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Randomised trials and meta-analyses show a single 8 Gy radiotherapy session relieves pain from uncomplicated bone metastases as well as ten sessions, with a higher retreatment rate, yet habit and per-fraction payment keep most patients on the longer course. Making one session the default, with an opt-out justification and payment neutrality, would spare patients trips and free machines.
Multiple randomised trials and meta-analyses show a single 8 Gy fraction is as effective as multi-fraction schedules for pain from uncomplicated bone metastases, with a higher retreatment rate but no difference in overall pain control. Despite guidelines, single-fraction use remains a minority in many countries because of habit and reimbursement. A default protocol with an opt-out justification, plus payment neutrality, would align practice with evidence and release capacity.
Shares Radiotherapy roadmap: X-rays → shaped beams → fewer fractions, particles and FLASH, Surgery and radiotherapy cure most, get least, Most of the world has almost no cancer care, IMRT / IGRT (modern external beam).
Shares Radiotherapy roadmap: X-rays → shaped beams → fewer fractions, particles and FLASH, Surgery and radiotherapy cure most, get least, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.
Shares Radiotherapy roadmap: X-rays → shaped beams → fewer fractions, particles and FLASH, Surgery and radiotherapy cure most, get least, Most of the world has almost no cancer care.
Shares Radiotherapy roadmap: X-rays → shaped beams → fewer fractions, particles and FLASH, Surgery and radiotherapy cure most, get least, Most of the world has almost no cancer care.
Shares Surgery and radiotherapy cure most, get least, Most of the world has almost no cancer care.
Shares Pain relief and palliative care are unavailable to most, Most of the world has almost no cancer care.
Shares Radiotherapy roadmap: X-rays → shaped beams → fewer fractions, particles and FLASH, Most of the world has almost no cancer care, IMRT / IGRT (modern external beam).