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

23 Citations (Web of Science)

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 languageEnglish
Pages (from-to)677-685
Number of pages9
JournalSupportive Care in Cancer
Volume25
Issue number2
DOIs
Publication statusPublished - 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

Cite this