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The Tisch Cancer Institute

Mount Sinai Health System & Tisch Cancer Institute, Department of Radiation Oncology

New York, New York

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Improving Care of Advanced Cancer Patients with a Dedicated Palliative Radiotherapy Team

This palliative radiation oncology-based clinical service employs the shortest evidence-based and guideline-directed radiation treatment courses for metastases without compromising efficacy; discusses cases in a multidisciplinary tumor board; and participates in goals-of-care conversations with patients, caregivers, palliative medicine specialists, and primary oncology providers. Outcomes include a 5-day reduction in length of stay and a $20,000 savings per hospitalized radiation patient; a 4-fold decrease in unnecessarily lengthy radiation courses; and a 15% increase in the proportion of patients who met with a palliative care provider within a month of completing radiation.