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The Examiner must review a current status report by the treating physician and any supporting documents to determine the applicant's eligibility for certification. If the applicant meets ALL the acceptable certification criteria listed below for renal cancer, the Examiner can issue. Applicants for first- or second- class must provide this information annually; applicants for third-class must provide the information with each required exam.
| AME MUST REVIEW | ACCEPTABLE CERTIFICATION CRITERIA |
|---|---|
| Treating physician finds the condition stable on current regimen and no changes recommended | [ ] Yes |
| Metastatic disease, extracapsular extension, or paraneoplastic syndrome | [ ] No |
| Treatment completed and back to full, unrestricted activities (ECOG performance status or equivalent is 0) | [ ] Yes |
AME MUST NOTE in Item 60: AME Comments on History and Findings one of the following:
- [ ] Airman had a previous Special Issuance for this condition and now meets the regular issuance certification criteria for asthma.
- [ ] Airman had a previous Special Issuance for this condition and now meets the regular issuance certification criteria for renal cancer.
- [ ] Airman does NOT meet certification criteria for renal cancer. I have deferred this exam. (Mail the supporting documents to FAA identifying which criteria were not met.)
ECOG Performance Status
The ECOG scales and criteria are used by AMEs, the FAA, doctors and researchers to assess how a patient's disease is progressing, assess how the disease affects the daily living abilities of the patient, and determine appropriate treatment and prognosis. They are included here courtesy of the Eastern Cooperative Oncology Group.
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General Genitourinary Conditions (Conditions Affecting Your Reproductive and Urinary Systems) |
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|---|---|---|---|
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Grade |
ECOG |
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| 0 | Fully active, able to carry on all pre-disease performance without restriction | ||
| 1 | Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work | ||
| 2 | Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours | ||
| 3 | Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours | ||
| 4 | Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair | ||
| 5 | Dead | ||
Citation: As published in Am. J. Clin. Oncol.:
Oken, M.M., Creech, R.H., Tormey, D.C., Horton, J., Davis, T.E.,
McFadden, E.T., Carbone, P.P.: Toxicity And Response Criteria Of The
Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649-655, 1982.
The ECOG Performance Status is in the public domain therefore
available for public use. To duplicate the scale, please cite the
reference above and credit the Eastern Cooperative Oncology Group,
Robert Comis M.D., Group Chair.
Web Source: Eastern Cooperative Oncology Group
Revised: July 27, 2006 / Web Accessed 28 Mar 2014
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