Palliative care and radiotherapy

This basic course is aimed primarily at both trainee and experienced radiation and medical oncologists who want an update of their clinical knowledge in palliative care and radiotherapy. And at RTTs and APs with a special interest in palliative care.

Palliative care physicians, medical oncologist, specialist nurses and others involved in the care of patients with advanced cancer are welcome to participate.

Course directors 

  • Peter Hoskin, Clinical Oncologist, Mount Vernon Hospital, London (UK) & University of Manchester (UK)
  • Yvette van der Linden, Radiation Oncologist / Head, Expertcentre Palliative Care, Leiden University Medical Center, Leiden (NL)


  • Nicolaus Andratschke, Radiation Oncologist, University Hospital Zurich, Zurich (CH)  
  • Johan Menten, Radiation Oncologist / Palliative Care Physician, KU Leuven, Leuven (BE)  
  • Joanna Kazmierska, Radiation Oncologist, Greater Poland Cancer Centre, Poznan (PL)

In this course, a comprehensive overview of the use and effectiveness of palliative radiotherapy will be presented  from an evidence based perspective in a multidisciplinary framework with a strong emphasis on clinical case discussions.. There will be a focus on both clinical, and -ethical aspects alongside state of the art radiotherapy.

Learning outcomes

By the end of this course participants should:

  • Have knowledge of the principles of palliation, pain and other symptom management, and indications for and effectiveness of palliative radiotherapy schedules
  • Be aware of  treatment-related side effects and outcome measures using evidence based outcome tools
  • Be able to discuss managementof complex clinical cases  in terms of quality of life and survival and.

Course content

  • Principles of palliation, oligometastasis
  • Nature of cancer pain, physiology of pain
  • Principles of pharmacological management
  • Radiotherapy for pain: bone pain, soft tissue pain
  • Holistic pain therapy: integration of RT/CT/pharmacology and non-pharmacological approaches
  • Neurological complications: brain metastases - introduction and pharmacological management
  • Management of solitary brain metastases Management of multiple brain metastases
  • Malignant spinal metastasis, pathophysiology, diagnosis and initial management
  •  Management of malignant spinal canal compression
  • Other neurological complications: spinal nerve root compression and neuropathic pain management
  • Care of the dying: different models of care
  • Lung - NSCLC: palliative management
  • Oligometastases and ablative therapy
  • Liver: role of radiotherapy in palliation
  • Palliative brachytherapy
  • Practical application of research data in palliation.


Before commencing this course you should have a basic understanding of radiotherapy and pharmacology and experience of caring for patients with advanced cancer.

Teaching methods

  • Didactic lectures
  • Case discussions
  • Interactive session based on MCQ
  • Turning Point exercise 
  • E-learning module

Methods assessment

Evaluation form.


The draft programme is available here

Key words

  • Palliative care
  • Quality of life
  • Evidence based radiation oncology
  • Pain
  • Metastases

Further reading / web resources

To be provided if available


Application for CME recognition will be submitted to the European Accreditation Council for Continuing Medical Education (EACCME), an institution of the European Union of Medical Specialists (UEMS). EACCME credits are recognised by the American Medical Association towards the Physician’s Recognition Award (PRA). Information on the status of the applications can be obtained from the ESTRO office.


ESTRO members can order products at substantially reduced prices. Please note that in order to benefit from the member price, you must renew your membership for 2021 before registering to the course.To benefit from these member rates, please visit the membership page to become a member or renew your membership BEFORE proceeding with your order.



Standard Rate

Desk Rate

ESTRO members working in countries with a less competitive economic background*/ In-training members**

 350 EUR

 600 EUR


 400 EUR 

 600 EUR

Non Members

 500 EUR

 600 EUR

*  All specialties: Albania, Belarus, Bosnia and Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia,, Greece, Hungary, Latvia, Lithuania, Macedonia, Moldova, Montenegro, Poland, Portugal, Romania, Russian Federation, Serbia, Slovak Republic, Slovenia, Spain, Turkey, Ukraine

RTTs and physicists only: Cyprus  

RTTs only: Italy 

To apply for the above rate, please contact before the early rate published on the front page of this course expires. Thereafter, the desk rate will be applied.

** Members with specialty Radiation Therapist (RTT) may register at the In Training fee

The standard rate is applied until the early rate published on the front webpage of this course expires.

Desk rates are applied after the early rate published on the front webpage of this course expires.


Advance registration & payment are required.              

Registration will close on the date published on the front page of the course.


A registration to the online workshop may be cancelled without any fees before pre-online course material is sent out. Pre-online course material is sent out a few days before the first workshop lesson. After the pre-online course material is sent out, no refund of the  registration fee is possible.

Fee for ESTRO members working in countries with a less competitive economic background:

ESTRO members working in countries with a less competitive economic background can benefit from the above fees if three conditions are met:

  1. Only ESTRO members for 2021 are eligible (please make sure your 2021 membership is in order before you apply for the reduced fees
  2. Sponsored candidates are not entitled to these fees (the invoicing address has to be the one of the participant)  
  3. Your application must be submitted before the early rate published on the front webpage of this course expires


Early Deadline: 10 November 2021