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={Aart Osinski and Gerard Vreugdenhil and John P. de Koning and Johannes van der 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… 
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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.
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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.
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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.
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TLDR
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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.
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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.
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