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Stopping Dialysis Practice and Cultural, Religious and Legal Aspects

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Replacement of Renal Function by Dialysis

Abstract

Stopping dialysis, as a cause of death is common, particularly in North America. In the USA it is now the third most common cause of death in dialysis patients, and in Canada the second most common cause, after vascular deaths, as illustrated in Figure 1.

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References

  1. Neu S, Kjellstrand CM: Stopping long-term dialysis. An empirical study of withdrawal of life-supporting treatment. N. Engl J Med 314: 14, 1986

    Article  PubMed  CAS  Google Scholar 

  2. Port FK, Wolfe RA, Hawthorne VM, Ferguson CW et al.: Discontinuation of dialysis therapy as a cause of death. Am J Neph 9: 145, 1989

    CAS  Google Scholar 

  3. Kjellstrand CM: Giving life — giving death. Ethical problems with high technology medicine. PhD Thesis. Karolinska Institute, Stockholm 1988 and Acta Medica Scandinavica Supplementum 1988, Suppl 725

    Google Scholar 

  4. Munoz JE, Kjellstrand CM: Withdrawing life support: do families and physicians decide as patients do? Nephron 48: 201, 1988

    Google Scholar 

  5. Sacred Congregation for the Doctrine of the Faith: Declaration on Euthanasia Ottawa, Ontario, Publication Service. Canadian Conference of Catholic Bishops 1980

    Google Scholar 

  6. Roberts J, Kjellstrand CM: Choosing death: withdrawal without medical reason from chronic dialysis. Acta Med Scand 223: 181, 1988

    Article  PubMed  CAS  Google Scholar 

  7. Kaye M, Bourgouin P, Low G: Physicians’ non-compliance with patients’ refusal of life-sustaining treatment. Am J Nephrol 7: 304, 1987

    PubMed  CAS  Google Scholar 

  8. Lo B, McLeod GA, Saika G: Patient attitudes to discussing life-sustaining treatment. Arch Intern Med 146: 1613, 1986

    Article  PubMed  CAS  Google Scholar 

  9. Pence GE: Do not go slowly into that dark night: mercy killing in Holland. Am J Med 84: 139, 1988

    Article  CAS  Google Scholar 

  10. Sandbert S, Holm L, Enger E: Veilednings — og omsorgsbehov hos etterlatte. Tidskr Nor Lœgeforen 105: 1412, 1985

    Google Scholar 

  11. Tolle S, Bascom PB, Hickam DH et al.: Communication between physicians and surviving spouses following patient death. J Gen Intern Med 1: 309, 1986

    Article  PubMed  CAS  Google Scholar 

  12. Walwork E, Ellison PH: Follow up of families of neonates in whom life support was withdrawn. Clin Ped 24: 14, 1985

    Article  CAS  Google Scholar 

  13. Roberts J, Snyder R, Kjellstrand CM: Withdrawal of life support-the survivors. Acta Med Scand 224: 141, 1988

    Article  PubMed  CAS  Google Scholar 

  14. Kjellstrand CM, Logan G: Racial, sexual and age inequalities in chronic dialysis. Nephron 45: 257, 1987

    PubMed  CAS  Google Scholar 

  15. Kjellstrand CM: Racial, sexual and age inequalities in renal transplantation. Arch Intern Med 148: 1305, 1988

    Article  PubMed  CAS  Google Scholar 

  16. Callender CO: Organ donation in blacks: a community approach. Transpl Proceed 19: 1551, 1987

    CAS  Google Scholar 

  17. Callender CO: Organ donation in the black population: where do we go from here. Transpl Proceed 19(Suppl 2): 36, 1987

    CAS  Google Scholar 

  18. Combined report on regular dialysis and transplantation in Europe 1979: in Proceedings of the European Dialysis and Transplant Association, edited by Robinson BHB, Hawkins JB, Vol 17. Pitman Medical Limited, London, 1980

    Google Scholar 

  19. Wehle B, Ahlmén J: Prudent withdrawal of chronic dialysis treatment. Scand J Urol Nephrol Suppl 131: 47, 1990

    PubMed  CAS  Google Scholar 

  20. Kjellstrand CM, Lins LE, Ericson F et al.: On the wish for renal transplantation. Transactions ASAIO 35: 619, 1989

    Article  CAS  Google Scholar 

  21. Quran: The meaning of the glorious Koran. Mentor 2: 30

    Google Scholar 

  22. Sahin AF: Islamic transplantation ethics. Transpl Proc 22: 939, 1990

    CAS  Google Scholar 

  23. Quran 39: 42

    Google Scholar 

  24. Darsh SM: Islamic Health Rules. Abul Qasim Publications, Jeddah, Saudi Arabia

    Google Scholar 

  25. Hathout H: Islamic basis for biomedical ethics. Fidia Research Foundation Symposium, Transcultural dimensions of medical ethics. National Academy of Sciences. Washington, DC, April 26–27, 1990

