Ethical issues in aging and renal disease.

作者: Susie Q. Lew , Felicia Cohn , Lewis M. Cohen , Paul L. Kimmel

DOI: 10.1016/S1073-4449(00)70007-0

关键词: Renal replacement therapyHealth care rationingIntensive care medicineQuality of lifeHealth careIncidence (epidemiology)Life Support CareEthical issuesDiseaseMedicine

摘要: The incidence of elderly patients reaching end-stage renal disease (ESRD) and requiring renalreplacement is increasing. Better medical care helping live longer but, at the same time, raising ethical questions. Treatment decisions for ESRD present a forum consideration questions surrounding issues scarce health resource allocation withholding or withdrawal life-sustaining treatment. As background in patients, quality life they experience what may expect as death approaches also are discussed.

参考文章(21)
D G Oreopoulos, I Grapsa, Practical ethical issues of dialysis in the elderly. Seminars in Nephrology. ,vol. 16, pp. 339- 352 ,(1996)
Mary Beth Hamel, Joan M Teno, Lee Goldman, Joanne Lynn, Roger B Davis, Anthony N Galanos, Norman Desbiens, Alfred F Connors Jr, Neil Wenger, Russell S Phillips, SUPPORT Investigators, Patient Age and Decisions To Withhold Life-Sustaining Treatments from Seriously Ill, Hospitalized Adults Annals of Internal Medicine. ,vol. 130, pp. 116- 125 ,(1999) , 10.7326/0003-4819-130-2-199901190-00005
Roberta G. Simmons, Linda Abress, Quality-of-Life Issues for End-Stage Renal Disease Patients American Journal of Kidney Diseases. ,vol. 15, pp. 201- 208 ,(1990) , 10.1016/S0272-6386(12)80763-3
R Klein, Dimensions of rationing: who should do what? BMJ. ,vol. 307, pp. 309- 311 ,(1993) , 10.1136/BMJ.307.6899.309
Eric T. Edgell, Stephen Joel Coons, William B. Carter, Joel D. Kallich, Donna Mapes, Teresa M. Damush, Ron D. Hays, A review of health-related quality-of-life measures used in end-stage renal disease Clinical Therapeutics. ,vol. 18, pp. 887- 938 ,(1996) , 10.1016/S0149-2918(96)80049-X
Lewis M. Cohen, Michael Germain, Anne Woods, E. Deborah Gilman, Jack D. McCue, Patient Attitudes and Psychological Considerations in Dialysis Discontinuation Psychosomatics. ,vol. 34, pp. 395- 401 ,(1993) , 10.1016/S0033-3182(93)71842-3
Martin S. Neff, To be or not to be: The decision to withdraw or be withdrawn from dialysis American Journal of Kidney Diseases. ,vol. 33, pp. 601- 603 ,(1999) , 10.1016/S0272-6386(99)70201-5
Daniel Callahan, Rationing Medical Progress New England Journal of Medicine. ,vol. 322, pp. 1810- 1813 ,(1990) , 10.1056/NEJM199006213222511
Paul L. Kimmel, Towards a Developmental View of End-Stage Renal Disease American Journal of Kidney Diseases. ,vol. 15, pp. 191- 193 ,(1990) , 10.1016/S0272-6386(12)80761-X
Paul Golden, A Way Out Annals of Internal Medicine. ,vol. 118, pp. 899- 900 ,(1993) , 10.7326/0003-4819-118-11-199306010-00012