ArticleJournal of medical ethics1999
The status of the do-not-resuscitate order in Chinese clinical trial patients in a cancer centre.
Article in Journal of medical ethics, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement.American journal of respiratory and critical care medicine · 2022Article
- Physician workload associated with do-not-resuscitate decision-making in intensive care units: an observational study using Cox proportional hazards analysis.BMC medical ethics · 2019Observational
- Palliative care service in patients with childhood cancer from a tertiary pediatric oncology center.Pediatric investigation · 2018Article
- Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision.BMC palliative care · 2018Article
- The do-not-resuscitate order for terminal cancer patients in mainland China: A retrospective study.Medicine · 2018Observational
- Gender and age disparity in the initiation of life-supporting treatments: a population-based cohort study.BMC medical ethics · 2017Article
- The Attitudes of Chinese Cancer Patients and Family Caregivers toward Advance Directives.International journal of environmental research and public health · 2016Article
- End-of-life decision-making of terminally ill cancer patients in a tertiary cancer center in Shanghai, China.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- The Associations Between the Religious Background, Social Supports, and Do-Not-Resuscitate Orders in Taiwan: An Observational Study.Medicine · 2016Observational
- Palliative sedation for terminally ill cancer patients in a tertiary cancer center in Shanghai, China.BMC palliative care · 2015Article
- Cultural and religious considerations in pediatric palliative care.Palliative & supportive care · 2013Review
- The world's major religions' points of view on end-of-life decisions in the intensive care unit.Intensive care medicine · 2008Review
- "Do-not-resuscitate" orders in patients with cancer at a children's hospital in Taiwan.Journal of medical ethics · 2007Article
- CPR or DNR? End-of-life decision in Korean cancer patients: a single center's experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo report and analyse the pattern of end-of-life decision making for terminal Chinese cancer patients.
designRetrospective descriptive study.
settingA cancer clinical trials unit in a large teaching hospital. PATIENTS: From April 1992 to August 1997, 177 consecutive deaths of cancer clinical trial patients were studied. MAIN MEASUREMENT: Basic demographic data, patient status at the time of signing a DNR consent, or at the moment of returning home to die are documented, and circumstances surrounding these events evaluated.
resultsDNR orders were written for 64.4% of patients. Patients in pain (odds ratio 0.45, 95% CI 0.22-0.89), especially if requiring opioid analgesia (odds ratio 0.40, 95% CI 0.21-0.77), were factors associated with a higher probability of such an order. Thirty-five patients were taken home to die, a more likely occurrence if the patient was over 75 years (odds ratio 0.12, 95% CI 0.04-0.34), had children (odds ratio 0.14, 95% CI 0.02-0.79), had Taiwanese as a first language (odds ratio 6.74, 95% CI 3.04-14.93), or was unable to intake orally (odds ratio 2.73, 95% CI 1.26-5.92). CPR was performed in 30 patients, none survived to discharge.
conclusionsDNR orders are instituted in a large proportion of dying Chinese cancer patients in a cancer centre, however, the order is seldom signed by the patient personally. This study also illustrates that as many as 20% of dying patients are taken home to die, in accordance with local custom.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.