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Views of oncology patients, their relatives and oncologists on cardiopulmonary resuscitation (CPR): questionnaire-based study.

Abstract

BACKGROUND

Doctors are justified withholding a treatment, such as cardiopulmonary resuscitation (CPR), if it is unlikely to benefit a patient. The success rates for CPR in patients with cancer is <1%. Guidelines produced in 2001 recommended that CPR should be discussed with patients, even when it is unlikely to be successful. Therefore, should oncologists always discuss resuscitation, even when it is likely to be futile?

METHOD

Sixty oncology in-patients and 32 of their relatives were asked their views on CPR, and their views were compared with the oncologist involved in their care.

RESULTS

Some 58% of patients wanted to be resuscitated. There was a moderate-strong correlation between patients and their next of kin and the desire for resuscitation. There was also a positive correlation between the doctor's views on suitability for resuscitation, patient's prognostic score, and World Health Organisation (WHO) performance score.

CONCLUSION

Most patients wanted to be resuscitated despite being given the likely poor survival rates from CPR. They also wanted to be involved in the decision-making process, and wanted their next of kin involved, even when, medically, the procedure was unlikely to be successful. The findings that patient and next of kin views correlated well shows that relatives' views are a good representation of patient views. In contrast, consultant's decisions were strongly correlated with the patient's performance status and clinical state. No patients were upset by the study, although nine patients declined to participate.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Bradford Teaching Hospitals NHS Trust, Bradford. jeenamoses@hotmail.com

    ,

    Source

    Palliative medicine 21:2 2007 Mar pg 139-44

    MeSH

    Adult
    Aged
    Aged, 80 and over
    Attitude of Health Personnel
    Attitude to Death
    Cardiopulmonary Resuscitation
    Decision Making
    Family
    Female
    Health Knowledge, Attitudes, Practice
    Heart Arrest
    Humans
    Male
    Middle Aged
    Neoplasms
    Patient Satisfaction
    Prognosis

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    17344262

    Citation

    Ackroyd, Rajeena, et al. "Views of Oncology Patients, Their Relatives and Oncologists On Cardiopulmonary Resuscitation (CPR): Questionnaire-based Study." Palliative Medicine, vol. 21, no. 2, 2007, pp. 139-44.
    Ackroyd R, Russon L, Newell R. Views of oncology patients, their relatives and oncologists on cardiopulmonary resuscitation (CPR): questionnaire-based study. Palliat Med. 2007;21(2):139-44.
    Ackroyd, R., Russon, L., & Newell, R. (2007). Views of oncology patients, their relatives and oncologists on cardiopulmonary resuscitation (CPR): questionnaire-based study. Palliative Medicine, 21(2), pp. 139-44.
    Ackroyd R, Russon L, Newell R. Views of Oncology Patients, Their Relatives and Oncologists On Cardiopulmonary Resuscitation (CPR): Questionnaire-based Study. Palliat Med. 2007;21(2):139-44. PubMed PMID: 17344262.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Views of oncology patients, their relatives and oncologists on cardiopulmonary resuscitation (CPR): questionnaire-based study. AU - Ackroyd,Rajeena, AU - Russon,Lynne, AU - Newell,Rob, PY - 2007/3/9/pubmed PY - 2007/6/1/medline PY - 2007/3/9/entrez SP - 139 EP - 44 JF - Palliative medicine JO - Palliat Med VL - 21 IS - 2 N2 - BACKGROUND: Doctors are justified withholding a treatment, such as cardiopulmonary resuscitation (CPR), if it is unlikely to benefit a patient. The success rates for CPR in patients with cancer is <1%. Guidelines produced in 2001 recommended that CPR should be discussed with patients, even when it is unlikely to be successful. Therefore, should oncologists always discuss resuscitation, even when it is likely to be futile? METHOD: Sixty oncology in-patients and 32 of their relatives were asked their views on CPR, and their views were compared with the oncologist involved in their care. RESULTS: Some 58% of patients wanted to be resuscitated. There was a moderate-strong correlation between patients and their next of kin and the desire for resuscitation. There was also a positive correlation between the doctor's views on suitability for resuscitation, patient's prognostic score, and World Health Organisation (WHO) performance score. CONCLUSION: Most patients wanted to be resuscitated despite being given the likely poor survival rates from CPR. They also wanted to be involved in the decision-making process, and wanted their next of kin involved, even when, medically, the procedure was unlikely to be successful. The findings that patient and next of kin views correlated well shows that relatives' views are a good representation of patient views. In contrast, consultant's decisions were strongly correlated with the patient's performance status and clinical state. No patients were upset by the study, although nine patients declined to participate. SN - 0269-2163 UR - https://www.unboundmedicine.com/medline/citation/17344262/Views_of_oncology_patients_their_relatives_and_oncologists_on_cardiopulmonary_resuscitation__CPR_:_questionnaire_based_study_ L2 - http://journals.sagepub.com/doi/full/10.1177/0269216306074629?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -