Making decisions about your cancer treatment

5 minute read time.

When it comes to making decisions about your life, it doesn’t get much tougher than choosing which treatment option is best for you if you’ve got cancer. In this blog, we talk about things that can help you make your decision. The information here is from our booklet Making treatment decisions, which you can order now for free. The full booklet has lots more information about how to weigh up your options and get the information you need. It also covers research trials, dealing with uncertainty and using statistics.

Sometimes, there is only one treatment option and the benefit of having it clearly outweighs any potential side effects. In this case, the decision may be more straightforward, although there’s still a lot to think about. At other times, it can be more difficult to decide, for example if you’ve got more than one treatment to choose from, each with different benefits and risks, or if your treatment is not aiming to cure the cancer but to control it. There’s a lot to consider, so it's important to make sure you’ve got all the information you want before you decide.

‘For the first few days, I wasn’t able to make any decisions about my treatment. But after taking the news in, I started to read about my specific kind of cancer.’

You may need to consider:

  • which treatment to choose if you’ve been given a choice
  • whether or not to have treatment
  • whether you want to stop treatment early
  • whether to take part in a research trial.

The doctors and nurses treating you will encourage you to be involved in your care. You can make decisions about your treatment together.

Get information about the cancer

To help you make a decision about treatment, it’s useful to know a bit about your cancer, how it’s affecting you and why you need treatment. Your healthcare team will be able to tell you:

  • where in the body the cancer started
  • the size of the cancer and whether it has begun to spread to other parts of the body – this is its stage
  • what type of cancer it is
  • how fast-growing the cancer may be – this is its grade.

Get information about the treatment

It can help to know what each treatment involves and how the options can differ. It’s useful to know: 

  • the aims of the treatment
  • the possible side effects of the treatment
  • how the treatment will be given and how this may affect your day-to-day life
  • which treatment your doctor recommends
  • what will happen if you don’t have treatment
  • whether there are other treatments that you haven’t been offered.

Your healthcare team should be able to answer your questions. 

The internet can also be a good source of information. However, it’s important to make sure that any information you use has come from a reliable source. Use Macmillan’s online cancer information to find out about your type of cancer and about different treatments. Some hospitals have cancer information and support centres where you can use the internet and somebody should be available to help you.

Speak to other people who have been in a similar situation

It can help to find out about other people’s experiences. Everyone’s situation is different, but other people can tell you what it was like to have the treatment, how they felt and what helped them to cope with any side effects.

‘I was thankful for the people who gave me their honest opinion. I didn’t necessarily take their advice but looked at all the information and then decided myself what was best for me.’

You can use Macmillan’s online community to join groups and meet other people with the same type of cancer as you, who you can talk to about treatment.

Find out about possible side effects of treatment

Most cancer treatments have side effects, and having treatment is likely to affect your day-to-day life. You may be unable to work or continue your usual social life for a while. It’s important to discuss your treatment fully with your healthcare team, so you’re aware of how it might affect you. 

Your healthcare team should also be able to give you an idea of how long your treatment will last and how often you’ll need to visit the hospital. 

Knowing all these things about each treatment option can help you decide which is best for you.

Ask questions

Don’t be afraid to ask your healthcare team any questions you have. You need to have all the information you want in order to make your decision. You could ask:

  • What does the treatment involve?
  • How might I benefit, and how likely is it that I will benefit?
  • What are the side effects and what can help relieve them?
  • Are there any risks?
  • How long will the treatment last?
  • How will treatment affect my everyday life during and after it?
  • How long will it take me to recover?
  • How will I be monitored during and after treatment?
  • What happens if I don’t have any treatment?
  • What if I change my mind?

Thinking tools

There are practical thinking tools you can use to take a step back and think clearly about your life, which can help with decision-making. You can find examples, stories and support with using the tools at thinkaboutyourlife.org

Five steps to making your decision

It can be difficult to make a decision about something so important. These five steps might help:

Five steps to making a decision are: 1. List the different options, 2. Get information about the options, 3. List the pros and cons of each option, 4. Narrow down the possible options, 5. Make your decision.

How will I know if I’ve made the right decision?

There is no right or wrong decision. Everyone has different priorities, concerns and circumstances, and these all contribute to your individual decision. The most important thing to remember is that the decision you make is the right one for you at that time.

We're with you every step of the way

The Macmillan team is here to help. Our cancer support specialists can answer your questions, offer support, or simply listen if you need a chat. Call us free on 0808 808 00 00.

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Keep in touch Follow Macmillan’s cancer information team on Twitter @mac_cancerinfo

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