The bioethics of therapeutic obstinacy in the use of hemodialysis in patients with invasive cervical cancer during acute-on-chronic renal failure
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | |
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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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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1797042248154611712 |