BACKGROUND: To evaluate bone metastases patients' compliance to radiation treatment planning, using transdermal fentanyl as pre-medication. PATIENTS AND METHODS: Bone metastases patients with uncontrolled pain were enrolled. Fentanyl was delivered a week before the treatment simulation. Primary end point was the evaluation of the patients' com- pliance to positioning set-up on the simulator's couch. An evaluation of quality of life was secondary end point. RESULTS: From March to December 2002 were enrolled 42 patients. During the treatment simulation 39/42 patients maintained the set-up position established by the physician. At the end of treatment, and 40 days after, both pain score and quality of life index ameliorated. CONCLUSIONS: This study seems to demonstrate that an adequate pain control before simulation enhance the patients' compliance to the treatment set-up.
Treatment Planning in Patients with Bone Metastases. Final Results of a Prospective Study using Pre-medication with Fentanyl to improve Irradiation Reproducibility
Stefano Pergolizzi;Giuseppe Iati'
;
2006-01-01
Abstract
BACKGROUND: To evaluate bone metastases patients' compliance to radiation treatment planning, using transdermal fentanyl as pre-medication. PATIENTS AND METHODS: Bone metastases patients with uncontrolled pain were enrolled. Fentanyl was delivered a week before the treatment simulation. Primary end point was the evaluation of the patients' com- pliance to positioning set-up on the simulator's couch. An evaluation of quality of life was secondary end point. RESULTS: From March to December 2002 were enrolled 42 patients. During the treatment simulation 39/42 patients maintained the set-up position established by the physician. At the end of treatment, and 40 days after, both pain score and quality of life index ameliorated. CONCLUSIONS: This study seems to demonstrate that an adequate pain control before simulation enhance the patients' compliance to the treatment set-up.Pubblicazioni consigliate
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