Assessment of a tool for decision making in case of worsening condition of cancer patients

作者：Toffart A C^*; Sakhri L; Girard N; Couraud S; Merle P; Fournel P; Perol M; Souquet P J; Timsit J F; Moro Sibilot D

来源：Revue des Maladies Respiratoires, 2015, 32(1): 66-72.

DOI：10.1016/j.rmr.2014.02.006

• Lung neoplasm
• Organ failure
• Intensive care unit
• End of Life
• Therapeutic decision

Background. In response to questions regarding the appropriate intensity of care for some patients, "a decision support aid regarding the intensity of care in case of worsening condition of a patient with a chronic disease" has been established at the Grenoble university hospital. According to patient's wishes and the experience of the medical and paramedical team who are responsible for him, a level of intensity of care will be suggested.
Methods. We propose a prospective and multicenter study conducted in the Rhone-Alpes-Auvergne area. All lung cancer patients admitted to a pulmonology unit in 2014 would be included. This document would be used if a decision to withhold life-sustaining treatment exists. We would assess the relationship between the planned intensity of care and those established when the patient develops organ failure. Patient characteristics and factors associated with proposed levels and types of care would be analyzed. Patient and family opinions will be obtained at 3 months. The number of subjects to be included is 468.
Expected results. Therefore, we hope to be able to define the wishes of patients' and to propose an appropriate and adapted aid for decisions if they develop organ failure.

• 出版日期2015-1