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Do-not-resuscitate orders in cancer patients: a review of literature.
Osinski, Aart; Vreugdenhil, Gerard; de Koning, Jan; van der Hoeven, Johannes G.
Afiliación
  • Osinski A; Department of Internal Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands. aart_osinski@hotmail.com.
  • Vreugdenhil G; Department of Internal Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands.
  • de Koning J; Department of Oncology, Maastricht University Medical Centre +, Maastricht, the Netherlands.
  • van der Hoeven JG; Department of Intensive Care Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands.
Support Care Cancer ; 25(2): 677-685, 2017 02.
Article en En | MEDLINE | ID: mdl-27771786
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Órdenes de Resucitación / Reanimación Cardiopulmonar / Toma de Decisiones / Neoplasias Tipo de estudio: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Límite: Humans / Male / Middle aged Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2017 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Órdenes de Resucitación / Reanimación Cardiopulmonar / Toma de Decisiones / Neoplasias Tipo de estudio: Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Límite: Humans / Male / Middle aged Idioma: En Revista: Support Care Cancer Asunto de la revista: NEOPLASIAS / SERVICOS DE SAUDE Año: 2017 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Alemania