Indications and practice of artificial hydration for terminally ill cancer patients

Nobuhisa Nakajima, Noriaki Satake, Toshimichi Nakaho

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)

Abstract

Purpose of review To update medical professionals on the role of artificial hydration in terminally ill cancer patients and to highlight recent research. Recent findings First, we explain dehydration-related symptoms such as sensation of thirst, fatigue, and delirium. A multicenter, double-blinded, placebo-controlled randomized trial showed that artificial hydration did not improve dehydration symptoms, quality of life, or survival in terminally ill cancer patients. Then we explain overhydration-related symptoms such as bronchial secretion, pleural effusion, nausea/vomiting, ascites, and peripheral edema. The establishment of clinical guidelines can contribute to patient well-being by clarifying the best practice recommended from empirical evidence and expert experience available. Among them, we summarize a Japanese guideline for artificial hydration therapy for terminally ill cancer patients, which is evidence based, and address specific clinical questions. Summary The determinants of the quality of life, dying, and death vary among individuals, and individuality is essential to define what is important for each patient. Clinicians need to make a decision based on the perceived benefits and harms of artificial hydration therapy in individual patient circumstances. Further researches with appropriately powered studies are required to determine which subgroups would benefit from artificial hydration therapy.

Original languageEnglish
Pages (from-to)358-363
Number of pages6
JournalCurrent Opinion in Supportive and Palliative Care
Volume8
Issue number4
DOIs
Publication statusPublished - 2014

Keywords

  • Artificial hydration
  • Dehydration
  • End-of-life care
  • Overhydration
  • Palliative care

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)
  • Critical Care and Intensive Care Medicine

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