Reason No Therapy (Chemo)

KCR

Reason No Therapy (Chemo) (ReasonNoChemo)

31190

yes

0

Chemotherapy was not administered because it was not part of the planned first course treatment. Use code 0 when:

a.  There is no information in the patient’s medical record about chemotherapy AND

i.     It is known that chemotherapy is not usually performed for this type and/or stage of cancer OR

ii.   There is no reason to suspect that the patient would have had chemotherapy.

b.     If the treatment plan offered multiple treatment options and the patient selected treatment that did not include chemotherapy, or if the option of no treatment was accepted by the patient.

c.      Patient elects to pursue no treatment following the discussion of chemotherapy treatment. Discussion does not equal a recommendation.

d.      Only information available is that the patient was referred to an oncologist.

Referral does not equal a recommendation.

e.      Watchful waiting is the planned course of treatment.

f.        Patient was diagnosed at autopsy.

1

Chemotherapy was administered.

2

Chemotherapy was not recommended/administered because it was contraindicated due to other patient risk factors (comorbid conditions, advanced age, progression of tumor prior to planned chemo, etc.)

5

Chemotherapy was not administered because the patient died prior to planned or recommended therapy.

6

Chemotherapy was not administered; it was recommended by the patient’s physician, but was not administered as part of first course treatment. No reason was noted in patient record.

7

Chemotherapy was not administered; it was recommended by the patient’s physician, but this treatment was refused by the patient, the patient’s family member, or the patient’s guardian. The refusal was noted in patient record.

8

Chemotherapy was recommended, but it is unknown whether it was administered.

9

It is unknown if chemotherapy was recommended or administered, or death certificate only cases.