{ "schema_version": "uw.editorial_geo.v1", "article_index": "AGE-132", "catalog_id": "AGE-132", "language": "en", "headline": "An uncertain prognosis: talking about time without false promises", "description": "Prognostic estimates, statistics, wanted detail, honest hope and planning without calculating personal survival or making false promises.", "master_filename": "ARTICLE_EN.md", "master_revision": "staging-r1-20261019", "master_sha256": "37233833524a2fa2ae17233ecbcd66e3f0881f21bb6d3c59d0379ea481cf4b1d", "short_answer": "Clarify the question behind how much time and how much detail the person wants. NCI explains a limit of cancer group statistics: they are no exact personal calendar. Ask the team to distinguish known information, estimates and uncertainty, explain terms and clarify continuation; neither a date nor a defensible range is promised. Hope, professional explanation and helper commitments differ. Calculate no duration from household signs, test no endurance and remove no treatment, food, care or relief. Current urgent help must not await prognosis or family agreement.", "claims": [ { "id": "C01", "type": "author_question_clarification", "text": "Questions about time can concern different tasks; investigation dates, treatment-effect assessment and illness prognosis differ.", "source_ids": [ "P1" ], "article_sections": [ "I. First understand the question about time", "II. Group statistics are not a personal calendar" ], "limitations": "Fictional Leonid/Daria, no clinicalcase/assessment/date or prognosis from a service name." }, { "id": "C02", "type": "bounded_official_information", "text": "NCI explains that cancer group statistics cannot predict exactly what happens to an individual.", "source_ids": [ "P1" ], "article_sections": [ "II. Group statistics are not a personal calendar" ], "limitations": "Cancer-specific, no all-disease tool, percentages/median/personal-day calculation, actual measure appraisal or dismissal of all data." }, { "id": "C03", "type": "bounded_professional_principle_and_author_question", "text": "GMC recommends understandable terms and openness about uncertainty; clarify known information, estimates and the next contact.", "source_ids": [ "P2" ], "article_sections": [ "IV. Acknowledge uncertainty and clarify continuation" ], "limitations": "UKprofessionalremit, no worldwide law/clinician verdict/guaranteedrange, newtest prescription or copied treatment/capacity algorithm." }, { "id": "C04", "type": "author_information_and_participation_boundaries", "text": "Wanted detail and participation are not replaced by family anxiety or unrestricted information access from kinship.", "source_ids": [ "P1", "P2" ], "article_sections": [ "III. The amount of detail also concerns the person", "VI. Family anxiety grants no control over another's time" ], "limitations": "No universal legal disclosure/absolute secrecy, household test/age-diagnosis-disagreement authority; pause/feelings no ready diagnosis or consent." }, { "id": "C05", "type": "author_hope_and_planning_reasoning", "text": "Hope, a time promise and agreed helper participation differ; present tasks can be planned without full command of time.", "source_ids": [ "P1", "P2" ], "article_sections": [ "V. Hope need not sound like a guarantee", "VII. Planning is possible without an exact date", "IX. A new explanation may remain incomplete" ], "limitations": "No guarantees/endless family duty/forced farewells/necessary-care removal or independent treatment change; current urgent help does not await prognosis." }, { "id": "C06", "type": "author_ethical_comparison", "text": "James4 and Seneca13 are compared through limited certainty while retaining different religious and Stoic grounds.", "source_ids": [ "P3", "P4" ], "article_sections": [ "VIII. Uncertainty in James and Seneca" ], "limitations": "No clinicalproof/scale, fear not weakness/invention, §13preferredbelief not medicalrule; no faith prerequisite/ageban/violence/selfharm." } ], "questions": [ { "question": "Does a statistical period establish a person’s remaining time?", "answer": "No exact inference follows. NCI explains limits of cancer group statistics. Discuss meaning and applicability with a competent team; this article calculates no personal duration.", "claim_ids": [ "C02" ], "article_sections": [ "II. Group statistics are not a personal calendar" ] }, { "question": "Who determines how much detail a person wants?", "answer": "Ask the person and discuss a suitable format. Anxiety, payment and kinship confer no universal authority; specific information-sharing and professional questions need separate consideration.", "claim_ids": [ "C04" ], "article_sections": [ "III. The amount of detail also concerns the person" ] }, { "question": "Can something be planned without an exact date?", "answer": "Yes: discuss one present task and confirmed conditions. This promises no duration, supplies no prognosis and urges no irreversible choice. Medical and legal questions remain separate.", "claim_ids": [ "C05" ], "article_sections": [ "VII. Planning is possible without an exact date" ] } ], "sources": [ { "id": "P1", "title": "National Cancer Institute — Understanding Cancer Prognosis", "url": "https://www.cancer.gov/about-cancer/diagnosis-staging/prognosis", "edition": "Reviewed2024-05-29", "read_scope": "Complete main17–86/version88/reusenote89–90 read; videos/PDF/SEERlinks/photograph not used", "role": "Cancer-specific group-versus-individual