作者
NJH Raijmakers, Lia van Zuylen, Massimo Costantini, Augusto Caraceni, Jean Clark, Gunilla Lundquist, Raymond Voltz, JE Ellershaw, Agnes van der Heide
发表日期
2011/7/1
来源
Annals of Oncology
卷号
22
期号
7
页码范围
1478-1486
出版商
Elsevier
简介
Background
The benefits and burdens of artificial nutrition (AN) and artificial hydration (AH) in end-of-life care are unclear. We carried out a literature review on the use of AN and AH in the last days of life of cancer patients.
Materials and methods
We systematically searched for papers in PubMed, CINAHL, PsycInfo and EMBASE. All English papers published between January 1998 and July 2009 that contained data on frequencies or effects of AN or AH in cancer patients in the last days of life were included.
Results
Reported percentages of patients receiving AN or AH in the last week of life varied from 3% to 53% and from 12% to 88%, respectively. Five studies reported on the effects of AH: two found positive effects (less chronic nausea, less physical dehydration signs), two found negative effects (more ascites, more intestinal drainage) and four found also no effects on terminal delirium, thirst, chronic nausea and …
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