Abstract
The recently published ESTRO ACROP guidelines for external beam radiotherapy in patients with uncomplicated [1] and complicated [2] bone metastases will have a major impact on radiotherapy practice for bone metastases. The guidelines for complicated bone metastases state that most studies demonstrating the benefit of radiotherapy in reducing bone metastasis-related pain fail to differentiate the type of pain experienced by patients [2]. The guidelines also state that there is no comparative evidence to evaluate the relative role of treatments such as medication, radiotherapy, and neurostimulation therapy, and hence, no recommendation can be provided regarding the use of radiotherapy [2].
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