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Evidence based pratice

François Goldwasser, Nathalie Nisenbaum, Pascale Vinant, Elisabeth Balladur, Sarah Dauchy, Idriss Farota-Romejko, Isabelle Colombet, Marie-Laure Alby, Julie Giroux, Anne Larrouy, Elisabeth Destaintot, Luc Garcon, Danièle Legrand, Isabelle Marin
Progress leads to increase life duration at the metastatic stage but metastatic disease is most often lethal. Decision-making is necessary for an increasing period of care, beyond evidence-based medicine, dealing with complexity and uncertain benefit/risk ratio. This requires to inform the patient realistically, to discuss prognostication, to develop anticipated written preferences. These changes mean to pass from a medicine based on informed consent to medicine based on respect of the patient wishes even if it can be complex to determine...
May 2018: Bulletin du Cancer
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