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

Aart Osinski; Gerard Vreugdenhil; Jan de Koning; Johannes G. van der Hoeven

doi:10.1007/s00520-016-3459-9

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

Aart Osinski^*, Gerard Vreugdenhil, Jan de Koning, Johannes G. van der Hoeven

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	677-685
Number of pages	9
Journal	Supportive Care in Cancer
Volume	25
Issue number	2
DOIs	https://doi.org/10.1007/s00520-016-3459-9
Publication status	Published - Feb 2017

Keywords

Resuscitation orders
Do-not-resuscitate orders
Neoplasms
Cancer
Cardiopulmonary resuscitation
Medical futility
HOSPITAL CARDIOPULMONARY-RESUSCITATION
OF-LIFE DISCUSSIONS
DECISION-MAKING
CARDIAC-ARREST
STAGE CANCER
CARE
PREFERENCES
OUTCOMES
COMMUNICATION
SURVIVAL

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10.1007/s00520-016-3459-9

Cite this

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title = "Do-not-resuscitate orders in cancer patients: a review of literature",

abstract = "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.",

keywords = "Resuscitation orders, Do-not-resuscitate orders, Neoplasms, Cancer, Cardiopulmonary resuscitation, Medical futility, HOSPITAL CARDIOPULMONARY-RESUSCITATION, OF-LIFE DISCUSSIONS, DECISION-MAKING, CARDIAC-ARREST, STAGE CANCER, CARE, PREFERENCES, OUTCOMES, COMMUNICATION, SURVIVAL",

author = "Aart Osinski and Gerard Vreugdenhil and {de Koning}, Jan and {van der Hoeven}, {Johannes G.}",

year = "2017",

month = feb,

doi = "10.1007/s00520-016-3459-9",

language = "English",

volume = "25",

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journal = "Supportive Care in Cancer",

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TY - JOUR

T1 - Do-not-resuscitate orders in cancer patients

T2 - a review of literature

AU - Osinski, Aart

AU - Vreugdenhil, Gerard

AU - de Koning, Jan

AU - van der Hoeven, Johannes G.

PY - 2017/2

Y1 - 2017/2

N2 - 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.

AB - 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.

KW - Resuscitation orders

KW - Do-not-resuscitate orders

KW - Neoplasms

KW - Cancer

KW - Cardiopulmonary resuscitation

KW - Medical futility

KW - HOSPITAL CARDIOPULMONARY-RESUSCITATION

KW - OF-LIFE DISCUSSIONS

KW - DECISION-MAKING

KW - CARDIAC-ARREST

KW - STAGE CANCER

KW - CARE

KW - PREFERENCES

KW - OUTCOMES

KW - COMMUNICATION

KW - SURVIVAL

U2 - 10.1007/s00520-016-3459-9

DO - 10.1007/s00520-016-3459-9

M3 - (Systematic) Review article

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VL - 25

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ER -