Please Read These Instructions In this task, we would like you to think about different “states” that a patient may be in at different times after treatment. A patient may be alive or dead. If a patient is alive, the patient may be alive and well, or alive but unwell. A patient who is “alive and well” can carry out normal everyday activities such as walking up a hill, climbing stairs, lifting and carrying objects without difficulty. A patient who is “alive but unwell” has great difficulty with these activities. These patients will get out of breath when walking, and will need to stop frequently if they are climbing stairs. The chart on the right is called a: multi-state survival graph. Treatment A Alive and well The size of the ‘gap’ between the two curves shows you how many patients are alive but unwell. For instance, 4 years after the start of treatment slightly more than 30 patients out of 100 are alive but unwell (see arrow Z). Here is the same graph. This one uses colour and labels for the sections between the curves. Number of patients out of 100 The green line shows the number of patients who are alive and well. For instance, 3 years after the start of treatment, 70 patients out of 100 are alive and well (see arrow Y). Alive 100 90 80 Z 70 60 50 X 40 Y 30 20 10 0 0 1 2 3 4 5 6 7 8 9 10 Number of years from the start of treatment Treatment A Alive and well Alive but unwell Dead 100 Number of patients out of 100 The purple line is a survival curve. This shows the number of patients who are alive at different points of time. For instance, 8 years after the start of treatment, 80 patients out of 100 are alive (see arrow X). Therefore, 20 patients out of 100 have died during the first 8 years of treatment. 90 Dead 80 70 60 Alive but unwell 50 40 30 20 Alive and well 10 0 0 1 2 3 4 5 6 7 8 9 10 Number of years from the start of treatment Here is another multi-state survival graph. It shows information for a different treatment. Treatment B Alive and well Alive but unwell Dead The following pages include more graphs like this. You will be asked some questions about them. Please read the questions carefully so that you know which chart to look at. Number of patients out of 100 100 90 Dead 80 70 60 Alive but unwell 50 40 30 20 Alive and well 10 0 0 1 2 3 4 5 6 7 Number of years from the start of treatment 8 9 10 Please Read These Instructions In this task, we would like you to think about different “states” that a patient may be in at different times after treatment. A patient may be alive or dead. If a patient is alive, the patient may be alive and well, or alive but unwell. A patient who is “alive and well” can carry out normal everyday activities such as walking up a hill, climbing stairs, lifting and carrying objects without difficulty. A patient who is “alive but unwell” has great difficulty with these activities. These patients will get out of breath when walking, and will need to stop frequently if they are climbing stairs. These charts show information about two treatments. Treatment A is shown in purple. Treatment B is shown in orange. Treatment A Treatment B 100 Number of patients alive out of 100 The first chart shows survival curves. This shows the number of patients who are alive at different points of time. For instance, 8 years after the start of treatment, 80 patients out of 100 are alive with Treatment A (see arrow X). Therefore, 20 patients out of 100 have died during the first 8 years of treatment. This chart shows the chance of beingalive over time 90 80 70 60 50 X 40 30 20 10 0 0 1 2 3 4 5 6 7 8 9 10 8 9 10 8 9 10 Number of years from the start of treatment This chart shows the chance of beingalive and well over Treatment A Treatment B 100 Number of patients out of 100 The middle chart shows the number of patients who are alive and well. For instance, 3 years after the start of treatment, 70 patients out of 100 are alive and well with Treatment A (see arrow Y). 90 80 70 60 50 40 Y 30 20 10 0 0 1 2 3 4 5 6 7 Number of years from the start of treatment The following pages include more graphs like these. You will be asked some questions about them. Please read the questions carefully so that you know which chart to look at. This chart shows the chance of beingalive but Treatment A Treatment B 100 Number of patients out of 100 This third chart shows you how many patients are alive but unwell. For instance, 4 years after the start of treatment slightly more than 30 patients out of 100 are alive but unwell with Treatment A (see arrow Z). 90 80 70 60 50 40 30 20 Z 10 0 0 1 2 3 4 5 6 7 Number of years from the start of treatment