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Cancer for Physicians

Cancer - For Physicians

  1. Clinical findings of malignancy with widespread, aggressive or progressive disease as evidenced by increasing symptoms, worsening lab values and or/evidence of metastatic disease
  2. Impaired performance status with a PPS < 70%
  3. Refused further curative therapy or continues to decline despite definitive therapy. Decline is evidenced by:

    • Hypercalcemia >/= 12
    • Cachexia or weight loss of 5% in the preceding three months
    • Recurrent disease after surgery/radiation/chemotherapy
    • Signs and symptoms of advanced disease, e.g., nausea, anemia, malignant ascites or pleural effusion, etc.

The following information will be required:

1.  Tissue diagnosis of malignancy

OR

2.  Reason(s) why a tissue diagnosis is not available

In the absence of one or more of the above findings, rapid decline or comorbidities may also support eligibility for hospice care.

We may accept a patient for hospice while the patient continues to receive treatment (such as chemotherapy), under circumstances such as to meet a time-bound goal or for symptom management.