The Potential Benefits Of Adjuvant Therapy - 3460 Words

. In addition to patient perspectives on their treatment options and findings from a brief GA, a further consideration in estimating potential benefits of adjuvant therapy is the patient’s estimated life expectancy, to determine whether they are likely to live long enough to benefit from the treatment. Chronologic age is an integral component of such estimates; however, it is by no means a sufficient consideration. As our two clinical cases illustrate, two 70 year old breast cancer patients can have very different underlying health, physical activity, and social support systems and require a treatment approach that reflects these differences (Figure 1). It can be particularly challenging for physicians to estimate the life expectancy of their patients, especially for patients in advanced stages of cancer [35]. Fortunately, several tools are available to aid in the estimation of life expectancy in a variety of different patient populations (e.g. community dwelling or nursing ho me) and life expectancy time frame [36]. Many of these tools are available in an online calculator format on the â€Å"ePrognosis† website (www.eprognosis.com). For example the Lee- Schonberg index intakes into account the patient’s age, gender, body mass index, comorbidities, cigarette smoking, physical activity, previous hospitalizations, and limitations in activities of daily living due to physical, mental, emotional or cognitive problems to estimates the patient’s life expectancy [37-40]. 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