Critical care utilization for those with cancer: How much is enough?
Menée au Royaume-Uni à partir de données portant sur 118 541 patients atteints de tumeurs solides, cette étude observationnelle en population analyse l'association entre une admission dans une unité de soins intensifs dans les 2 ans suivant le diagnostic de cancer et la survie des patients
While at one time, the diagnosis of cancer meant to clinicians that ICU admissions were largely futile, research suggests that, given appropriate patient selection, the benefits of critical care can be similar for those with and without a cancer diagnosis.1 While intensive care can provide health benefits, particularly to those with reversible forms of organ failure, ICU care involves the possibility, and indeed the likelihood, of physical pain and emotional suffering. The provision of high-quality critical care requires consideration of both the likelihoods of such benefits and harms.
JAMA Oncology , commentaire, 2014