id author title date pages extension mime words sentences flesch summary cache txt cord-330963-w24q8sn7 Langston, Amelia A. Allocating Scarce Healthcare Resources during Pandemics: Making the Case for Patients with Advanced and Metastatic Cancer 2020-08-03 .txt text/plain 1643 78 43 Given recent improvements in treatments, we recommend that (1)the prognosis of an individual cancer patient be determined with input from a cancer specialist, or (2) if this is impractical, (a) The presence of active metastatic solid cancer or relapsed hematologic malignancy is graded as a major comorbidity, with a likelihood that survival will be less than 5 years; (b) Severe limitation in physical functioning (3 or 4 on the Eastern Cooperative Oncology Group performance status (ECOGā€PS) would define an advanced cancer patient as having a severe comorbidity, with a likelihood of less than 1 year survival. In reviewing past guidance, we found that the words 'cancer,' 'metastatic cancer' or 'advanced cancer' invoked judgments of a poor prognosis with a limited number of life years to save 1 , lessening the chance of receiving critical care resources. ./cache/cord-330963-w24q8sn7.txt ./txt/cord-330963-w24q8sn7.txt