An international consensus definition of thewish to hasten death and Its related factors
Abstract Background The desire for hastened death or wish to hasten death (WTHD) that is experienced by some patients with advanced illness is a complex phenomenon for which no widely accepted definition exists. This lack of a common conceptualization hinders understanding and cooperation between cl...
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| Format: | Article |
| Publication date: | 2016 |
| Country: | España |
| Institution: | Universidad de Navarra |
| Repository: | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| Language: | English |
| OAI Identifier: | oai:dadun.unav.edu:10171/39698 |
| Online Access: | https://hdl.handle.net/10171/39698 |
| Access Level: | Open access |
| Keyword: | International Death Hastened death Palliative |
| _version_ | 1878732855585013760 |
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| author | Voltz R. (Ramón)|||/items/2af9dd4e-aa17-47d1-8a8b-96e661d7f1ba |
| author2 | Villavicencio-Chavez C.(Christian)|||/items/3c818387-73ca-437f-89bd-5bdb254958b2 Trelis J. (Jordi)|||/items/4840f07c-b56f-4d02-9805-b0d4761c36f5 Tomas-Sabado J. (Joaquin)|||/items/5a62746a-fd83-4a97-8416-586b501db028 Schroepfer T. (Tracy)|||/items/62e8ca17-51f9-4b2b-95f6-b72146c6ad23 Rosenfeld B. (Barry)|||/items/2a8f0751-a2b1-4c43-b659-2b51c175ca79 Rodin G. (Gary)|||/items/41bbdaa8-6822-45f4-b1b1-cbf77dcdfddf Nabal, M. (María)|||/items/36640879-b37f-4f9f-b021-3367889c0af4 Materstvedt L. J. (Lars Johan)|||/items/a4ef2e65-47d9-4df8-956b-b4ee6404b205 Maier M. A (Markus A)|||/items/beb8b99a-fc13-4766-826e-5fff814a1ac8 Limonero J. T. (Joaquín T)|||/items/a8f81f5f-cd9a-440a-acf9-c79d72363eaa Lichtenfeld S. (Stephanie)|||/items/c74b8503-93ff-4f61-9a9c-a6cd6f58b393 Gastmans C. (Chris)|||/items/28a7f54b-1e73-426b-a869-ca8d6edbac8d Frerich G. (Gerrit)|||/items/e88a1f19-e9ed-4ab7-b40f-25bfce9b9a0b Deliens, L. (Luc)|||/items/f3ab8b9e-d81b-48b0-b64f-6ebc3db5781f Cuervo M. A. (Miguel Angel)|||/items/aabc0f41-c428-49ae-8a8f-f169d728b7f2 Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Breitbart W. (William)|||/items/327a51a0-5a1c-41bf-a322-87741a6dcde0 Bellido-Perez M. (Mercedes)|||/items/b272ca64-84c2-46e1-b661-47aa02e8ba72 Aradilla-Herrero A. (Amor)|||/items/13c4b154-3308-4164-959a-830bcde0e321 Altisent R. (Rogelio)|||/items/e93efe40-b934-4128-9484-9cad61084912 Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 |
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| author_browse | Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Altisent R. (Rogelio)|||/items/e93efe40-b934-4128-9484-9cad61084912 Aradilla-Herrero A. (Amor)|||/items/13c4b154-3308-4164-959a-830bcde0e321 Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 Bellido-Perez M. (Mercedes)|||/items/b272ca64-84c2-46e1-b661-47aa02e8ba72 Breitbart W. (William)|||/items/327a51a0-5a1c-41bf-a322-87741a6dcde0 Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Cuervo M. A. (Miguel Angel)|||/items/aabc0f41-c428-49ae-8a8f-f169d728b7f2 Deliens, L. (Luc)|||/items/f3ab8b9e-d81b-48b0-b64f-6ebc3db5781f Frerich G. (Gerrit)|||/items/e88a1f19-e9ed-4ab7-b40f-25bfce9b9a0b Gastmans C. (Chris)|||/items/28a7f54b-1e73-426b-a869-ca8d6edbac8d Lichtenfeld S. (Stephanie)|||/items/c74b8503-93ff-4f61-9a9c-a6cd6f58b393 Limonero J. T. (Joaquín T)|||/items/a8f81f5f-cd9a-440a-acf9-c79d72363eaa Maier M. A (Markus A)|||/items/beb8b99a-fc13-4766-826e-5fff814a1ac8 Materstvedt L. J. (Lars Johan)|||/items/a4ef2e65-47d9-4df8-956b-b4ee6404b205 Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Nabal, M. (María)|||/items/36640879-b37f-4f9f-b021-3367889c0af4 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Rodin G. (Gary)|||/items/41bbdaa8-6822-45f4-b1b1-cbf77dcdfddf Rosenfeld B. (Barry)|||/items/2a8f0751-a2b1-4c43-b659-2b51c175ca79 Schroepfer T. (Tracy)|||/items/62e8ca17-51f9-4b2b-95f6-b72146c6ad23 Tomas-Sabado J. (Joaquin)|||/items/5a62746a-fd83-4a97-8416-586b501db028 Trelis J. (Jordi)|||/items/4840f07c-b56f-4d02-9805-b0d4761c36f5 Villavicencio-Chavez C.(Christian)|||/items/3c818387-73ca-437f-89bd-5bdb254958b2 Voltz R. (Ramón)|||/items/2af9dd4e-aa17-47d1-8a8b-96e661d7f1ba |