    Google Scholar 

  26. Darsh SM: ibid

    Google Scholar 

  27. Quran 40: 67, 68

    Google Scholar 

  28. Riemer J (ed): Jewish Reflections on Death. Schocken Books, New York, 1974

    Google Scholar 

  29. Glick S: A view from Sinai — a Jewish perspective on biomedical ethics. Fidia Symposium, ibid

    Google Scholar 

  30. Life-sustaining treatment: New York State task force on life and the law. July, 1987

    Google Scholar 

  31. Rosner F, Bleich JD (eds): Quoted by Bleich JD in Jewish Bioethics, Sanhedrin Press, New York, 1979, p 292

    Google Scholar 

  32. Bleich JD (eds): Quoted by Bleich JD in Jewish Bioethics, Sanhedrin Press, New York, 1979, p 292 ibid

    Google Scholar 

  33. Glick S, ibid

    Google Scholar 

  34. Solovachik A: The Halakhic definition of death, in Jewish Bioethics, ibid

    Google Scholar 

  35. Life sustaining treatment. ibid

    Google Scholar 

  36. See comments by Bleich JD in Jewish Bioethics. The Quinlan case: a Jewish perspective. ibid

    Google Scholar 

  37. Niebuhr R: An Interpretation of Christian Ethics. Saburg Press. New York, 1979, p 31

    Google Scholar 

  38. Ramsey P: The Patient as Person. Yale University Press, 1970, p 17

    Google Scholar 

  39. Bucaille M: The Qur’an and Modern Science. Abul Qasim Publications, Jeddah, Saudi Arabia

    Google Scholar 

  40. Kee HC, Young FW, Froehlich K: Understanding the New Testament 3rd Ed, Prentice-Hall, 1973

    Google Scholar 

  41. See: J Med and Philosophy 15: 1990

    Google Scholar 

  42. Declaration on Euthanasia, the Sacred Congregation for the Doctrine of the Faith. Vatican City, 1980, in Deciding to forego life-sustaining treatment. President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioural Research. US Government Printing Office, 1983

    Google Scholar 

  43. See: Life Support — Religious Considerations, in Proc. 2nd International Congress on Ethics in Medicine. New York, 1987

    Google Scholar 

  44. Philipp 3: 10. Common Bible. Revised Standard Version, Collins, 1970, p 186

    Google Scholar 

  45. Mill JS: On Liberty. Penguin Books, 1984, p 69

    Google Scholar 

  46. Ashley BM, O’Rourke KD: Health Care Ethics. A Theo-logical Analysis. The Catholic Health Association of the United States, 1982, p 38

    Google Scholar 

  47. Grant S, Gentles I (ed): Euthanasia in Care for the Dying and Bereaved. Anglican Book Center, 1982

    Google Scholar 

  48. Fox RC: Exclusion from dialysis: a sociological and legal perspective. Kidney Int 19: 739, 1981

    Article  PubMed  CAS  Google Scholar 

  49. Rodin GM, Chmara BA, Ennis J et al.: Stopping life-sustaining medical treatment: psychiatric considerations in the termination of renal dialysis. Can J Psychiatry 26: 540, 1981

    PubMed  CAS  Google Scholar 

  50. McKegney FP, Lange P: The decision to no longer live on chronic hemodialysis. Amer J Psychiat 128: 47, 1971

    Google Scholar 

  51. Silva JEM, Kjellstrand CM: Withdrawing life support. Do families and physicians decide as patients do? Nephron 48:201, 1988

    Article  Google Scholar 

  52. Dessner GH, Fisher SH, Curry E et al.: Stopping long-term dialysis. N Engl J Med 314: 1449, 1986

    Article  Google Scholar 

  53. Lowance DC, Singer PA, Siegler M: Withdrawal from dialysis: an ethical perspective. Kidney Int 34: 124, 1988

    Article  CAS  Google Scholar 

  54. Frankl D, Oye RK, Bellamy PE: Attitudes of hospitalized patients toward life support: a survey of 200 medical inpatients. Amer J Med 86: 645, 1989

    Article  CAS  Google Scholar 

  55. Phillips DP, King EW: Death takes a holiday: mortality surrounding major social occasions. Lancet 2: 728, 1988

    Article  PubMed  CAS  Google Scholar 

  56. Meisel A: The Right to Die. 1990 Supplement. New York, Wiley Law Publications, 1990

    Google Scholar 

  57. Lynn J, Glover J: Ethical decision-making in enteral nutrition, in Enterai and Tube Feeding, edited by Rombeau P, Coldwell MD, 2nd edition, Philadelphia, WB Saunders, 1990, p 575

    Google Scholar 

  58. National Center for State Courts: Life-sustaining medical treatment: helping the courts decide. (Unpublished; final report to be released in 1991)

