000046968 001__ 46968
000046968 005__ 20200221144308.0
000046968 0247_ $$2doi$$a10.1371/journal.pone.0146184
000046968 0248_ $$2sideral$$a93404
000046968 037__ $$aART-2016-93404
000046968 041__ $$aeng
000046968 100__ $$aBalaguer, A.
000046968 245__ $$aAn international consensus definition of the wish to hasten death and its related factors
000046968 260__ $$c2016
000046968 5060_ $$aAccess copy available to the general public$$fUnrestricted
000046968 5203_ $$aBackground 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.
000046968 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/PI14-00263
000046968 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000046968 590__ $$a2.806$$b2016
000046968 591__ $$aMULTIDISCIPLINARY SCIENCES$$b15 / 63 = 0.238$$c2016$$dQ1$$eT1
000046968 592__ $$a1.236$$b2016
000046968 593__ $$aAgricultural and Biological Sciences (miscellaneous)$$c2016$$dQ1
000046968 593__ $$aMedicine (miscellaneous)$$c2016$$dQ1
000046968 593__ $$aBiochemistry, Genetics and Molecular Biology (miscellaneous)$$c2016$$dQ1
000046968 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000046968 700__ $$aMonforte-Royo, C.
000046968 700__ $$aPorta-Sales, J.
000046968 700__ $$aAlonso-Babarro, A.
000046968 700__ $$0(orcid)0000-0002-9678-9688$$aAltisent, R.$$uUniversidad de Zaragoza
000046968 700__ $$aAradilla-Herrero, A.
000046968 700__ $$aBellido-Pérez, M.
000046968 700__ $$aBreitbart, W.
000046968 700__ $$aCenteno, C.
000046968 700__ $$aCuervo, M.A.
000046968 700__ $$aDeliens, L.
000046968 700__ $$aFrerich, G.
000046968 700__ $$aGastmans, C.
000046968 700__ $$aLichtenfeld, S.
000046968 700__ $$aLimonero, J.T.
000046968 700__ $$aMaier, M.A.
000046968 700__ $$aMaterstvedt, L.J.
000046968 700__ $$aNabal, M.
000046968 700__ $$aRodin, G.
000046968 700__ $$aRosenfeld, B.
000046968 700__ $$aSchroepfer, T.
000046968 700__ $$aTomás-Sábado, J.
000046968 700__ $$aTrelis, J.
000046968 700__ $$aVillavicencio-Chávez, C.
000046968 700__ $$aVoltz, R.
000046968 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000046968 773__ $$g11, 1 (2016), 0146184 [14 p]$$pPLoS One$$tPloS one$$x1932-6203
000046968 8564_ $$s371002$$uhttps://zaguan.unizar.es/record/46968/files/texto_completo.pdf$$yVersión publicada
000046968 8564_ $$s105934$$uhttps://zaguan.unizar.es/record/46968/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000046968 909CO $$ooai:zaguan.unizar.es:46968$$particulos$$pdriver
000046968 951__ $$a2020-02-21-13:36:00
000046968 980__ $$aARTICLE