• Edward Chow, Peter Hoskin, Gunita Mitera, Liang Zeng, Stephen Lutz, Daniel Roos, Carol Hahn, Yvette van der Linden, William Hartsell, Eshwar Kumar, and International Bone Metastases Consensus Working Party.
• Department of Radiation Oncology, Odette Cancer Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada. Edward.Chow@sunnybrook.ca
• Int. J. Radiat. Oncol. Biol. Phys. 2012 Apr 1;82(5):1730-7.

PurposeTo update the international consensus on palliative radiotherapy endpoints for future clinical trials in bone metastases by surveying international experts regarding previous uncertainties within the 2002 consensus, changes that may be necessary based on practice pattern changes and research findings since that time.Methods And MaterialsA two-phase survey was used to determine revisions and new additions to the 2002 consensus. A total of 49 experts from the American Society for Radiation Oncology, the European Society for Therapeutic Radiology and Oncology, the Faculty of Radiation Oncology of the Royal Australian and New Zealand College of Radiologists, and the Canadian Association of Radiation Oncology who are directly involved in the care of patients with bone metastases participated in this survey.ResultsConsensus was established in areas involving response definitions, eligibility criteria for future trials, reirradiation, changes in systemic therapy, radiation techniques, parameters at follow-up, and timing of assessments.ConclusionAn outline for trials in bone metastases was updated based on survey and consensus. Investigators leading trials in bone metastases are encouraged to adopt the revised guideline to promote consistent reporting. Areas for future research were identified. It is intended for the consensus to be re-examined in the future on a regular basis.Copyright © 2012 Elsevier Inc. All rights reserved.

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