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Cancer for Physicians

To qualify for hospice, patients must have:

Progression of disease evidenced by at least one of the following:

  • Increasing symptoms
  • Worsening lab values
  • Metastatic disease evidenced by scans, MRI, x-ray, biopsy, etc.

Disease Stage IV at presentation or progression from an earlier stage of disease to metastatic disease with either of the following.

  • Patient continues to decline in spite of definitive therapy (i.e. chemo, radiation, surgical intervention)
  • Patient is refractory or refuses further disease directed therapy.

The following factors are not absolutely necessary to qualify for hospice, but lend support:

  • Recurrent disease after radiation, chemotherapy, or surgical intervention
  • Weight loss of 5% or more in the last three months
  • Presence of other comorbid conditions