    Google Scholar 

  59. Society for the Right to Die: Legislation backgrounder, 1990

    Google Scholar 

  60. Right-to-die case and statutory citations: State-by-state listing. News from Society for the Right to Die 1990, August

    Google Scholar 

  61. Tube feeding laws in the United States. Society for the Right to Die Newsletter. New York: 15 October 1989

    Google Scholar 

  62. Child abuse and neglect prevention and treatment. 45 C.F.R. Sections 1340, 1-1340,20: 1986

    Google Scholar 

  63. Weir RF, Gostin L: Decisions to abate life-sustaining treatment for nonautonomous patients. JAMA 264: 1846, 1990

    Article  PubMed  CAS  Google Scholar 

  64. In re Conroy, 98 N.J. 321, 486 A.2d 1209, 1985

    Google Scholar 

  65. Rhoden N: How should we view the incompetent? Law, Medicine & Health Care 17: 260, 1989

    Google Scholar 

  66. In re Hier, 18 Mass. App. 200, 464 N.E.2d 959, 1984, rev. denied, 392 Mass. 1102, 465 N.E.2d 261, 1984

    Google Scholar 

  67. In re Jobes, 108 H.J. 394, 529 A.2d 434, 1987

    Google Scholar 

  68. Corbett v D’Alessandro, 487 So.2d 368 (Fla. Dist. Ct. App.), review denied. 492 So.2d 1331: Fla., 1986

    Google Scholar 

  69. Brophy v New England Sinai Hosp., Inc. 398 Mass. 417, 497 N.E.2d 696; 1986

    Google Scholar 

  70. In re Peter, 108 N.J. 365, 529 A.2d 419, 1987

    Google Scholar 

  71. Delio v Westchester County Medical Center. 129 A.D.2d l,516N.Y.S.2d 766, 1987

    Google Scholar 

  72. In re Gardner, 534 A.2d 947; Me. 1987

    Google Scholar 

  73. Gray v Romeo, 697 F. Supp. 580; D.R.I. 1988

    Google Scholar 

  74. McConnell v Beverly Enterprises-Connecticut, Inc., 209 Conn. 692, 553 A.2d 596, 1989

    Google Scholar 

  75. Deciding to forego life-sustaining treatment. Washington, DC: President’s Commission for the Study of Ethical Problems in Medicine, 1983

    Google Scholar 

  76. Guidelines on the termination of life-sustaining treatment and the care of the dying. Briarcliff Manor, NY, The Hastings Center, 1987

    Google Scholar 

  77. Life-sustaining technologies and the elderly. Washington, DC, Office of Technology Assessment, 1987

    Google Scholar 

  78. See amicus curiae briefs filed to the US Supreme Court on behalf of petitioners in Cruzan: American Medical Association, American College of Surgeons, American Academy of Neurology, American Academy of Family Physicians, American Association of Neurological Surgeons, American Medical Women’s Association, American Nurses Association, American Association of Nurse Attorneys, American College of Physicians, American Hospital Association, American Geriatrics Society, National Hospice Organization, Society for Critical Care Medicine

    Google Scholar 

  79. Rhoden NK: Litigating life and death. Harvard Law Review 102: 375, 1988

    Article  PubMed  CAS  Google Scholar 

  80. Eichner v Dillon, 52 N.Y.2d 363, 420 N.E.2d 64, 438 N.Y.S.2d 266, cert, denied, 454 U.S. 858, 1981

    Google Scholar 

  81. In re O’Connor 72, N.Y.2d 517, 531 N.E.2d 607, 534 N.Y.S.2d 866, 1988

    Google Scholar 

  82. Cruzan v Harmon, 760 S.W.2d 408 (Mo. 1988), cert, granted, 109 S. Ct. 3240, 1989

    Google Scholar 

  83. In re Chad Eric Swan, 569 A.2d 1202; Me, 1990

    Google Scholar 

  84. In re Torres, 357 N.W.2d 332; Minn. 1984

    Google Scholar 

  85. The American Hospital Association, in its amicus curiae brief to the US Supreme Court in Cruzan, stated that 70% of the 1.3 million patients who die in hospitals each year die after a decision to forgo life-sustaining treatment has been made. This number does not include patients who die at home or in nursing homes ( 1 Sept 1989, p 3)

    Google Scholar 

  86. Superintendent of Belchertown State School v Saikewicz, 373 Mass. 728, 370 N.E.2d 417, 1977

    Google Scholar 

  87. Relman AS: The Saikewicz decision: judges as physicians. N Engl J Med 289: 508, 1978

    Article  Google Scholar 

  88. Weir RF: Abating Treatment with Critically III Patients: Ethical and Legal Limits to the Medical Prolongation of Life. New York, Oxford University Press, 1989, p 116

