Radioterapia paliativa pediátrica

• Alcaide, Carlos ^[2] ; Osuna-Marco, Marta ^[2] ; Villa-Alcázar, Marta ^[2] ; Cárdenas-Rebollo, José Miguel ^[1] ; Herrero-Velasco, Blanca ^[3] ; Alonso-Gutiérrez, Rosa ^[4] ; López-Ibor, Blanca ^[2]
  1. [1] Universidad CEU San Pablo

     Universidad CEU San Pablo

     Madrid, España

     
  2. [2] Servicio de Oncohematología Pediátrica. HM Hospitales
  3. [3] Servicio de Oncohematología Pediátrica. Hospital Niño Jesús
  4. [4] Servicio de Oncología Radioterápica. HM Hospitales

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• Localización: Medicina paliativa, ISSN 1134-248X, Vol. 29, Nº. 3, 2022, págs. 152-161
• Idioma: español
• DOI: 10.20986/medpal.2022.1299/2021
• Títulos paralelos:
  • Pediatric palliative radiotherapy
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• Resumen
  • español

    Introducción: La radioterapia es un recurso infrautilizado en los cuidados paliativos pediátricos; sin embargo, tiene utilidad para aliviar diversos síntomas al fi nal de la vida.

    Pacientes y métodos: Se muestra un estudio retrospectivo de 30 pacientes pediátricos que han recibido radioterapia por motivos paliativos. El objetivo fue revisar si la radioterapia resultó efectiva.

    Resultados: La radioterapia fue útil para aliviar los síntomas, mostrando una respuesta global en el 85 % de los casos y presentando toxicidades leves. Las respuestas más pobres fueron en gliomas con alivio sintomático en el 56 % de los casos, mostrando toxicidades en el 89 % de los mismos. La necesidad de anestesia supuso un factor de riesgo para el desarrollo de toxicidades.

    Conclusiones: El uso de la radioterapia paliativa es benefi ciosa y debe incluirse en el manejo multidisciplinar del niño en cuidados paliativos.

  • English

    Introduction: Radiotherapy is an underutilized resource in pediatric palliative care; however, it has utility in relieving various symptoms at the end of life.

    Patients and methods: A retrospective study of 30 pediatric patients who received radiotherapy for palliative reasons is reported. The objective was to review whether radiotherapy was effective.

    Results: Radiotherapy was useful in relieving symptoms, showing an overall response in 85 % of cases and presenting mild toxicities. The poorest responses were found in gliomas, with symptomatic relief in 56 % of cases, showing toxicities in 89 % of cases. The need for anesthesia represented risk factor for the development of toxicities.

    Conclusions: The use of palliative radiotherapy is beneficial and should be included in the multidisciplinary management of children in palliative care.

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