@eky
Totally understand your reasoning. Quality of Life is so often left off the table when many Doctors go over treatment options. Even when studies are completed, all the discussions go over Progression free survival (PFS), Overall survival (OS), Disease free survival, etc. A study might show a better percentage in a study say better OS or PFS of 93% to 86%, so clinicians say the new protocol is clearly better, however what they might not say is for those 7 additional people that benefit (in just their measurement terms) we will switch the protocol for all 100 percent of people we recommend this new protocol to, regardless of the hypothetical increases they may see in urinary incontinence or fecal incontinence as the Doctors see those as all manageable side effects that can be dealt with regardless of the impact on quality of life on all those supposedly now getting the better overall PFS or OS, even if it amounts to only one additional year of someone getting much older. These Quality of Life side effects get hidden down in the fine print of clinical studies and what gets in the summaries and conclusions and highlighted and talked about are those statistics . This is not to criticize anyone clearly wanting even one additional day , but for a loved one , one does want to take in a Quality of life in the golden years and not just also accept the Doctor saying yes, but if he experiences depression we can give him more pills for this and diapers for that and pills for this. My beef is unless you bring these quality of life issue's up and the importance to you, many are very content to just prescribe protocols that at a person’s age may not be what the person want’s, but clearly what the medical profession wants because it says OS and PFS is better by a small percentage