Laouisset Céline, Waechter Lorraine, Rossi Audrey, Loureiro Édith, Bahyou Sabrina, Marchal Timothée, Burnod Alexis, Bouleuc Carole
Institut Curie, département de soins de support - DISSPO, 26, rue d'Ulm, 75248 Paris cedex 05, France.
Institut Curie, département de soins de support - DISSPO, 26, rue d'Ulm, 75248 Paris cedex 05, France.
Soins. 2019 Mar;64(833):38-40. doi: 10.1016/j.soin.2019.01.007.
Shared medical decision-making is a complex process, especially with regard to the withdrawal of specific treatments in oncology. On the one hand, patients, particularly vulnerable due to their advanced disease, and their family, apprehend this withdrawal. On the other hand, oncologists have more and more treatment options available to them thanks to the medical advances made over recent years. An observational prospective study was carried out in oncology. It focused on the motives which led to the question of treatment withdrawal being raised, to the degree of agreement between the different parties (palliative care team, oncologist, patients and families) and on the final decision.
共同医疗决策是一个复杂的过程，尤其是在肿瘤学中涉及特定治疗的撤除时。一方面，患者因其晚期疾病而特别脆弱，他们及其家人对这种撤除感到担忧。另一方面，由于近年来取得的医学进展，肿瘤学家有越来越多的治疗选择可供他们使用。在肿瘤学领域开展了一项前瞻性观察研究。该研究聚焦于引发治疗撤除问题的动机、不同各方（姑息治疗团队、肿瘤学家、患者及其家属）之间的一致程度以及最终决策。
