Cultural and ethical considerations for cardiopulmonary resuscitation in chinese patients with cancer at the end of life.
End-of-life (EOL) decision making is based on the values and wishes of terminally ill patients. However, little is known on the extent to which cultural factors affect personal attitudes toward life-sustaining treatments (LSTs) such as cardiopulmonary resuscitation (CPR) in China. This study evaluated the cultural and ethical considerations during EOL decisions and assessed the factors that affect pursuing LSTs in China. We used a case-control study design and compared their baseline characteristics with the provided EOL care and treatments. The CPR treatment among patients with cancer at EOL was affected by Chinese family traditions and Western influences. Our results reflect the need to improve EOL care and treatment in China.
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Zhe
Z
Zhang
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Meng-Lei
ML
Chen
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Xiao-Li
XL
Gu
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Ming-Hui
MH
Liu
Department of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China sszyys@163.com.
Wen-Wu
WW
Cheng
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D016887:Cardiopulmonary Resuscitation / Q000941:ethics* / Q000706:statistics & numerical data; D016022:Case-Control Studies; D002681:China; D003469:Culture; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000208:ethnology* / Q000628:therapy; D013727:Terminal Care / Q000941:ethics*
Chinese culture; cardiopulmonary resuscitation; end-of-life care; ethical considerations; medical decision making; patients with cancer