    Google Scholar 

  89. Liacos PJ: Dilemmas of dying. Medicolegal News 7: 4, 1979

    PubMed  CAS  Google Scholar 

  90. Curran WJ: The Saikewicz decision. N Engl J Med 298: 499, 1978

    Article  PubMed  CAS  Google Scholar 

  91. In re Spring, 380 Mass. 629, 405 N.E.2d 115, 1980-at 121

    Google Scholar 

  92. In re Lydia E. Hall Hosp., 116Misc. 2d 477, 455 N.Y.S.2d 706 (Sup. Ct. 1982)

    Google Scholar 

  93. Barron JLI: Hospital tights patient’s plea to end lifesaving treatment. New York Times 1982 Oct 21: 12

    Google Scholar 

  94. In re Storar, 52, N.Y.2d 363, 420 N.E.2d 64, 438 N.Y.S.2d 266, cert, denied, 454 U.S. 858, 1981

    Google Scholar 

  95. Gaylin W: A patient’s rights must include power to refuse treatment. Minneapolis Star and Tribune, 1982 Oct 29, 16

    Google Scholar 

  96. Sullivan R: Panel criticizes procedures for patients’ consent for treatments. New York Times 1982 Oct 22: 12

    Google Scholar 

  97. In re Quinlan, 70 N.J. 10, 355 A.2d 647, cert, denied, 429 U.S. 922, 1976

    Google Scholar 

  98. In re Dinnerstein, 6 Mass. App. 166, 380 N.E.2d 134, 1978

    Google Scholar 

  99. Relman A: The Saikewicz in decision: a medical viewpoint. Am J of Law & Med 4: 233, 1978

    CAS  Google Scholar 

  100. Commissioner of Correction v Myers, 399 N.E.2d 452: Mass., 1979

    Google Scholar 

  101. Shapiro F: Personal communication. 29 November 1990

    Google Scholar 

  102. New Mexico ex rel Smith v Fort, No 14, 768; N.M. 1983

    Google Scholar 

  103. Uniform Rights of the Terminally 111 Act [1985] 1-18, 9A U.L.A. 456; Supp. 1990

    Google Scholar 

  104. Uniform Rights of the Terminally 111 Act [1989], 1-18, 9A U.L.A. 456; Supp. 1990

    Google Scholar 

  105. In re Estate of Sidney Greenspan, No 67903; 111. Sup Ct. July, 1990

    Google Scholar 

  106. State v McAfee, 385 S.E.2d 651; GA, 1989

    Google Scholar 

  107. Bouvia v Superior Court (Glenchur), 179 Cal. App. 3d 1127, 225 Cal. Rptr. 297, 1986

    Google Scholar 

  108. Hall MA: The malpractice standard under health care cost containment. Law, Medicine & Health Care 17: 347, 1989

    CAS  Google Scholar 

  109. Brahams D: When is discontinuation of dialysis justified? Lancet 1: 176, 1986

    Google Scholar 

  110. Cruzan v Director, Missouri Department of Health, 110 S.Ct. 2841, 1990

    Google Scholar 

  111. Annas GJ: Nancy Cruzan and the right to die. N Eng J Med 323: 670, 1990

    Article  CAS  Google Scholar 

  112. In the estate of Nancy Beth Cruzan, Estate No CB384-9P, Probate Division, Circuit Court of Jasper County, Missouri, Judge Charles E. Teel, Jr., July 27, 1988

    Google Scholar 

  113. Annas GJ, Arnold B, Aroskar M etal.: Bioethicists’ statement on the US Supreme Court’s Cruzan decision. N Engl J Med 323: 686, 1990

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine, University of Alberta Hospital, 2E3-31 W. McKenzie, Edmonton, Alberta, Canada, T6G 2B7

    Carl M. Kjellstrand M.D., Ph.D.

  2. Hennepin County Medical Centre, 701 Park Ave S, Minneapolis, Minnesota, 55415, USA

    Ronald Cranford M.D.

  3. Montreal General Hospital, 2650 Cedar Ave, Montreal, Quebec, H3G 1 A4, Canada

    Michael Kaye M.D.

Authors
  1. Carl M. Kjellstrand M.D., Ph.D.
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  2. Ronald Cranford M.D.
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  3. Michael Kaye M.D.
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C. Jacobs C. M. Kjellstrand K. M. Koch J. F. Winchester

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© 1996 Kluwer Academic Publishers

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Kjellstrand, C.M., Cranford, R., Kaye, M. (1996). Stopping Dialysis Practice and Cultural, Religious and Legal Aspects. In: Jacobs, C., Kjellstrand, C.M., Koch, K.M., Winchester, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-0-585-36947-1_72

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  • DOI: https://doi.org/10.1007/978-0-585-36947-1_72

  • Publisher Name: Springer, Dordrecht

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