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February 17, 1999

Managing Pain in Elderly Patients—Reply

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(7):605-606. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-7-jbk0217

In Reply: We agree with Dr Levitt that treating patients with cancer pain often requires multiple modalities, one of which is radiation therapy, particularly for bone metastases. While our study did not specifically identify patients with bone metastases, our findings are consistent with those in the Swedish study.1 Among patients aged 65 to 74 years with cancer who were admitted to nursing homes from the hospital, only 6.5% of patients had received radiation therapy within 14 days of their assessment for pain.

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