Compassionate Same-Day Evaluation & Delivery of XRT for Bony Metastasis in Hospice Patients

Feasibility of a Compassionate Same-Day Evaluation and Delivery of Single Fraction Radiotherapy for Palliation of Symptomatic Bony Metastasis in Hospice Patients

This is a survey study to evaluate the feasibility and effectiveness of an affordable, $400 flat rate, same-day consultation, simulation, and delivery of a single fraction of palliative radiation therapy for patients with symptomatic bony metastatic disease who are currently enrolled in hospice. Treatment planning and delivery of palliative radiotherapy will utilize "standard of care" techniques.

Inclusion Criteria:

• Symptomatic osseous bone lesion(s) from any malignancy, whether primary of metastatic, with histological confirmation of malignancy.
• Currently enrolled in hospice and referred for single fraction palliative radiotherapy.
• Performance status (to be evaluated by the radiation oncologist), Karnofsky Performance Scale ≥ 20 or ECOG Performance Scale < 5 .
• Ability to understand and willingness to sign a written informed consent document

Exclusion Criteria:

• Pregnancy.
• Unable to understand English.
• Unable to complete forms with assistance.
• Concurrent enrollment in a study of pain management involving medications or devices.