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Palliative radiation therapy is an essential but often impromptu service, depending on the patient condition and symptom burden. Radiation oncologists are the usual consultant in this setting, however, there is potential to extend capacity with the addition of advanced providers such as a nurse practitioner. Purpose: to examine characteristics and symptom profiles of patients individually evaluated by a nurse practitioner with those evaluated by a radiation oncologist in a rapid access, multidisciplinary palliative radiotherapy clinic. Methods & Materials: Data were retrieved from an ethics-approved, prospective database. Patients were grouped and analyzed based on the consultant. Results: The nurse practitioner completed consultations for a total of 137 patients, the radiation oncologist for 98. No significant differences were observed in symptom profile, functional status or whether radiotherapy was prescribed. By working as a team, 58% more patients with painful bone metastases were able to access the clinic. Conclusions: An experienced nurse practitioner can significantly enhance access to consultation in a palliative radiotherapy clinic. We expect this research to inform ways that advanced providers can improve access to timely care and reduce suffering.

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