ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017
Clinical practice guidelines of the French Association for Supportive Care in Cancer and the French Society for Psycho-oncology: refusal of treatment by adults afflicted with cancer.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Psychiatric assessment for patients who decline cancer treatment: perspectives from medical residents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Observational
- Uveal Melanoma: Refusal of Treatment.Ocular oncology and pathology · 2021Article
- Biomarkers of immunotherapy in non-small cell lung cancer.Oncology letters · 2020Review
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Authors and funding
6 authors.
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Abstract
purposeThe study's purpose was to develop practical guidelines for assessment and management of refusal of treatment by adults afflicted with cancer.
methodsThe French Association for Supportive Care in Cancer and the French Society for Psycho-oncology gathered a task force that applied a consensus methodology to draft guidelines studied predisposing situations, the diagnosis, regulatory aspects, and the management of refusal of treatment by adults afflicted with cancer.
resultsWe propose five guidelines: (1) be aware of the conditions/profiles of patients most often associated with refusal of treatment so as to adequately underpin the care and support measures; (2) understand the complexity of the process of refusal and knowing how to accurately identify the type and the modalities of the refused treatments; (3) apply a way to systematically analyze refusal, thereby promoting progression from a situation of disaccord toward a consensual decision; (4) devise procedures, according to the legal context, to address refusal of treatment that safeguards the stakeholders in situations of sustained disaccord; and (5) know the indications for ethical collective decision-making.
conclusionThe quality of the relationship between patients and health professionals, and the communication between them are essential components involved in reaching a point of consent or refusal of treatment. A process of systematic analysis of refusal is recommended as the only way to ensure that all of the physiological, psychological, and contextual elements that are potentially involved are taken into account.
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