Novel inpatient radiation oncology consult service model reduces hospital length of stay Journal Article


Authors: Xu, A. J.; Yerramilli, D.; Cahlon, O.; Powell, S. N.; Yang, J. T.; Gomez, D. R.
Article Title: Novel inpatient radiation oncology consult service model reduces hospital length of stay
Abstract: Palliative care and radiation therapy have played an expanding role in the management of patients with advanced cancers. Recent advances in our understanding of oligometastatic disease have led to increasing demand for familiarity with ablative techniques. Recognizing the demands of hospitalized patients for rapid access to care, we created an inpatient radiation oncology consult service (IROC) with consolidated expertise in palliative radiation and ablative techniques. In this quality improvement cohort study, we analyzed inpatient radiation oncology consults placed before and after IROC implementation and found that IROC led to increased delivery of specialty care and decreased hospital length of stay (median 8 days v 7 days, P = .005). This difference was most pronounced for patients for whom radiation therapy was indicated (14.5 v 11 days, P = .007). Our institutional experience demonstrates the value of recognizing metastatic disease as a distinct discipline and providing rapid access to palliative treatments for patients with advanced malignancies. © 2021 by American Society of Clinical Oncology.
Journal Title: JCO Oncology Practice
Volume: 17
Issue: 12
ISSN: 2688-1527
Publisher: American Society of Clinical Oncology  
Date Published: 2021-12-01
Start Page: e1930
End Page: e1934
Language: English
DOI: 10.1200/op.20.00923
PUBMED: 33788624
PROVIDER: scopus
PMCID: PMC9810125
DOI/URL:
Notes: Article -- Export Date: 1 February 2022 -- Source: Scopus
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  1. Simon Nicholas Powell
    331 Powell
  2. Oren Cahlon
    158 Cahlon
  3. Daniel R Gomez
    237 Gomez
  4. Jonathan T Yang
    166 Yang
  5. Amy Jia Xu
    66 Xu