to specialists for complex symptoms, and collaborate in multidisciplinary palliative care teams. Therefore, comprehensive education in palliative care during residency and continuous medical education is crucial. Adequate training for radiotherapy residents, including formal teaching, interactive methods, and exposure to palliative care services, should be incorporated into post-graduate radiotherapy schools.