Evidence map›Paper›PMID 17400614›Full record

ArticleJournal of medical ethics2007

"Do-not-resuscitate" orders in patients with cancer at a children's hospital in Taiwan.

Tang-Her Jaing, Pei-Kwei Tsay, En-Chen Fang, Shu-Ho Yang, Shih-Hsiang Chen, Chao-Ping Yang, Iou-Jih Hung

Abstract read
In one paragraph

Article in Journal of medical ethics, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tang-Her JaingDepartment of Pediatrics, Division of Hematology and Oncology, Chang Gung Children's Hospital, 5 Fu-Shin Street, Kwei-Shan 333, Taoyuan, Taiwan. jaing001@cgmh.org.tw
Pei-Kwei Tsay
En-Chen Fang
Shu-Ho Yang
Shih-Hsiang Chen
Chao-Ping Yang
Iou-Jih Hung

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo quantify the use of do-not-resuscitate (DNR) orders in a tertiary-care children's hospital and to characterise the circumstances in which such orders are written.

designRetrospective study conducted in a 500-bed children's hospital in Taiwan. PATIENTS: The course of 101 patients who died between January 2002 and December 2005 was reviewed. The following data were collected: age at death, gender, disease and its status, place of death and survival. There were 59 males and 42 females with a median age of 103 months (range 1-263 months). 50 children had leukaemias, and 51 had malignancies other than leukaemia. The t test and the chi(2) test were applied as appropriate.

resultsThe study found that 44% of patient deaths occurred in the paediatric oncology ward; 29% of patient deaths occurred in the intensive care unit; and 28% of patients died in their home or at another hospital. Other findings included the following: 46 of 101 (46%) patients died after attempted cardiopulmonary resuscitation and 55 (54%) died with a DNR order in effect. The mean age at death was 9.8 years in both groups with or without DNR orders.

conclusionsFrom the study of patient deaths in this tertiary-care children's hospital, it was concluded that an explicit DNR order is now the rule rather than the exception, with more DNR orders being written for patients who have been ill longer, who have solid tumours, who are not in remission and who are in the ward.

Indexed as

AdolescentAdultAge DistributionCardiopulmonary ResuscitationChildChild, PreschoolFemaleHospitals, PediatricHumansInfantInfant, NewbornLeukemiaMaleNeoplasmsResuscitation OrdersRetrospective Studies

Identifiers

PMID17400614
PMCPMC2652771

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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.