Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/21751
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dc.contributor.authorOng, Wee Loon-
dc.contributor.authorForoudi, Farshad-
dc.contributor.authorMilne, Roger L-
dc.contributor.authorMillar, Jeremy L-
dc.date2019-09-07-
dc.date.accessioned2019-09-16T04:32:24Z-
dc.date.available2019-09-16T04:32:24Z-
dc.date.issued2020-01-
dc.identifier.citationInternational Journal of Radiation Oncology, Biology, Physics 2020; 106(1): 61-66en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/21751-
dc.description.abstractTo evaluate the use of single-fraction palliative radiotherapy (SFRT) for the management of bone metastases (BM) in Victoria, Australia METHODS AND MATERIALS: This is a population-based cohort of cancer patients who received RT for BM between 2012 and 2017 as captured in the Victorian Radiotherapy Minimum Data Set (VRMDS). The primary outcome was proportion of SFRT use. The Cochrane-Armitage test for trend was used to evaluate changes in practice over time. Multivariable logistic regression was used to assess factors associated with SFRT use. Of the 18,158 courses of RT for BM delivered in a total of 10,956 patients, 17% were SFRT. There was no significant change in SFRT use over time, from 18% in 2012 to 19% in 2017 (P=0.07). SFRT was less commonly given to skull (4%) and spine (14%), compared to shoulder (37%) and ribs (53%). Patients with lung cancer (21%) were most likely to receive SFRT, followed by those with prostate cancers (18%) and gastrointestinal cancers (16%). Patients from regional/remote areas were more likely to have SFRT compared to those in major cities (22% vs. 16%, P<0.001). Patients treated in public institutions were more likely to have SFRT compared to those treated in private institutions (22% vs. 10%, P<0.001). In multivariable analyses, increasing age, lung cancer, living in regional/remote areas, and being treated in public institutions were factors independently associated with increased likelihood of receiving SFRT. SFRT appears under-utilized for BM in Australia over time, with variation in practice by patient, tumor, geographical and institutional provider factors.en_US
dc.language.isoeng-
dc.titleVariation in the use of single- versus multi-fractions palliative radiotherapy for bone metastases in Australia.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleInternational Journal of Radiation Oncology, Biology, Physicsen_US
dc.identifier.affiliationSchool of Clinical Medicine, University of Cambridge, UKen_US
dc.identifier.affiliationDepartment of Epidemiology and Preventive Medicine, Monash University, Australiaen_US
dc.identifier.affiliationCentral Clinical School, Monash University, Australiaen_US
dc.identifier.affiliationPrecision Medicine, School of Clinical Sciences, Monash Health, Monash University, Australiaen_US
dc.identifier.affiliationAlfred Health Radiation Oncology Services, Australiaen_US
dc.identifier.affiliationRadiation Oncologyen_US
dc.identifier.affiliationHealth and Biomedical Informatics Centre, The University of Melbourne, Australiaen_US
dc.identifier.affiliationCancer Epidemiology Division, Cancer Council Victoria, Australiaen_US
dc.identifier.affiliationCentre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Australiaen_US
dc.identifier.affiliationOlivia Newton-John Cancer Wellness and Research Centreen_US
dc.identifier.doi10.1016/j.ijrobp.2019.08.061en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0001-6657-7193en_US
dc.identifier.orcid0000-0001-8387-0965en_US
dc.identifier.pubmedid31505246-
dc.type.austinJournal Article-
local.name.researcherForoudi, Farshad
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptRadiation Oncology-
crisitem.author.deptOlivia Newton-John Cancer Wellness and Research Centre-
crisitem.author.deptOlivia Newton-John Cancer Wellness and Research Centre-
crisitem.author.deptRadiation Oncology-
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