[Withholding or withdrawing life-sustaining treatments in acute oncology situations: History and regulatory aspects in France].
La « Limitation et/ou arrêt des thérapeutiques » (LAT) en oncologie face à une situation aigüe : historique et aspects réglementaires en France.
Clinical Decision-Making
Deep Sedation
/ history
France
History, 20th Century
History, 21st Century
Humans
Medical Futility
/ legislation & jurisprudence
Medical Oncology
/ legislation & jurisprudence
Neoplasms
/ therapy
Palliative Care
/ history
Physician-Patient Relations
Professional-Family Relations
Terminal Care
/ history
Withholding Treatment
/ history
Decisions to forgo life sustaining therapy
Directives Anticipées
End of life
End of life decision making
Limiting care
Obstination déraisonnable
Palliative care
Therapeutic limitation
Unreasonable Obstinacy
Withdrawing
Withholding
advance directives
collective procedure
life-sustaining treatment
«Limitation et/ou Arrêt des Thérapeutiques Actives»
Journal
Bulletin du cancer
ISSN: 1769-6917
Titre abrégé: Bull Cancer
Pays: France
ID NLM: 0072416
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
02
07
2020
revised:
28
10
2020
accepted:
20
11
2020
pubmed:
9
3
2021
medline:
15
4
2021
entrez:
8
3
2021
Statut:
ppublish
Résumé
The management of oncology patients, especially hospitalized patients, can lead to almost daily 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 Claeys-Léonetti Law 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 at any time during his management. The work of intensive-care 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.
Identifiants
pubmed: 33678409
pii: S0007-4551(21)00046-1
doi: 10.1016/j.bulcan.2020.11.020
pii:
doi:
Types de publication
Historical Article
Journal Article
Review
Langues
fre
Sous-ensembles de citation
IM
Pagination
415-423Informations de copyright
Copyright © 2021 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.