Radiotherapy combined with daily escitalopram in patients with painful bone metastasis: clinical evaluation and quality of life measurements.

作者: Anna Zygogianni , Nikolaos Kelekis , Ioanna Kantzou , Maria Tolia , Vassilis Kouloulias

DOI:

关键词: Bone metastasisEscitalopramRadiation therapySurgerySerotonin inhibitorDepression (differential diagnoses)Neuropathic painPain scaleQuality of lifeMedicine

摘要: Purpose To prospectively assess the efficacy of selective serotonin inhibitor escitalopram on painful bone metastases, in combination with external beam irradiation. Methods Forty-three patients cancer metastatic to and suffering from depression were treated 3 Dimensional Conformal Radiotherapy (3DCRT) (30 Gy; Gy/fraction, 5 days/week) combined (20 mg/day). Pain relief was evaluated Wong/Baker Faces Scale. The reported outcome using a RTOG-EORTC quality-of-life self-questionnaire (QLQ-C30 v3.0) status according Hamilton Scale (HAM-17). assessment performed at baseline 6-8 weeks after radiotherapy. Results Patients radiotherapy tended show good response pain improvement their quality life. Conclusions Though our data concerned rather small number patients, addition 3DCRT accomplished high clinical benefit rate neuropathic metastasis.

参考文章(43)
Hamilton M, Assessment of change in psychiatric state by means of rating scales. Journal of the Royal Society of Medicine. ,vol. 59, pp. 10- 13 ,(1966)
Max Hamilton, Rating depressive patients. The Journal of Clinical Psychiatry. ,vol. 41, pp. 21- ,(1980)
G. E. Berrios, A. Bulbena-Villarasa, The Hamilton Depression Scale and the numerical description of the symptoms of depression. Psychopharmacology series. ,vol. 9, pp. 80- 92 ,(1990) , 10.1007/978-3-642-75373-2_10
I. David Todres, Charles J. Coté, Jerrold Lerman, A PRACTICE OF ANESTHESIA FOR INFANTS AND CHILDREN : Saunders/Elsevier. ,(2009)
J. Hyttel, K. P. B�ges�, J. Perregaard, C. S�nchez, The pharmacological effect of citalopram resides in the (S)-(+)-enantiomer Journal of Neural Transmission. ,vol. 88, pp. 157- 160 ,(1992) , 10.1007/BF01244820
Giuseppe Di Lorenzo, Riccardo Autorino, Fortunato Ciardiello, David Raben, Cataldo Bianco, Teresa Troiani, Carmine Pizza, Michele De Laurentiis, Matilde Pensabene, Massimo D'Armiento, A. Bianco, Sabino De Placido, External beam radiotherapy in bone metastatic prostate cancer: Impact on patients' pain relief and quality of life Oncology Reports. ,vol. 10, pp. 399- 404 ,(2003) , 10.3892/OR.10.2.399
Michael C Rowbotham, Veeraindar Goli, Nadia R Kunz, Dean Lei, Venlafaxine extended release in the treatment of painful diabetic neuropathy: a double-blind, placebo-controlled study Pain. ,vol. 110, pp. 697- 706 ,(2004) , 10.1016/J.PAIN.2004.05.010
N. B. Finnerup, M. Otto, H. J. McQuay, T. S. Jensen, S. H. Sindrup, Algorithm for neuropathic pain treatment: An evidence based proposal Pain. ,vol. 118, pp. 289- 305 ,(2005) , 10.1016/J.PAIN.2005.08.013
J. F. Wernicke, Y. L. Pritchett, D. N. D'Souza, A. Waninger, P. Tran, S. Iyengar, J. Raskin, A randomized controlled trial of duloxetine in diabetic peripheral neuropathic pain Neurology. ,vol. 67, pp. 1411- 1420 ,(2006) , 10.1212/01.WNL.0000240225.04000.1A