Decision Matrix_Prostate Cancer
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Weighted Decision Matrix - Which Treatment Option is Best for Al?
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Best Treatment is: Date last saved: Mar-4-2019
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Decision FactorsWatch & Wait (status quo)RadiationSurgery (Overall)Surgery Type A (Pelvic)Surgery Type B (Peroneal)Surgery Type (Robotic)Which treament is best for you? The pros and cons of prostate cancer treatment are mutli-factorial. The best treatment depends on a cobination of objective medical outcomes, and how you value particular factors. The scale for this decision matrix is +5 = best outcome to -5 worst outcome. In other words, it is a 10-point scale adapted to show negatives. If you are not sure how to rate a factor, place the value on a 1 to 10 scale, and then adapt it to a -5 to +5. For example, a score of 1 = -5; 2= -4; 3= -3; etc... The ratings in the first four (4) criteria are derived from the scientific literature. Do NOT change these. The ratings for the last three (3) criteria are personal. Adjust these as needed.
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CriteriaWt.1CriteriaDefinition
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25-year survival rate20.6225-year survival rate with this optionLikelihood of being alive 25 years after treatment (i.e., not dying from this cancer)
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20-year survival rate20.8220-year survival rate with this optionLikelihood of being alive 20 years after treatment (i.e., not dying from this cancer)
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10-year survival rate20.9310-year survival rate with this optionLikelihood of being alive 10 years after treatment (i.e., not dying of this cancer)
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5-year survival rate21111115-year survival rate with this optionLikelihood of being alive 5 years after treatment (i.e., not dying from this cancer)
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Risl of recurrence/progression (hazard ratio) 210.41Risk of recurrence/spread of the tumor with optionLikelihood of tumor returning or spreading
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Sub-Total Survival6.7400000
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No side effects or new disease2-52Side effects of optionLikelihood of acquiring undesirable side effects as a result of treatment
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No infection rate252Infection rate of optionLikelihood of acquiring a new infection as a result of treatment
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No pain222Pain associated with option that exceeds standard oral managementNot being in pain during treatment or after, where pain cannot be controlled by regular dosing of oral pain medicine
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Additional diagnostic value of option (i.e., staging, genotyping, node sampling, etc...)2-52Additional diagnostic value of option (i.e., staging, genotyping, node sampling, etc...)What else can be learned about this cancer as a result of treatment
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Future treatment options available after taking this option (e.g., all, one, none)2-12Future treatment options available after taking this option (e.g., all, one, none)In the event of a recurrence or spread of this tumor, the number of treatment options that remain available
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Needs to void on a toilet - Dealbreaker aversion to bed pans252Needs to void on a toilet - Dealbreaker aversion to bed pansProtect privacy and dignity of bowel movements by using a toile;, no bed pans
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Quality of life is more important than quantity of life (i.e., bedridden, chronic pain, debilitation, cannot play music, etc...)132Quality of life is more important than quantity of life (i.e., bedridden, chronic pain, etc)Feeling well and enjoying life is more important than iiving longer
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Travel to Buffalo in April and Switzerland before Dec 2019152Travel to Buffalo in April and Switzerland before Dec 2019Able to travel safely without risk of lymph edema and sit comfortably on long-haul drives and flights after post-treatment recovery period
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Able to sit comfortably on a stool and play music142Able to sit comfortably on a stool and play musicAble to sit comfortable on a stool as needed to play music gigs after post-treatment recovery period
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Return to playing music within three months or less of treatment152Return to playing music within three months or less of treatment Return to playing music in the same amount of time or less as after knee surgeries
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Sub-Total Needs and Values19
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Total Score25.74Note on calculationThe formula for weighted scores uses a Sumproduct formula and has conditional formatting applied. Please check that the formula and conditional formatting includes the correct cell ranges if you add or remove any rows or columns.
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INSTRUCTIONS:
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Select and insert a score of -5 to +5 for each criteria. The score will be multiplied by the weight to arrive at the total weighted score.
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Keep the first column for status quo (i.e. do nothing) and score the options against the status quo.
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KEY TO COLOR CODING:
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Survial
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Objective criteria
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Subjective criteria
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