ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2013
Insights into Chinese perspectives on do-not-resuscitate (DNR) orders from an examination of DNR order form completeness for cancer patients.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The role of acculturation in the process of advance care planning among Chinese immigrants: A narrative systematic review.Palliative medicine · 2023Pooled it
- Factors in oncologists' attitudes on do-not-attempt-resuscitation orders for patients with cancer.International journal of clinical oncology · 2025Article
- Attitudes toward End-of-Life Resuscitation: A Psychometric Evaluation of a Novel Attitude Scale.Healthcare (Basel, Switzerland) · 2023Article
- Factors influencing terminal cancer patients' autonomous DNR decision: a longitudinal statutory document and clinical database study.BMC palliative care · 2022Article
- Obstacles and Facilitating Factors in Decision-Making of Elderly Patients' Living Will in the Chinese Context-A Literature Review.Risk management and healthcare policy · 2022Article
- Exploring the Impact of Different Types of Do-Not-Resuscitate Consent on End-of-Life Treatments among Patients with Advanced Kidney Disease: An Observational Study.International journal of environmental research and public health · 2021Observational
- The differences in nurses' willingness to discuss palliative care with patients and their family members.Journal of the Chinese Medical Association : JCMA · 2021Article
- Patient participation and associated factors in the discussions on do-not-attempt-resuscitation and end-of-life disclosure: a retrospective chart review study.BMC palliative care · 2021Article
- Outcome of stage IV cancer patients receiving in-hospital cardiopulmonary resuscitation: a population-based cohort study.Scientific reports · 2019Article
- The do-not-resuscitate order for terminal cancer patients in mainland China: A retrospective study.Medicine · 2018Observational
- Article
- Sequential organ failure assessment score predicts mortality after coronary artery bypass grafting.BMC surgery · 2017Article
- Do-not-resuscitate orders in cancer patients: a review of literature.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Review
- Do-not-resuscitate consent signed by patients indicates a more favorable quality of end-of-life care for patients with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Attitudes of Chinese Oncology Physicians Toward Death with Dignity.Journal of palliative medicine · 2016Article
- Do-not-resuscitate orders and related factors among family surrogates of patients in the emergency department.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Do-not-resuscitate orders among advanced-stage Chinese lung cancer patients who died in hospital.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- What is the true definition of a "Do-Not-Resuscitate" order? A Japanese perspective.International journal of general medicine · 2016Article
- The Associations Between the Religious Background, Social Supports, and Do-Not-Resuscitate Orders in Taiwan: An Observational Study.Medicine · 2016Observational
- The importance of reliable information exchange in emergency practices: a misunderstanding that was uncovered before it was too late.BMC medical ethics · 2015Article
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Authors and funding
7 authors.
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Abstract
purposeDiscussing end-of-life care with patients is often considered taboo, and signing a do-not-resuscitate (DNR) order is difficult for most patients, especially in Chinese culture. This study investigated distributions and details related to the signing of DNR orders, as well as the completeness of various DNR order forms.
methodsRetrospective chart reviews were performed. We screened all charts from a teaching hospital in Taiwan for patients who died of cancer during the period from January 2010 to December 2011. A total of 829 patient records were included in the analysis. The details of the DNR order forms were recorded.
resultsThe DNR order signing rate was 99.8%. The percentage of DNR orders signed by patients themselves (DNR-P) was 22.6%, while the percentage of orders signed by surrogates (DNR-S) was 77.2%. The percentage of signed DNR forms that were completely filled out was 78.4%. The percentage of DNR-S forms that were completed was 81.7%, while the percentage of DNR-P forms that were completely filled out was only 67.6%.
conclusionAlmost all the cancer patients had a signed DNR order, but for the majority of them, the order was signed by a surrogate. Negative attitudes of discussing death from medical professionals and/or the family members of patients may account for the higher number of signed DNR-S orders than DNR-P orders. Moreover, early obtainment of signed DNR orders should be sought, as getting the orders earlier could promote the quality of end-of-life care, especially in non-oncology wards.
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