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Table 2 Definitions of patients’ reasons for refusing adjuvant chemotherapy

From: Reasons physicians do not recommend and patients refuse adjuvant chemotherapy for stage III colon cancer: a population based chart review

Reasons patients refused adjuvant chemotherapy

Definition

Toxicity concerns

A perceived potential toxicity side effect (e.g. hair loss, excessive nausea and vomiting).

Co-morbidities

A medical condition or chronic disease preceding the onset of cancer and perceived by patient as a barrier to tolerating chemotherapy (e.g. coronary heart disease, heart failure, kidney or liver failure)

Transportation

Difficulty reaching the treatment facility due to either unavailability of means of transportation or cost of transportation

Age

Patient age was the reason or one of the reasons for refusing chemotherapy (e.g. patient felt they have lived long enough, perceived limited life expectancy)

No social network or support

Lack of social, emotional, or physical support

Other

Reasons stated other than those listed above (e.g. fear of injections)

Unclear

Reason(s) for refusing chemotherapy are vague and not clearly stated