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Germany: Treatment options

Leukaemia treatment in Germany follows Onkopedia and European guidelines and depends on the type, age and general health.

Last updated: ~1 min read
On a dark navy background, branching paths of light.
Figure 1.Treatment paths — Germany: Treatment options

01Short answer

Treatment may include chemotherapy, targeted drugs, immunotherapy, stem cell transplantation and sometimes monitoring (“watch and wait” in CLL). Before treatment, the doctor must explain the options, benefits and risks (Aufklärung); consent is usually given in writing. A clinical trial may also be an option.

02Simple explanation

The type guides treatment.

Aufklärung: right to explanation.

Monitoring is an option too.

03Scientific explanation

Guidelines: Onkopedia describes the treatment path for each type.

Research: national study groups test new approaches.

04What happens in the body?

Paths

Each type has its own treatment path.

Treatment

Much is given on the ward or in day care.

On a dark navy background, an infusion in a quiet room.
Figure 2.Treatment room — Germany: Treatment options

Decision

Talk openly about your goals.

On a dark navy background, a plan on a table.
Figure 3.Shared decision — Germany: Treatment options

05Shared decision

Four steps.

Understand the plan — What, why, how long.1Understand the planWhat, why, how long.
Goals — What matters to you.2GoalsWhat matters to you.
Trial — Ask about it.3TrialAsk about it.
Agreement — Together.4AgreementTogether.
ClarityThe plan is understood.
RespectYour values count.

06Key points at a glance

TopicIn brief
PathsEach type has its own treatment path.
TreatmentMuch is given on the ward or in day care.
DecisionTalk openly about your goals.

07Key terms

Aufklärung
Information talk.
Chemotherapie
Chemotherapy.
Zielgerichtete Therapie
Targeted therapy.
Watch and wait
Monitoring.

08Key points

  • Ask about options.
  • Ask about benefits and burdens.
  • Share your values.
  • Ask for time to think.
  • Get the decision in writing.

09Frequently asked questions

Can I refuse treatment?

Yes, that is your right; discuss the consequences with your team.

Which treatment is best?

It depends on the type and your situation; only your team can say.

A second opinion?

Possible; see chapter “Germany: Second opinion”.

10Questions for your doctor

Take these questions to your appointment. The ones you save are collected on the “My questions” page and stay on this device only.

  1. Can I refuse treatment?

  2. Which treatment is best?

  3. A second opinion?

My questions

12Sources

  1. Onkopedia (DGHO). Guidelines
  2. Kompetenznetz Leukämie. Official website (in German)
  3. Krebsinformationsdienst (DKFZ). Official website (in German)
  4. National Cancer Institute (NCI). Leukemia—Patient Version
  5. ESMO. ESMO Patient Guides
  6. Deutsche Gesellschaft für Ernährung (DGE). Official website (in German)
  7. Umweltbundesamt (German Environment Agency). Drinking water
  8. American Society of Hematology (ASH). Information for patients
  9. HealthCare.gov (U.S. Government). Official website
  10. Medicare.gov (U.S. Government). Official website
Medical disclaimerThis information is for educational purposes only and does not replace medical advice.
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