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Updated: Jul 8, 2026

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死ぬ前に患者を殺さない

Kanhu C Patro1, Kaviya Lakshmi1, Ajitesh Avinash2

  • 1Department of Radiation Oncology, Mahatma Gandhi Institute, Vishakhapatnam, Andhra Pradesh, India.

Journal of cancer research and therapeutics
|December 31, 2025
PubMed
まとめ

腫瘍医は、延命がん治療と患者の生活の質とのバランスをとるべきである。患者中心のケアと緩和ケア戦略を優先することで、過剰治療を防ぎ、幸福を高めることができる。

キーワード:
化学療法腫瘍学緩和ケア

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科学分野:

  • 腫瘍学;医療倫理;緩和ケア

背景:

  • がん治療の進歩は、延命対生活の質の倫理的ジレンマをもたらす。;腫瘍学における過剰治療は、患者の快適さ、尊厳、全体的な幸福を損なうリスクを伴う。

研究 の 目的:

  • 「死ぬ前に患者を殺さない」という概念を腫瘍学において探求すること。;患者中心のアプローチを提唱し、慎重な意思決定と個別化されたケアを優先すること。;進行がんにおける治癒的意図と緩和的意図のバランスをとることの課題を検討すること。

主な方法:

  • 症例研究と患者の語りのレビュー。;治療結果に関するエビデンスに基づく研究の分析。;過剰治療リスクを軽減するための戦略の議論。

主要な成果:

  • 積極的な介入は、患者と家族に多大な身体的、精神的、経済的負担を強いる可能性がある。;効果的な戦略には、共有意思決定、率直なコミュニケーション、統合された緩和ケアが含まれる。

結論:

  • 腫瘍学には、延命と並行して生活の質を高めるためのパラダイムシフトが必要である。;共感、協力、患者の自律性を育むことは、治療と患者の価値観を一致させるために不可欠である。