All randomized trials show comparable pain relief rates with single or frac
tionated radiotherapy (RT) in selected patients. Further studies are requir
ed to determine the optimal single dose (our analysis suggests 6-8 Gy), its
efficacy in preventing fractures/cord compression and defining criteria fo
r recommending fractionated RT for a select few. Besides this, a 'lingua fr
anca' for pain assessment tools is urgently required. (C) 1999 Elsevier Sci
ence Ireland Ltd. All rights reserved.