Evidence map›Paper›PMID 27771786›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2017

Do-not-resuscitate orders in cancer patients: a review of literature.

Aart Osinski, Gerard Vreugdenhil, Jan de Koning, Johannes G van der Hoeven

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The Difficult Airway in Patients with Cancer.Current oncology reports · 2024
    Review
  4. Observational
  5. Review
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Cancer patients, physicians, and nurses differ in their attitudes toward the decisional role in do-not-resuscitate decision-making.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Cardiopulmonary resuscitation in cancer patients: still some problems to solve.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  18. Cardiopulmonary resuscitation in cancer patients: is there a problem?Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Aart OsinskiDepartment of Internal Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands. aart_osinski@hotmail.com.
Gerard VreugdenhilDepartment of Internal Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands.
Jan de KoningDepartment of Intensive Care Medicine, Maxima Medical Centre, De Run 4600, 5504DB, Veldhoven, the Netherlands.
Johannes G van der HoevenDepartment of Intensive Care Medicine, Radboud University Medical Centre, Geert Grooteplein Zuid 10, 6525, GA, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLMáxima Medisch Centrum · NLRadboud University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Cardiopulmonary ResuscitationDecision MakingHumansMaleMiddle AgedNeoplasmsProspective StudiesResuscitation OrdersCancerCardiopulmonary resuscitationDo-not-resuscitate ordersMedical futilityNeoplasmsResuscitation orders

Identifiers

PMID27771786
OpenAlexW2533868604

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.