國家衛生研究院 NHRI:Item 3990099045/3021

NHRI > National Institute of Cancer Research > Jacqueline Whang-Peng(1996-2007) > Periodical Articles > Item 3990099045/3021

Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/3021

Title:	The status of the do-not-resuscitate order in Chinese clinical trial patients in a cancer centre
Authors:	Liu, JM;Lin, WC;Chen, YM;Wu, HW;Yao, NS;Chen, LT;Whang-Peng, J
Contributors:	National Institute of Cancer Research
Abstract:	Objective-To report and analyse the pattern of end-of-life decision making for terminal Chinese cancer patients. Design-Retrospective descriptive study. Setting-A 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. Results-DNR 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-Jive 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. Conclusions-DNR 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.
Keywords:	Ethics;Medical Ethics;Social Issues;Social Sciences, Biomedical
Date:	1999-08
Relation:	Journal of Medical Ethics. 1999 Aug;25(4):309-314.
Link to:	http://dx.doi.org/10.1136/jme.25.4.309
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0306-6800&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000081942100005
Cited Times(Scopus):	http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=0032836420
Appears in Collections:	[Jacqueline Whang-Peng(1996-2007)] Periodical Articles [Ming Jacqueline Liu(1996-2007)] Periodical Articles [Li-Tzong Chen] Periodical Articles

Files in This Item:

File	Description	Size	Format
ISI000081942100005.pdf		1025Kb	Adobe PDF	285	View/Open

Loading...