Medically Reviewed by Michael D. Pavy, MD

Much like winners in the TV game show “Jeopardy,” a cancer patient’s chances for success are greatly increased by putting their concerns in the form of a question.

In fact, one study shows that patients WANT to ask questions about and be more involved in decisions about their care.

“We know from experience that patients want to be engaged in the decisions about their care,” says McLeod Oncologist Dr. Michael Pavy. “For many cancer patients, the diagnosis signals a loss of control over their life. Not only does involvement in treatment decisions give a person back some sense of control, but also it’s truly the best approach we cancer specialists can take.”

A 315-page report issued by the Institute of Medicine specifically urges patient engagement in their treatment. One of the recommendations urges patients to ask their cancer specialists a list of 40 questions before going ahead with treatments.

Key questions are:

PROGNOSIS

• What is the goal of treatment – directly treating the cancer, improving my symptoms or both?
• What is my likelihood of cure?

TREATMENT

• What are my treatment options?
• What are the risks and benefits of my treatment options: radiation, chemotherapy, surgery?

ADVANCED CARE PLANNING

• Should I participate in advance directives, address financial and family legal issues?
• Draft a will?

FAMILY, PSYCHOSOCIAL NEEDS

• Who is available to help me cope with this situation?
• Do you have a Nurse Navigator that can help me through this process?

Oncology Specialist Patricia Ganz, MD, chaired the committee that wrote the report and emphasizes, “If you have a physician or team member that does not want to answer these questions, you need to find another set of providers.”

See the complete list of the 40 questions.

Sources: Institute of Medicine, American Cancer Society, American Society of Radiation Oncology, American College of Surgeons, National Institutes of Health.