| author_facet | Voltz R. (Ramón)|||/items/2af9dd4e-aa17-47d1-8a8b-96e661d7f1ba Villavicencio-Chavez C.(Christian)|||/items/3c818387-73ca-437f-89bd-5bdb254958b2 Trelis J. (Jordi)|||/items/4840f07c-b56f-4d02-9805-b0d4761c36f5 Tomas-Sabado J. (Joaquin)|||/items/5a62746a-fd83-4a97-8416-586b501db028 Schroepfer T. (Tracy)|||/items/62e8ca17-51f9-4b2b-95f6-b72146c6ad23 Rosenfeld B. (Barry)|||/items/2a8f0751-a2b1-4c43-b659-2b51c175ca79 Rodin G. (Gary)|||/items/41bbdaa8-6822-45f4-b1b1-cbf77dcdfddf Nabal, M. (María)|||/items/36640879-b37f-4f9f-b021-3367889c0af4 Materstvedt L. J. (Lars Johan)|||/items/a4ef2e65-47d9-4df8-956b-b4ee6404b205 Maier M. A (Markus A)|||/items/beb8b99a-fc13-4766-826e-5fff814a1ac8 Limonero J. T. (Joaquín T)|||/items/a8f81f5f-cd9a-440a-acf9-c79d72363eaa Lichtenfeld S. (Stephanie)|||/items/c74b8503-93ff-4f61-9a9c-a6cd6f58b393 Gastmans C. (Chris)|||/items/28a7f54b-1e73-426b-a869-ca8d6edbac8d Frerich G. (Gerrit)|||/items/e88a1f19-e9ed-4ab7-b40f-25bfce9b9a0b Deliens, L. (Luc)|||/items/f3ab8b9e-d81b-48b0-b64f-6ebc3db5781f Cuervo M. A. (Miguel Angel)|||/items/aabc0f41-c428-49ae-8a8f-f169d728b7f2 Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Breitbart W. (William)|||/items/327a51a0-5a1c-41bf-a322-87741a6dcde0 Bellido-Perez M. (Mercedes)|||/items/b272ca64-84c2-46e1-b661-47aa02e8ba72 Aradilla-Herrero A. (Amor)|||/items/13c4b154-3308-4164-959a-830bcde0e321 Altisent R. (Rogelio)|||/items/e93efe40-b934-4128-9484-9cad61084912 Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 |
| author_role | author |
| collection | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| description | Abstract Background The desire for hastened death or wish to hasten death (WTHD) that is experienced by some patients with advanced illness is a complex phenomenon for which no widely accepted definition exists. This lack of a common conceptualization hinders understanding and cooperation between clinicians and researchers. The aim of this study was to develop an internationally agreed definition of the WTHD. Methods Following an exhaustive literature review, a modified nominal group process and an international, modified Delphi process were carried out. The nominal group served to produce a preliminary definition that was then subjected to a Delphi process in which 24 experts from 19 institutions from Europe, Canada and the USA participated. Delphi responses and comments were analysed using a pre-established strategy. Findings All 24 experts completed the three rounds of the Delphi process, and all the proposed statements achieved at least 79% agreement. Key concepts in the final definition include the WTHD as a reaction to suffering, the fact that such a wish is not always expressed spontaneously, and the need to distinguish the WTHD from the acceptance of impending death or from a wish to die naturally, although preferably soon. The proposed definition also makes reference to possible factors related to the WTHD. Conclusions This international consensus definition of the WTHD should make it easier for clinicians and researchers to share their knowledge. This would foster an improved understanding of the phenomenon and help in developing strategies for early therapeutic intervention. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_4b2c015c8f2fcc96da71fda0b39b1ddd |
| institution | Universidad de Navarra |
| instname_str | Universidad de Navarra |
| language | eng |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:dadun.unav.edu:10171/39698 |
| publishDate | 2016 |
| publishDateSort | 2016 |
| reponame_str | Dadun. Depósito Académico Digital de la Universidad de Navarra |
