International review of national-level guidelines on end-of-life care with focus on the withholding and withdrawing of artificial nutrition and hydration

Geriatrics & Gerontology International
Thomas MayersNanako Tamiya

Abstract

The purpose of the present study was to collate examples of end-of-life care guidelines from various counties, examine their contents, and gain an overall picture of how end-of-life care guidance is offered to physicians and care providers internationally. In this study, eight researchers worked independently to source and examine national-level end-of-life care guidelines from different countries and regions. Data collected by each researcher were gathered into a unified table. The items in the table included basic information (publisher, year, URL etc.) and more specific items, such as the presence/absence of legal information and family's role in decision-making. These data were then used to identify trends, and examine the mechanics and delivery of guidance on this topic. A total of 54 guidelines were included in the study. All the guidelines were published between 2000 and 2016, and 60% (n = 33) were published after 2012. The length of the guidelines varied from two to 487 pages (median 38 pages), and had different target audiences - both lay and professional. A total of 38 (70%) of the guidelines included information about the relevant laws and legal issues, 47 (87%) offered advice on withholding and withdrawing treatment...Continue Reading

References

Jan 20, 2000·The New England Journal of Medicine·M R Gillick
Jul 23, 2002·Journal of General Internal Medicine·Shinji MatsumuraNeil Wenger
Nov 13, 2008·Clinical Orthopaedics and Related Research·Robert B Leflar
Jan 1, 2012·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·UNKNOWN Japan Geriatrics Society
Oct 20, 2015·Resuscitation·Leo L BossaertUNKNOWN ethics of resuscitation and end-of-life decisions section Collaborators

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