estimate/information preferences; no personal score/median/calculation, all-disease transfer, treatment choice or cure guarantee", "rights_status": "NCI_TEXT_REUSE_POLICY_CHECKED_WITH_ATTRIBUTION_AND_NO_ENDORSEMENT", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotations/original critical paraphrase. Own RU/TH historical translations. NCI policy and exact nonendorsement statement checked separately; no whole clinical/legal form, image/logo/tool; RESEARCH.md" }, { "id": "P1R", "title": "NCI — Reuse of NCI Information", "url": "https://www.cancer.gov/policies/copyright-reuse", "edition": "Reviewed2025-03-12", "read_scope": "Complete policy12–43/version45 read", "role": "Text reuse unless otherwise indicated, attribution/originaltitlelink; adapted/translated information acknowledged, exact nonendorsement statement in all masters; no graphics/logos/PDQ", "rights_status": "POLICY_READ_NOT_GENERAL_GLOBAL_RIGHTS_FINDING", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotations/original critical paraphrase. Own RU/TH historical translations. NCI policy and exact nonendorsement statement checked separately; no whole clinical/legal form, image/logo/tool; RESEARCH.md" }, { "id": "P2", "title": "GMC — Working with the principles and decision-making models, part1", "url": "https://www.gmc-uk.org/professional-standards/the-professional-standards/treatment-and-care-towards-the-end-of-life/working-with-the-principles-and-decision-making-models", "edition": "Parent effective2010-07-01,updates2022-03-15/2024-12-13;2026update not established", "read_scope": "Displayed17–49 and embedded7–9/14/16/75–77/119–120 actually read; selected24 and28–30 complete. Parentmain14–32 and About16–36 read, no fullguide/parts2–3/linkedforms", "role": "Range of possibilities, understandable terms, uncertainty; UKprofessionalremit not global law, home trial/withdrawal/nutrition/capacity algorithm or actual clinician assessment", "rights_status": "UNKNOWN", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotations/original critical paraphrase. Own RU/TH historical translations. NCI policy and exact nonendorsement statement checked separately; no whole clinical/legal form, image/logo/tool; RESEARCH.md" }, { "id": "P3", "title": "James4 — King James Version", "url": "https://ebible.org/kjv/JAS04.htm", "edition": "KJV, exact digital updatedate unknown", "read_scope": "Entire1–17lines6–10,main13–17;footer18–20copy/PDlabel read", "role": "Religious future/boasting critically bounded, not prognosis, care abandonment, patient guilt or compulsory faith", "rights_status": "PAGE_COPYING_AND_PD_LABEL_NOT_GLOBAL_FINDING", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotations/original critical paraphrase. Own RU/TH historical translations. NCI policy and exact nonendorsement statement checked separately; no whole clinical/legal form, image/logo/tool; RESEARCH.md" }, { "id": "P4", "title": "Seneca — Moral letters13, Richard M. Gummere", "url": "https://en.wikisource.org/wiki/Moral_letters_to_Lucilius/Letter_13", "edition": "oldid14843841,lastedited2025-02-03; parent1925/firstprinted1918, exactletterprintbasis not separately established", "read_scope": "Entire1–17lines101–123 and notes128–130 read,main8–13;parentheader109–149/contentsI159–176/rights314–317/343 read; not allletters/Latin", "role": "Fact/rumour/inference comparison; fear not imaginary by diagnosis, §13preferredbelief not medicalrule, no endurance tests/patientblame/ageban/selfharm advice", "rights_status": "USA_PD_AND_CCBYSA_LABELS_GLOBAL_AND_EXACT_DIGITAL_LICENCE_NOT_ASSESSED", "read_date": "2026-10-19", "search_executor": "Codex web.run / branch F author", "rights_notes": "Minimal attributed quotations/original critical paraphrase. Own RU/TH historical translations. NCI policy and exact nonendorsement statement checked separately; no whole clinical/legal form, image/logo/tool; RESEARCH.md" } ], "retrieval_limits": [ "Fictional cancer scene, no individual prognosis, clinical-accuracy finding or all-disease model.", "No percentages/median/household calendar/dying scale/end signs/urgency test/endurance experiment.", "GMCselected24/28–30 and UKremit, not wholeguidance/worldwide law/treatmenttrial-withdrawal/nutrition/capacity algorithm.", "No promised date/range/improvement/calm or universal service/night-response guarantee.", "Age/diagnosis/disagreement/kinship/payment confer no universal authority; no household capacitytest/family-selected total concealment/absolute secrecy.", "No independent prescription change or food/care/relief removal for conversation, visit, proof or optimism; urgent help does not wait for prognosis.", "Helper limits are no biological deadlines; no endless duty, compulsory memory/farewell/reconciliation or guilt over illness duration.", "James/Seneca provide no clinicalproof; §13preferredbelief not evidence, anxiety not invention/sin/weakness, death images not action advice.", "NCIadapted information acknowledged with originaltitlelink and exact nonendorsement statement in all three masters; no graphics/logo/PDQ." ], "schema_org": { "@context": "https://schema.org", "@type": "Article", "identifier": "UW:AGE-132:en", "headline": "An uncertain prognosis: talking about time without false promises", "inLanguage": "en", "author": [ { "@type": "Person", "name": "Andrey Zarinsh" }, { "@type": "Person", "name": "Maria Evilkut" } ] }, "production_acceptance": "NOT_RUN", "production_machine_publisher_compatibility": "NOT_RUN" }