• Sarah Campos, Roseanna Presutti, Liying Zhang, Nadia Salvo, Amanda Hird, May Tsao, Elizabeth A Barnes, Cyril Danjoux, Arjun Sahgal, Gunita Mitera, Emily Sinclair, Carlo DeAngelis, Janet Nguyen, Julie Napolskikh, and Edward Chow.
• Rapid Response Radiotherapy Program, Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
• Int. J. Radiat. Oncol. Biol. Phys. 2010 Apr 1; 76 (5): 1500-6.

PurposeTo investigate the efficacy of palliative radiotherapy (RT) in relieving metastatic bone pain in elderly patients.Methods And MaterialsThe response to RT for palliation of metastatic bone pain was evaluated from a prospective database of 558 patients between 1999 and 2008. The pain scores and analgesic intake were used to calculate the response according to the International Bone Metastases Consensus Working Party palliative RT endpoints. Subgroup analyses for age and other demographic information were performed.ResultsNo significant difference was found in the response rate in patients aged >or=65, >or=70, and >or=75 years compared with younger patients at 1, 2, or 3 months after RT. The response was found to be significantly related to the performance status.ConclusionAge alone did not affect the response to palliative RT for bone metastases. Elderly patients should be referred for palliative RT for their painful bone metastases, regardless of age, because they receive equal benefit from the treatment.

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