This measure reports the percentage of patients, regardless of age, with a diagnosis of painful bone metastases and no history of previous radiation who receive external beam radiation therapy (EBRT) with an acceptable fractionation scheme as defined by the guideline.
Measure Specs
General Information
Numerator
All patients, regardless of age, with painful bone metastases, and no previous radiation to the same anatomic site who receive EBRT with any of the following recommended fractionation schemes: 30Gy/10fxns, 24Gy/6fxns, 20Gy/5fxns, 8Gy/1fxn.
Denominator
All patients with painful bone metastases and no previous radiation to the same anatomic site who receive EBRT
Exclusions
The medical reasons for denominator exclusions are:
1) Previous radiation treatment to the same anatomic site;
2) Patients with femoral axis cortical involvement greater than 3 cm in length;
3) Patients who have undergone a surgical stabilization procedure; and
4) Patients with spinal cord compression, cauda equina compression or radicular pain
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