Do-not-resuscitate orders in cancer patients: a review of literature

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• 作者：Aart Osinski ; Gerard Vreugdenhil ; Jan de Koning…
• 关键词：Resuscitation orders ; Do ; not ; resuscitate orders ; Neoplasms ; Cancer ; Cardiopulmonary resuscitation ; Medical futility
• 刊名：Supportive Care in Cancer
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：25
• 期：2
• 页码：677-685
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Oncology; Nursing; Nursing Research; Pain Medicine; Rehabilitation Medicine;
• 出版者：Springer Berlin Heidelberg
• ISSN：1433-7339
• 卷排序：25

文摘

Discussing do-not-resuscitate (DNR) orders is part of daily hospital practice in oncology departments. Several medical factors and patient characteristics are associated with issuing DNR orders in cancer patients. DNR orders are often placed late in the disease process. This may be a cause for disagreements between doctors and between doctors and patients and may cause for unnecessary treatments and admissions. In addition, DNR orders on itself may influence the rest of the medical treatment for patients. We present recommendations for discussing DNR orders and medical futility in practice through shared decision-making. Prospective studies are needed to investigate in which a patient’s cardiopulmonary resuscitation (CPR) is futile and whether or not DNR orders influence the medical care of patients.