End-of-Life Care Discussions in Patients With Advanced Cancer
Mené sur 120 patients atteints d'un cancer métastatique, cet essai randomisé contrôlé évalue l'efficacité d'une intervention, reposant sur une information structurée des patients et des proches, pour faciliter la prise de décision relative aux soins de fin de vie
A 70-year-old man with a history of a Gleason 9 (4-5) adenocarcinoma 10 years before that was treated with a radical prostatectomy presented to his primary care physician with a complaint of rectal pain that had persisted for several weeks. A large palpable mass was found on a digital rectal exam and was noted on sigmoidoscopy to cause extrinsic compression of the rectum...