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When to stop? Decision-making when children’s cancer treatment is no longer curative: a mixed-method systematic review

机译:什么时候停止?儿童癌症治疗不再有效时的决策:一项混合方法的系统评价

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摘要

BackgroundChildren with cancer, parents, and clinicians, face difficult decisions when cure is no longer possible. Little is known about decision-making processes, how agreement is reached, or perspectives of different actors. Professionals voice concerns about managing parental expectations and beliefs, which can be contrary to their own and may change over time. We conducted the first systematic review to determine what constitutes best medico-legal practice for children under 19 years as context to exploring the perspectives of actors who make judgements and decisions when cancer treatment is no longer curative.
机译:背景当不再可能治愈时,患有癌症的儿童,父母和临床医生将面临艰难的决定。对于决策过程,如何达成共识或不同参与者的观点知之甚少。专业人士表达了对管理父母的期望和信念的担忧,这可能与他们自己的想法背道而驰,并可能随着时间而改变。我们进行了首次系统的审查,以确定什么是19岁以下儿童的最佳法律医学实践,以探讨在癌症治疗不再有效时做出判断和决定的行为者的观点。

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