Aggressiveness of cancer care near the end of life: Is it a quality-of-care issue?
Aggressiveness of cancer care near the end of life: Is it a quality-of-care issue?
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DOI：
10.1200/jco.2007.15.8253
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发表时间：
2008-08-10
影响因子：
45.3
通讯作者：
Ayanian, John Z.
中科院分区：
文献类型：
--
作者：
Earle, Craig C.;Landrum, Mary Beth;Ayanian, John Z.
这篇文章的目的是回顾文献和更新分析有关的侵略性癌症护理接近生命的尽头。具体来说，我们将讨论的趋势和因素负责化疗过度使用非常接近死亡和临终关怀服务利用不足。过度积极治疗的概念是否代表了所有相关利益相关者都能接受的护理质量问题，这是一个悬而未决的问题。
The purpose of this article is to review the literature and update analyses pertaining to the aggressiveness of cancer care near the end of life. Specifically, we will discuss trends and factors responsible for chemotherapy overuse very near death and underutilization of hospice services. Whether the concept of overly aggressive treatment represents a quality-of-care issue that is acceptable to all involved stakeholders is an open question.