Not all treatments have been proven by research studies to work
-- or to be the best treatment for what you have. "Clinical practice
guidelines" can help doctors and patients make the right treatment
choices for some conditions. Some of these guidelines are based
on scientific evidence about which treatments work for certain
conditions and which do not. Ask your doctor if there are evidence-based
guidelines on treatments for your condition.
Ask about any books or special materials that can help you decide
which treatment is best for you. For example, "shared decision-making
programs" use video, audio, and computer graphics to help patients
make decisions based on science and on their own values and preferences.
Self-help groups, patient organizations (such as the American
Cancer Society and the American
Diabetes Association), other Internet sites (such as Healthfinder),
and your library are other sources of information.
All
treatments have benefits and risks. To learn more about them you
may want to ask your doctor:
- What
is the recommended treatment? Are there other choices?
- What
are the chances the treatment will work?
- What
are the expected results? When will I see them?
- What
are the risks?
- What
are the benefits?
- Are there
any side effects? (Most treatments have them.)
- What
can be done about them?
- Is the
treatment painful? How can the pain be controlled?
- What
happens if I choose to have no treatment at all?
- How
much does the treatment cost? Will my health plan pay?
Once
you have the answers to these questions, you might want to make
a chart of "Benefits and Risks" or "Pros and Cons" to help you
decide if the treatment is right for you. Here is a sample chart:
|
Benefits
(Pros)
|
Risks
(Cons)
|
- Treatment
has worked well for others with my condition.
- The
medicine only needs to be taken once a day.
- No
major side effects are expected.
|
- Some
minor side effects (rash, stomach upset) could be troubling.
- The
medicine is costly.
|