• Bulletin du cancer · Apr 2021

    Review Historical Article

    [Withholding or withdrawing life-sustaining treatments in acute oncology situations: History and regulatory aspects in France].

    • Capucine Aelbrecht-Meurisse, Thomas Ryckewaert, Diane Pannier, Vincent Gamblin, Vincent Garcia, Stéphane Aelbrecht, and Nicolas Penel.
    • Centre Oscar Lambret, département d'oncologie médicale, 3, rue Frédéric Combemale, 59000 Lille, France. Electronic address: c-meurisse@o-lambret.fr.
    • Bull Cancer. 2021 Apr 1; 108 (4): 415-423.

    AbstractThe management of oncology patients, especially hospitalized patients, can lead to almost daily discussions regarding therapeutic limitations. Here, we review the history and propose a summary of the texts framing the notion of "withholding and withdrawing life-sustaining treatment" in oncology practice in France. This decision is regulated by the Claeys-Léonetti Law of February 2, 2016 recommending a collegial discussion and its documentation in the medical record. The decision to withhold or withdraw life-sustaining treatments is the subject of discussion between the patient, his physicians and his family and may take place at any time during his management. The work of intensive-care physicians provides many useful recommendations for acute oncology situations, however articles specific for oncology practice are scarce; this is a topic that oncologists must take up.Copyright © 2021 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

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