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

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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Detalles Bibliográficos
Autores:	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
Tipo de recurso:	artículo
Fecha de publicación:	2016
País:	España
Institución:	Universidad de Navarra
Repositorio:	Dadun. Depósito Académico Digital de la Universidad de Navarra
Idioma:	inglés
OAI Identifier:	oai:dadun.unav.edu:10171/39698
Acceso en línea:	https://hdl.handle.net/10171/39698
Access Level:	acceso abierto
Palabra clave:	International Death Hastened death Palliative

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spelling	An international consensus definition of thewish to hasten death and Its related factorsVoltz R. (Ramón)\|\|\|/items/2af9dd4e-aa17-47d1-8a8b-96e661d7f1baVillavicencio-Chavez C.(Christian)\|\|\|/items/3c818387-73ca-437f-89bd-5bdb254958b2Trelis J. (Jordi)\|\|\|/items/4840f07c-b56f-4d02-9805-b0d4761c36f5Tomas-Sabado J. (Joaquin)\|\|\|/items/5a62746a-fd83-4a97-8416-586b501db028Schroepfer T. (Tracy)\|\|\|/items/62e8ca17-51f9-4b2b-95f6-b72146c6ad23Rosenfeld B. (Barry)\|\|\|/items/2a8f0751-a2b1-4c43-b659-2b51c175ca79Rodin G. (Gary)\|\|\|/items/41bbdaa8-6822-45f4-b1b1-cbf77dcdfddfNabal, M. (María)\|\|\|/items/36640879-b37f-4f9f-b021-3367889c0af4Materstvedt L. J. (Lars Johan)\|\|\|/items/a4ef2e65-47d9-4df8-956b-b4ee6404b205Maier M. A (Markus A)\|\|\|/items/beb8b99a-fc13-4766-826e-5fff814a1ac8Limonero J. T. (Joaquín T)\|\|\|/items/a8f81f5f-cd9a-440a-acf9-c79d72363eaaLichtenfeld S. (Stephanie)\|\|\|/items/c74b8503-93ff-4f61-9a9c-a6cd6f58b393Gastmans C. (Chris)\|\|\|/items/28a7f54b-1e73-426b-a869-ca8d6edbac8dFrerich G. (Gerrit)\|\|\|/items/e88a1f19-e9ed-4ab7-b40f-25bfce9b9a0bDeliens, L. (Luc)\|\|\|/items/f3ab8b9e-d81b-48b0-b64f-6ebc3db5781fCuervo M. A. (Miguel Angel)\|\|\|/items/aabc0f41-c428-49ae-8a8f-f169d728b7f2Centeno, C. (Carlos)\|\|\|/items/51b2dfa8-5e18-4188-a2f8-410672dce680Breitbart W. (William)\|\|\|/items/327a51a0-5a1c-41bf-a322-87741a6dcde0Bellido-Perez M. (Mercedes)\|\|\|/items/b272ca64-84c2-46e1-b661-47aa02e8ba72Aradilla-Herrero A. (Amor)\|\|\|/items/13c4b154-3308-4164-959a-830bcde0e321Altisent R. (Rogelio)\|\|\|/items/e93efe40-b934-4128-9484-9cad61084912Alonso-Babarro, A. (Alberto)\|\|\|/items/978d35e0-ee0e-4dad-8527-5b49bbb70ec0Porta-Sales, J. (Josep)\|\|\|/items/0d9340eb-2f44-4dd1-a8ae-1fbfa88104bfMonforte-Royo, C. (Cristina)\|\|\|/items/acfe6978-36c2-444e-9776-896986d9a9d7Balaguer, A. (Albert)\|\|\|/items/a9e5cca9-ff23-4cae-8970-ee79dca02f12InternationalDeathHastened deathPalliativeAbstract 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.Dadun. Depósito Académico Digital Universidad de Navarra20162016-01-1320162016-01-0120162016-01-01journal articlehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10171/39698reponame:Dadun. Depósito Académico Digital de la Universidad de Navarrainstname:Universidad de NavarraInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:dadun.unav.edu:10171/396982026-06-21T12:47:57Z
dc.title.none.fl_str_mv	An international consensus definition of thewish to hasten death and Its related factors
title	An international consensus definition of thewish to hasten death and Its related factors
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_short	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_sort	An international consensus definition of thewish to hasten death and Its related factors
dc.creator.none.fl_str_mv	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	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
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
author2_role	author author author author author author author author author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Dadun. Depósito Académico Digital Universidad de Navarra
dc.subject.none.fl_str_mv	International Death Hastened death Palliative
topic	International Death Hastened death Palliative
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.
publishDate	2016
dc.date.none.fl_str_mv	2016 2016-01-13 2016 2016-01-01 2016 2016-01-01
dc.type.none.fl_str_mv	journal article http://purl.org/coar/resource_type/c_6501 journal article http://purl.org/coar/resource_type/c_6501
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dc.identifier.none.fl_str_mv	https://hdl.handle.net/10171/39698
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dc.language.none.fl_str_mv	Inglés eng
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repository.mail.fl_str_mv
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score	15.300719

An international consensus definition of thewish to hasten death and Its related factors

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