In a piece forthcoming in the Journal of Oncology Practice, Andrew G. Shuman and colleagues at Memorial Sloan-Kettering Cancer Center reviewed clinical ethics consultation databases at two institutions from 2007 through 2011 that related to adult patients with cancer. They identified a total of 208 eligible patient cases. The most common primary issues leading to ethics consultation were:
- Code status and advance directives (25%)
- Surrogate decision making (17%)
- Medical futility (13%)
Furthermore, the authors identified:
- Communication lapses in 45% of cases
- Interpersonal conflict in 51% of cases
I have previously blogged other studies showing that medical futility comprised 33% of consults, a top 4 issue in consults, and even >50% of consults.
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