'Futile care': what to do when your patient insists on chemotherapy that likely won't help.
While there is no generally accepted medical definition of "futile care," many factors may play a role in the delivery of chemotherapy to patients who are unlikely to benefit. In this review, we consider the roles of both the patient and the physician in driving the provision of "futile care" and offer practical steps the oncologist can take to avoid it.
Khatcheressian
James
J
Division of Hematology/Oncology, Massey Cancer Center of Virginia Commonwealth University, Richmond, Virginia, USA.
Harrington
Sara Beth
SB
Lyckholm
Laurel J
LJ
Smith
Thomas J
TJ
D000970:Antineoplastic Agents / Q000627:therapeutic use*; D003142:Communication; D003657:Decision Making; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D018447:Medical Futility; D009369:Neoplasms / Q000188:drug therapy* / Q000523:psychology; D017060:Patient Satisfaction; D010819:Physician's Role; D010817:Physician-Patient Relations; D011379:Prognosis
D000970:Antineoplastic Agents