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

@article{Osinski2016DonotresuscitateOI,
  title={Do-not-resuscitate orders in cancer patients: a review of literature},
  author={A. Osinski and G. Vreugdenhil and J. Koning and J. V. D. Hoeven},
  journal={Supportive Care in Cancer},
  year={2016},
  volume={25},
  pages={677-685}
}
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… Expand
Cardiopulmonary resuscitation in cancer patients: still some problems to solve
TLDR
The difficulties in estimating the prognosis in cancer patients after cardiopulmonary resuscitation are emphasized, and interprofessional consultation and discussion should always precede do-not-resuscitate orders. Expand
Cardiopulmonary resuscitation in cancer patients: is there a problem?
TLDR
It is demonstrated that the prognosis of acute kidney injury, related to cast nephropathy, in patients suffering from multiple myeloma (MM), has greatly evolved in recent years and no longer has the same pejorative prognostic value as seen at the end of the twentieth century. Expand
The ethics of DNR-decisions in oncology and hematology care: a qualitative study
TLDR
DNR-decisions in oncology and hematology care gave rise to ethical considerations and important ethical values described by the participants were to avoid doing harm and to secure a peaceful and “natural” death with dignity for their dying patients. Expand
Do Not Resuscitate Decisions in Cancer Care
Pettersson, M. 2018. COMPETENCE AND COMMUNICATION. Do Not Resuscitate Decisions in Cancer Care. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1499. 62 pp.Expand
Cancer patients, physicians, and nurses differ in their attitudes toward the decisional role in do-not-resuscitate decision-making
TLDR
A substantial discrepancy is found between the attitudes of cancer patients and physicians about the decisional role of patient vs. physician and the timing of the DNR discussion. Expand
Nonstandard do-not-resuscitate orders.
TLDR
Nationwide adoption of Oregon's online registry where a person's account could comprehensively document end-of-life wishes, be universally available in all healthcare institutions, and be searchable by common patient identifiers is discussed. Expand
Perspectives on the DNR decision process: A survey of nurses and physicians in hematology and oncology
TLDR
Investigating how important and how likely to happen nurses and physicians considered various aspects of the DNR decision process, regarding participation, information and documentation, as well as which attributes they found most important in relation to DNR decisions found a difference. Expand
Treatment Limitation Decisions in Critically Ill Patients With a Malignancy on the Intensive Care Unit
TLDR
This study shows that the presence of an underlying malignancy is independently associated with written TLDs during ICU stay, and whether this higher incidence of T LDs in patients with a malignancies is justified, is at least questionable and should be evaluated in future research. Expand
Absence of Relatives Impairs the Approach of Nurses to Cardiopulmonary Resuscitation in Non-Cancer Elderly Patients without a Do-Not-Attempt-Resuscitation Order: A Vignette-Based Questionnaire Study.
TLDR
A necessity for comprehensive training all medical staff about issuance of DNAR orders and what care should be provided thereafter is suggested. Expand
End-of-life decisions in emergency patients: prevalence, outcome and physician effect
Background End-of-life decisions (EOLD) represent potentially highly consequential decisions often made in acute situations, such as "do not attempt resuscitation" (DNAR) choices at emergencyExpand
...
1
2
3
...

References

SHOWING 1-10 OF 42 REFERENCES
Practical guidelines for do-not-resuscitate orders.
  • M. Ebell
  • Medicine
  • American family physician
  • 1994
TLDR
To assist patients or their designated surrogate decision-makers, physicians should supply appropriate prognostic information: one-half of all patients survive resuscitation initially, one-third survive for 24 hours and one-eighth survive to leave the hospital. Expand
The influence of do-not-resuscitate orders on care provided for patients in the surgical intensive care unit of a cancer center.
Results of this study indicate that critically ill cancer patients who had a DNR order written while in the SICU received less medical intervention after the order was executed, whereas supportiveExpand
Do-not-resuscitate orders for terminal patients with cancer in teaching hospitals of Korea.
TLDR
From the teaching-hospital-based analysis of terminal cancer patients in Korea, consent for a DNR order was common, however, D NR order forms were not standardized and lacked room to document patient involvement in the decision. Expand
Factors Associated with Do-Not-Resuscitate Orders: Patients' Preferences, Prognoses, and Physicians' Judgments
TLDR
The role that patients' preferences and other factors related to the patient, physician, and institution had in the incidence and timing of do-not-resuscitate orders is examined. Expand
Discharge patterns, survival outcomes, and changes in clinical management of hospitalized adult patients with cancer with a do-not-resuscitate order.
TLDR
Most medical interventions were continued with high frequency in adult oncology inpatients after placement of DNR orders, and a majority of patients survived hospitalization and remained alive at 30 days after D NR orders were documented. Expand
Characteristics of patients who refuse do‐not‐resuscitate orders upon admission to an acute palliative care unit in a comprehensive cancer center
TLDR
The frequency and predictors of refusals of do‐not‐resuscitate orders in advanced cancer patients admitted to an acute palliative care unit are determined. Expand
The do-not-resuscitate order: a comparison of physician and patient preferences and decision-making.
TLDR
There are significant similarities and differences in the way physicians and patients make DNR decisions and it is important that physicians and their patients communicate in a timely manner about prognosis, values, and quality-of-life issues in order to make effective D NR decisions. Expand
To resuscitate or not: a dilemma in terminal cancer care.
TLDR
Those who made a decision in favour of CPR showed a significantly more negative attitude to withdrawing life-sustaining treatment and valued length of life to a much greater extent than those who did not make a decision. Expand
Cardiopulmonary Resuscitation in Patients With Cancer
TLDR
Those factors that affect the outcome of cardiopulmonary resuscitation in patients with cancer are reviewed and recommendations on obtaining do-not-resuscitate orders in these patients are provided. Expand
Patients' characteristics associated with the decision of "do not attempt cardiopulmonary resuscitation" order in a Swiss hospital.
TLDR
Over half of the patients admitted to a general internal medicine ward had a DNACPR order issued within the first 72 h of hospitalization, and older age and oncologic disease were associated with aDNACPR decision by the medical team, while protestant religion was associated with an DNAC PR decision by a patient. Expand
...
1
2
3
4
5
...