Hemodialysis as a life-sustaining treatment at the end of life

被引：5

作者：

Shin, Sung Joon ^{[1
]}

Lee, Jae Hang ^{[2
]}

机构：

[1] Dongguk Univ, Dept Internal Med, Ilsan Hosp, 27 Dongguk Ro, Goyang 10326, South Korea

[2] Dongguk Univ, Dept Thorac Surg, Ilsan Hosp, Goyang, South Korea

来源：

KIDNEY RESEARCH AND CLINICAL PRACTICE | 2018年 / 37卷 / 02期

关键词：

Hemodialysis; Life-sustaining treatment; Terminal care; RENAL REPLACEMENT THERAPY; ADVANCE CARE; DIALYSIS WITHDRAWAL; RISK-FACTORS; DEATH; REGISTRY; AUSTRALIA; PATIENT; LEGAL;

D O I：

10.23876/j.krcp.2018.37.2.112

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life came into effect on February 4th, 2018, in South Korea. Based on the Act, all Koreans over the age of 19 years can decide whether to refuse life-sustaining treatments at the end of life via advance directive or physician orders. Hemodialysis is one of the options designated in the Act as a life-sustaining treatment that can be withheld or withdrawn near death. However, hemodialysis has unique features. So, it is not easy to determine the best candidates for withholding/withdrawing hemodialysis at the end of life. Thus, it is necessary to investigate the meaning and implications of hemodialysis at the end of life with ethical consideration of futility and withholding or withdrawal of intervention.

引用

页码：112 / 118

页数：7

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