Content review of pediatric ethics consultations at a cancer center

Content review of pediatric ethics consultations at a cancer center

Winter M C; Friedman D N; McCabe M S; Voigt L P

Pediatric Blood and Cancer

2019

article; cancer center; child; childhood cancer; clinical article; ethics; female; human; invasive procedure; male; pediatric patient; Pediatrics; physician; resuscitation; retrospective study; risk benefit analysis; terminal care

Background/objectives: Ethical challenges in pediatric oncology arise at every stage of illness. However, there are sparse data on the content of and reason for ethics consultations in the field. We sought to evaluate the content and characteristics of ethics consultations in pediatric patients at a cancer center. Design/methods: We retrospectively identified ethics consultations performed for patients diagnosed with cancer at <=21 years of age who were treated in the Department of Pediatrics from 2007 to 2017. Using an established coding schema, two independent reviewers analyzed the content of ethics consultation notes and identified core ethical issues and relevant contextual issues. Demographic, clinical, and consultation-specific data were also collected.

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