How often are oncologists wrong?

Seventy-four percent (n = 63) of patient-recalled oncologist life-expectancy estimates were accurate to within a year (i.e., ±12 months of actual survival), 57% (n = 48) were accurate to within 6 months, and 26% (n = 22) were accurate to within 3 months (Table 1).

How accurate are oncologists?

Oncologists' accuracy of predicting life-expectancy was also examined for associations with chemotherapy use, trial participation, and completion of a do not resuscitate [DNR] order at the baseline assessment. Results: 74.1% (63/85) of oncologists' life-expectancy estimates were accurate to within a year.

Are oncologists truthful?

Oncologists often do not give honest prognostic and treatment-effect information to patients with advanced disease, trying not to “take away hope.” The authors, however, find that hope is maintained when patients with advanced cancer are given truthful prognostic and treatment information, even when the news is bad.

Are oncologists honest?

Abstract. Background: Oncologists often do not give honest prognostic and treatment-effect information to patients with advanced disease.

Do oncologists lie about prognosis?

Many have fulminated against oncologists who lie to patients about their prognoses, but sometimes cancer doctors lie for or with patients to improve our chances of survival.

Pros vs cons of becoming an oncologist!

Why do oncologists push chemo?

An oncologist may recommend chemotherapy before and/or after another treatment. For example, in a patient with breast cancer, chemotherapy may be used before surgery, to try to shrink the tumor. The same patient may benefit from chemotherapy after surgery to try to destroy remaining cancer cells.

Does chemo get worse with each treatment?

The effects of chemo are cumulative. They get worse with each cycle. My doctors warned me: Each infusion will get harder. Each cycle, expect to feel weaker.

How long can you live after chemotherapy?

Figures ​2 and ​3 show Kaplan-Meier survival curves for patients after receiving their last chemotherapy. Patients who died under palliative care service had longer median survival (120 days) after last chemotherapy as compared to other patients [120 and 43 days respectively, P < 0.001, Figure 2].

How do you know if chemo is killing you?

What questions should I ask my oncologist?

How fast does chemo work to shrink tumors?

In general, chemotherapy can take about 3 to 6 months to complete. It may take more or less time, depending on the type of chemo and the stage of your condition.

What happens if chemotherapy does not work?

Other options. If cancer does not respond to chemotherapy, radiation therapy, or other treatments, palliative care is still an option. A person can receive palliative care with other treatments or on its own. The aim is to enhance the quality of life.

Does poor prognosis mean death?

A bad prognosis means there is little chance for recovery. Someone with a good or excellent prognosis is probably going to get better.

When a doctor says you have 6 months to live?

Medicare pays for hospice care if your doctor believes you have 6 months or less to live, the cancer does not respond to treatment, and your medical condition does not improve. But no one knows for sure how long you will live.

How long after chemo Do you feel sick?

Acute nausea and vomiting usually happens within minutes to hours after treatment is given, and usually within the first 24 hours. This is more common when treatment is given by IV infusion or when taken by mouth.

How do doctors know how long you have left to live?

There are numerous measures – such as medical tests, physical exams and the patient's history – that can also be used to produce a statistical likelihood of surviving a specific length of time.

What percentage of chemo patients survive?

The survival rate for those diagnosed in stages 1-3 is near 100% and about 71% for stage 4. The five-year survival rate is 90% for medullary carcinoma and 7% for anaplastic carcinoma.

Does chemo shorten your life?

During the 3 decades, the proportion of survivors treated with chemotherapy alone increased from 18% in 1970-1979 to 54% in 1990-1999, and the life expectancy gap in this chemotherapy-alone group decreased from 11.0 years (95% UI, 9.0-13.1 years) to 6.0 years (95% UI, 4.5-7.6 years).

Which is harder on the body chemo or radiation?

Since radiation therapy is focused on one area of your body, you may experience fewer side effects than with chemotherapy. However, it may still affect healthy cells in your body.

Which cancers have the best survival rate?

The cancers with the highest 5-year relative survival rates include melanoma, Hodgkin lymphoma, and breast, prostate, testicular, cervical, and thyroid cancer. Cancer is a disease that causes cells to grow and multiply uncontrollably in certain parts of the body.

What cancers have the lowest survival rate?

The cancers with the lowest five-year survival estimates are mesothelioma (7.2%), pancreatic cancer (7.3%) and brain cancer (12.8%). The highest five-year survival estimates are seen in patients with testicular cancer (97%), melanoma of skin (92.3%) and prostate cancer (88%).

How many rounds of chemo is normal?

During a course of treatment, you usually have around 4 to 8 cycles of treatment. A cycle is the time between one round of treatment until the start of the next. After each round of treatment you have a break, to allow your body to recover.

What is the hardest chemo?

Doxorubicin (Adriamycin) is one of the most powerful chemotherapy drugs ever invented. It can kill cancer cells at every point in their life cycle, and it's used to treat a wide variety of cancers. Unfortunately, the drug can also damage heart cells, so a patient can't take it indefinitely.

What should you not do after chemo?

What is the most common side effect of chemotherapy?

Tiredness (fatigue) is one of the most common side effects of chemotherapy. Many people having treatment feel tired a lot of the time or get tired very easily doing everyday tasks.