Decision Matrix_Prostate Cancer

	A	B	C	D	E	F	G	H	J	K
1	Weighted Decision Matrix - Which Treatment Option is Best for Al?
2	Best Treatment is:									Date last saved: Mar-4-2019
3	Decision Factors		Watch & Wait (status quo)	Radiation	Surgery (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.
4	Criteria	Wt.	1						Criteria	Definition
5	25-year survival rate	2	0.62						25-year survival rate with this option	Likelihood of being alive 25 years after treatment (i.e., not dying from this cancer)
6	20-year survival rate	2	0.82						20-year survival rate with this option	Likelihood of being alive 20 years after treatment (i.e., not dying from this cancer)
7	10-year survival rate	2	0.93						10-year survival rate with this option	Likelihood of being alive 10 years after treatment (i.e., not dying of this cancer)
8	5-year survival rate	2	1	1	1	1	1	1	5-year survival rate with this option	Likelihood of being alive 5 years after treatment (i.e., not dying from this cancer)
9	Risl of recurrence/progression (hazard ratio)	2	1	0.41					Risk of recurrence/spread of the tumor with option	Likelihood of tumor returning or spreading
10	Sub-Total Survival		6.74	0	0	0	0	0
11	No side effects or new disease	2	-5	2					Side effects of option	Likelihood of acquiring undesirable side effects as a result of treatment
12	No infection rate	2	5	2					Infection rate of option	Likelihood of acquiring a new infection as a result of treatment
13	No pain	2	2	2					Pain associated with option that exceeds standard oral management	Not being in pain during treatment or after, where pain cannot be controlled by regular dosing of oral pain medicine
14	Additional diagnostic value of option (i.e., staging, genotyping, node sampling, etc...)	2	-5	2					Additional diagnostic value of option (i.e., staging, genotyping, node sampling, etc...)	What else can be learned about this cancer as a result of treatment
15	Future treatment options available after taking this option (e.g., all, one, none)	2	-1	2					Future 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
16	Needs to void on a toilet - Dealbreaker aversion to bed pans	2	5	2					Needs to void on a toilet - Dealbreaker aversion to bed pans	Protect privacy and dignity of bowel movements by using a toile;, no bed pans
17	Quality of life is more important than quantity of life (i.e., bedridden, chronic pain, debilitation, cannot play music, etc...)	1	3	2					Quality 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
18	Travel to Buffalo in April and Switzerland before Dec 2019	1	5	2					Travel to Buffalo in April and Switzerland before Dec 2019	Able to travel safely without risk of lymph edema and sit comfortably on long-haul drives and flights after post-treatment recovery period
19	Able to sit comfortably on a stool and play music	1	4	2					Able to sit comfortably on a stool and play music	Able to sit comfortable on a stool as needed to play music gigs after post-treatment recovery period
20	Return to playing music within three months or less of treatment	1	5	2					Return 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
21	Sub-Total Needs and Values		19
22	Total Score		25.74						Note 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.
23	INSTRUCTIONS:
24	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.
25	Keep the first column for status quo (i.e. do nothing) and score the options against the status quo.
26	KEY TO COLOR CODING:
27	Survial
28	Objective criteria
29	Subjective criteria
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