Withholding or withdrawing life-sustaining treatments in acute oncology situations: History and regulatory aspects in France

被引：0
作者：
Aelbrecht-Meurisse, Capucine [1 ]
Ryckewaert, Thomas [1 ]
Pannier, Diane [1 ]
Gamblin, Vincent [2 ]
Garcia, Vincent [3 ]
Aelbrecht, Stephane [4 ]
Penel, Nicolas [1 ]
机构：
[1] Ctr Oscar Lambret, Dept Oncol Med, 3 Rue Frederic Combemale, F-59000 Lille, France
[2] Ctr Oscar Lambret, Dept Soins Palliatifs, 3 Rue Frederic Combemale, F-59000 Lille, France
[3] Ctr Oscar Lambret, Dept Anesthesie Reanimat, 3 Rue Frederic Combemale, F-59000 Lille, France
[4] EHPAO Les Myosotis, 160 Rue Augustin Tirmont, F-59283 Raimbeaucourt, France
来源：
BULLETIN DU CANCER | 2021年 / 108卷 / 04期
关键词：
End of life; Therapeutic limitation; Limiting care; Withholding; Withdrawing; Palliative care; life-sustaining treatment; Unreasonable Obstinacy; End of life decision making; Decisions to forgo life; sustaining therapy; advance directives; collective procedure;
D O I：
10.1016/j.bulcan.2020.11.020
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
The management of oncology patients, especially hospitalized patients, con lead to almost doily discussions regarding therapeutic limitations. Here, we review the history and propose a summary of the texts framing the notion of "withholding and withdrawing life-sustaining treatment" in oncology practice in France. This decision is regulated by the Cloeys-Leonetti Low of February 2, 2016 recommending a collegial discussion and its documentation in the medical record. The decision to withhold or withdraw life-sustaining treatments is the subject of discussion between the patient, his physicians and his family and may take place of any time during his management. The work of intensive-core physicians provides many useful recommendations for acute oncology situations, however articles specific for oncology practice are scarce; this is a topic that oncologists must take up.
引用
收藏
页码：415 / 423
页数：9
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