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1 December 1995 | Volume 123 Issue 11 | Pages 878-881
We describe the epidemiologic aspects of dialysis withdrawal, the role of patient autonomy and of medical beneficence in the decision to discontinue dialysis, and the conditions under which limits may be placed on patient autonomy. A case is presented that provides insight into the issues involved in making such decisions and that should provoke further discussion on the role of "medical guidelines" for dialysis refusal and withdrawal.
Author and Article Information
From the University of Newcastle and John Hunter Hospital, Newcastle, New South Wales, Australia.
PERSPECTIVE
Competent Patients, Incompetent Decisions
Acknowledgments: The authors thank Dr. Paul Trevillian for his clinical and critical guidance.
Current Author Addresses: Drs. Kerridge, Lowe, and Mitchell: Locked Bag No. 1, Newcastle Mail Region Center, New South Wales, Australia 2310.
This article has been cited by other articles:
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  M. Ashby, C. o. Hoog, A. Kellehear, P. G Kerr, D. Brooks, K. Nicholls, and M. Forrest Renal dialysis abatement: lessons from a social study Palliative Medicine, July 1, 2005; 19(5): 389 - 396. [Abstract] [PDF]
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 T van Kleffens and E van Leeuwen Physicians' evaluations of patients' decisions to refuse oncological treatment J. Med. Ethics, March 1, 2005; 31(3): 131 - 136. [Abstract] [Full Text] [PDF]
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