| spelling | An international consensus definition of thewish to hasten death and Its related factors Voltz R. (Ramón)|||/items/2af9dd4e-aa17-47d1-8a8b-96e661d7f1ba Villavicencio-Chavez C.(Christian)|||/items/3c818387-73ca-437f-89bd-5bdb254958b2 Trelis J. (Jordi)|||/items/4840f07c-b56f-4d02-9805-b0d4761c36f5 Tomas-Sabado J. (Joaquin)|||/items/5a62746a-fd83-4a97-8416-586b501db028 Schroepfer T. (Tracy)|||/items/62e8ca17-51f9-4b2b-95f6-b72146c6ad23 Rosenfeld B. (Barry)|||/items/2a8f0751-a2b1-4c43-b659-2b51c175ca79 Rodin G. (Gary)|||/items/41bbdaa8-6822-45f4-b1b1-cbf77dcdfddf Nabal, M. (María)|||/items/36640879-b37f-4f9f-b021-3367889c0af4 Materstvedt L. J. (Lars Johan)|||/items/a4ef2e65-47d9-4df8-956b-b4ee6404b205 Maier M. A (Markus A)|||/items/beb8b99a-fc13-4766-826e-5fff814a1ac8 Limonero J. T. (Joaquín T)|||/items/a8f81f5f-cd9a-440a-acf9-c79d72363eaa Lichtenfeld S. (Stephanie)|||/items/c74b8503-93ff-4f61-9a9c-a6cd6f58b393 Gastmans C. (Chris)|||/items/28a7f54b-1e73-426b-a869-ca8d6edbac8d Frerich G. (Gerrit)|||/items/e88a1f19-e9ed-4ab7-b40f-25bfce9b9a0b Deliens, L. (Luc)|||/items/f3ab8b9e-d81b-48b0-b64f-6ebc3db5781f Cuervo M. A. (Miguel Angel)|||/items/aabc0f41-c428-49ae-8a8f-f169d728b7f2 Centeno, C. (Carlos)|||/items/51b2dfa8-5e18-4188-a2f8-410672dce680 Breitbart W. (William)|||/items/327a51a0-5a1c-41bf-a322-87741a6dcde0 Bellido-Perez M. (Mercedes)|||/items/b272ca64-84c2-46e1-b661-47aa02e8ba72 Aradilla-Herrero A. (Amor)|||/items/13c4b154-3308-4164-959a-830bcde0e321 Altisent R. (Rogelio)|||/items/e93efe40-b934-4128-9484-9cad61084912 Alonso-Babarro, A. (Alberto)|||/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0 Porta-Sales, J. (Josep)|||/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bf Monforte-Royo, C. (Cristina)|||/items/acfe6978-36c2-444e-9776-896986d9a9d7 Balaguer, A. (Albert)|||/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12 International Death Hastened death Palliative Abstract Background The desire for hastened death or wish to hasten death (WTHD) that is experienced by some patients with advanced illness is a complex phenomenon for which no widely accepted definition exists. This lack of a common conceptualization hinders understanding and cooperation between clinicians and researchers. The aim of this study was to develop an internationally agreed definition of the WTHD. Methods Following an exhaustive literature review, a modified nominal group process and an international, modified Delphi process were carried out. The nominal group served to produce a preliminary definition that was then subjected to a Delphi process in which 24 experts from 19 institutions from Europe, Canada and the USA participated. Delphi responses and comments were analysed using a pre-established strategy. Findings All 24 experts completed the three rounds of the Delphi process, and all the proposed statements achieved at least 79% agreement. Key concepts in the final definition include the WTHD as a reaction to suffering, the fact that such a wish is not always expressed spontaneously, and the need to distinguish the WTHD from the acceptance of impending death or from a wish to die naturally, although preferably soon. The proposed definition also makes reference to possible factors related to the WTHD. Conclusions This international consensus definition of the WTHD should make it easier for clinicians and researchers to share their knowledge. This would foster an improved understanding of the phenomenon and help in developing strategies for early therapeutic intervention. https://hdl.handle.net/10171/39698 |
| spellingShingle | An international consensus definition of thewish to hasten death and Its related factors Voltz R. (Ramón)|||/items/2af9dd4e-aa17-47d1-8a8b-96e661d7f1ba International Death Hastened death Palliative |
| title | An international consensus definition of thewish to hasten death and Its related factors |
| title_full | An international consensus definition of thewish to hasten death and Its related factors |
| title_fullStr | An international consensus definition of thewish to hasten death and Its related factors |
| title_full_unstemmed | An international consensus definition of thewish to hasten death and Its related factors |
| title_short | An international consensus definition of thewish to hasten death and Its related factors |
| title_sort | An international consensus definition of thewish to hasten death and Its related factors |
| topic | International Death Hastened death Palliative |
| topic_facet | International Death Hastened death Palliative |
| url | https://hdl.handle.net/10171/39698 |