A 77-year-old male is admitted to a unit with a suspected diagnosis of acute myeloid leukemia (AML). When planning this patient's care, the nurse should be aware of what epidemiologic fact?
A) Early diagnosis is associated with good outcomes.
B) Five-year survival for older adults is approximately 50%.
C) Five-year survival for patients over 75 years old is less than 2%.
D) Survival rates are wholly dependent on the patient's pre-illness level of health.
Ans: C
Feedback:
The 5-year survival rate for patients with AML who are 50 years of age or younger is 43%; it drops to 19% for those between 50 and 64 years, and drops to1.6% for those older than 75 years. Early diagnosis is beneficial, but is nonetheless not associated with good outcomes or high survival rates. Preillness health is significant, but not the most important variable.
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