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. Author manuscript; available in PMC: 2023 Jun 1.
Published in final edited form as: J Geriatr Oncol. 2022 Feb 2;13(5):606–613. doi: 10.1016/j.jgo.2022.01.014

Figure 2. Example Best Case/Worst Case (BC/WC) graphic aid used in focus groups.

Figure 2.

Example BC/WC graphic aid presenting plausible outcomes for 1) chemoimmunotherapy compared with 2) comfort-focused care used in the focus group demonstration video of a hypothetical 76-year-old woman with metastatic small cell lung cancer. In clinical practice, oncologists would create a tailored graphic aid for each patient during their visit starting with a blank template. For each option, oncologists would describe the best, worst, and most likely cases to help patients imagine the range of plausible outcomes and how they might experience each scenario individually. During the conversation, oncologists would add brief notes to the template to summarize key points from each scenario. The oncologist decides where to draw the most likely case (closer to best case at the top or worst case at the bottom) based on their understanding of the patient’s cancer, the option, and the patient’s health status (e.g., frailty, comorbidities). Of note, this example graphic aid depicts the original BC/WC symbols for best (star), worst (box), and most likely case (oval), which will be adapted based on participant feedback.