The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure

Detalhes bibliográficos
Autor(a) principal: Silva, Carlos Henrique Debenedito
Data de Publicação: 2007
Outros Autores: Schramm, Fermin Roland
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/1824
Resumo: This article draws on elements from bioethics to discuss the indication of hemodialysis in women with advanced cervical cancer presenting obstructive renal failure and treated at a cancer hospital. The study considers patients both with previous radiotherapy and without any type of treatment due to the advanced stage of their disease. The question is whether the patients benefited from hemodialysis (as a substitute for renal filtration) in the control of uremia caused by compression due to tumor progression. The conclusion is that hemodialysis constitutes a form of therapeutic obstinacy in the advanced stage of the disease, with no anti-tumor benefit or improvement in the patient's quality of life. The authors' aim is to encourage the discussion of the concept of futile treatment. Inclusion of the moral aspects involved in medical treatment and studied by bioethics is viewed as a way of analyzing the multi-factor impact of the disease and its treatment on patients' quality of life.
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spelling The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failureBioética da obstinação terapêutica no emprego da hemodiálise em pacientes portadoras de câncer do colo do útero invasor, em fase de insuficiência renal crônica agudizadaBioéticaFutilidade médicaCâncer do colo do úteroInsuficiência renal obstrutivaHemodiáliseBioethicsMedical futilityCervical cancerObstructive renal failureHemodialysisThis article draws on elements from bioethics to discuss the indication of hemodialysis in women with advanced cervical cancer presenting obstructive renal failure and treated at a cancer hospital. The study considers patients both with previous radiotherapy and without any type of treatment due to the advanced stage of their disease. The question is whether the patients benefited from hemodialysis (as a substitute for renal filtration) in the control of uremia caused by compression due to tumor progression. The conclusion is that hemodialysis constitutes a form of therapeutic obstinacy in the advanced stage of the disease, with no anti-tumor benefit or improvement in the patient's quality of life. The authors' aim is to encourage the discussion of the concept of futile treatment. Inclusion of the moral aspects involved in medical treatment and studied by bioethics is viewed as a way of analyzing the multi-factor impact of the disease and its treatment on patients' quality of life.Este artigo pretende discutir, do ponto de vista das ferramentas da Bioética, a indicação da hemodiálise para mulheres com câncer do colo do útero avançado com insuficiência renal obstrutiva, já tratadas por radioterapia exclusiva, ou sem mais indicação de tratamento pelo avançado estado da neoplasia, atendidas em um hospital especializado em oncologia. Pergunta-se se tais pacientes se beneficiariam desse método de substituição da filtração renal, para controle da uremia, conseqüente à progressão da doença neoplásica. Conclui-se que a utilização da hemodiálise constitui uma forma de obstinação terapêutica frente ao quadro dramático da paciente, ineficaz como medida antitumoral e incapaz de proporcionar melhor qualidade de vida à paciente. Os autores pretendem que as discussões sobre o conceito de tratamento fútil sejam estimuladas cada vez mais. A inclusão dos aspectos morais envolvidos no tratamento médico e estudados pela Bioética é vista como uma forma de analisar o impacto multifatorial da doença e do seu tratamento, quer de intenção curativa ou não, sobre a qualidade de vida dos doentes.INCA2007-03-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/182410.32635/2176-9745.RBC.2007v53n1.1824Revista Brasileira de Cancerologia; Vol. 53 No. 1 (2007): Jan./Feb./Mar.; 17-27Revista Brasileira de Cancerologia; Vol. 53 Núm. 1 (2007): ene./feb./mar.; 17-27Revista Brasileira de Cancerologia; v. 53 n. 1 (2007): jan./fev./mar.; 17-272176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/1824/1105Silva, Carlos Henrique DebeneditoSchramm, Fermin Rolandinfo:eu-repo/semantics/openAccess2021-11-29T20:26:47Zoai:rbc.inca.gov.br:article/1824Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:26:47Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
Bioética da obstinação terapêutica no emprego da hemodiálise em pacientes portadoras de câncer do colo do útero invasor, em fase de insuficiência renal crônica agudizada
title The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
spellingShingle The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
Silva, Carlos Henrique Debenedito
Bioética
Futilidade médica
Câncer do colo do útero
Insuficiência renal obstrutiva
Hemodiálise
Bioethics
Medical futility
Cervical cancer
Obstructive renal failure
Hemodialysis
title_short The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
title_full The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
title_fullStr The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
title_full_unstemmed The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
title_sort The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
author Silva, Carlos Henrique Debenedito
author_facet Silva, Carlos Henrique Debenedito
Schramm, Fermin Roland
author_role author
author2 Schramm, Fermin Roland
author2_role author
dc.contributor.author.fl_str_mv Silva, Carlos Henrique Debenedito
Schramm, Fermin Roland
dc.subject.por.fl_str_mv Bioética
Futilidade médica
Câncer do colo do útero
Insuficiência renal obstrutiva
Hemodiálise
Bioethics
Medical futility
Cervical cancer
Obstructive renal failure
Hemodialysis
topic Bioética
Futilidade médica
Câncer do colo do útero
Insuficiência renal obstrutiva
Hemodiálise
Bioethics
Medical futility
Cervical cancer
Obstructive renal failure
Hemodialysis
description This article draws on elements from bioethics to discuss the indication of hemodialysis in women with advanced cervical cancer presenting obstructive renal failure and treated at a cancer hospital. The study considers patients both with previous radiotherapy and without any type of treatment due to the advanced stage of their disease. The question is whether the patients benefited from hemodialysis (as a substitute for renal filtration) in the control of uremia caused by compression due to tumor progression. The conclusion is that hemodialysis constitutes a form of therapeutic obstinacy in the advanced stage of the disease, with no anti-tumor benefit or improvement in the patient's quality of life. The authors' aim is to encourage the discussion of the concept of futile treatment. Inclusion of the moral aspects involved in medical treatment and studied by bioethics is viewed as a way of analyzing the multi-factor impact of the disease and its treatment on patients' quality of life.
publishDate 2007
dc.date.none.fl_str_mv 2007-03-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1824
10.32635/2176-9745.RBC.2007v53n1.1824
url https://rbc.inca.gov.br/index.php/revista/article/view/1824
identifier_str_mv 10.32635/2176-9745.RBC.2007v53n1.1824
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/1824/1105
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 53 No. 1 (2007): Jan./Feb./Mar.; 17-27
Revista Brasileira de Cancerologia; Vol. 53 Núm. 1 (2007): ene./feb./mar.; 17-27
Revista Brasileira de Cancerologia; v. 53 n. 1 (2007): jan./fev./mar.; 17-27
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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