End-stage renal disease is treated by long-term dialysis when renal transplantation is not feasible.
At a late stage in the disease, for a variety of reasons, dialysis is frequently stopped.
This is one of the most common causes of death in dialysis patients.
Ethical issues related to withdrawal of dialysis are therefore commonly encountered in nephrology practices.
A case study involving discussions to forego dialysis in an incompetent patient is presented, and the ethical issues raised by this case, particularly related to the concepts of medical futility, informed choice, and justice are discussed.
Finally, procedural approaches are suggested that will help to address the ethical problems raised and to assist in decision making at the time that the discontinuation of dialysis is being considered.
Mots-clés Pascal : Insuffisance rénale, Chronique, Hémodialyse, Ethique, Etats Unis, Amérique du Nord, Amérique, Traitement, Homme, Appareil urinaire pathologie, Rein pathologie, Epuration extrarénale
Mots-clés Pascal anglais : Renal failure, Chronic, Hemodialysis, Ethics, United States, North America, America, Treatment, Human, Urinary system disease, Renal disease, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0384204
Code Inist : 002B27B03. Création : 10/04/1997.