2017 Palliative and Supportive Care in Oncology Symposium

As the number of patients receiving immune checkpoint blockade grows, the combination of radiation and immunotherapy has become increasingly relevant, particularly in the palliative care setting, where radiation is used to treat painful lesions, brain metastases, or isolated progression.
The prevalence of fatigue is very high across the cancer continuum, with approximately 60% of advanced cancer patients experiencing this condition.
Immunotherapy has changed the landscape of oncology, particularly in advanced metastatic disease, where the chance of prolonged remission is now measured in years or even into the early decades in some cancers.
In patients undergoing radiation therapy for painful bone metastases, results from a multicenter randomized trial suggest that pain management education may reduce pain intensity. According to data presented at the 2017 Palliative and Supportive Care in Oncology Symposium, controlled pain, which was defined as a pain score lower than 5 (out of 10), was reached faster and by more patients with the addition of nurse-led pain education compared with standard of care. However, no significant differences were found between the groups in quality of life.
A recent survey by Consumer Reports shows that nearly 90% of Americans would prefer to die at home, focused on comfort, and yet, two-thirds of Americans over the age of 65 years end up dying in a healthcare setting, intubated, and in considerable pain.

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