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Previous Volume 333:805-808 September 21, 1995 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The use of cardiopulmonary resuscitation (CPR) must be considered carefully, especially in the case of terminally ill and elderly patients.^1,2,3 In Japan, most physicians (96 percent) are aware of do-not-resuscitate (DNR) orders,⁴ but unlike the situation in other countries,^{5,6,7,8,9,10,11,12,13,14,15,16} there has been comparatively little discussion here of DNR policy.^4,17,18 There also seems to be inadequate use of DNR orders. We found, for example, that futile CPR is often performed at the time of death in patients with terminal lung cancer.⁴

We suspect that the reasons for the futile efforts at resuscitation include the lack of a uniform policy regarding DNR . . . [Full Text of this Article]

Methods

Study Population

Use of DNR Order Forms

Information on Patients

Statistical Analysis

Results

Discussion

Source Information

Showa University School of Medicine
Tokyo 142, Japan

Address reprint requests to Dr. Fukaura at the First Department of Internal Medicine, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142, Japan.

References

This article has been cited by other articles:

• Tokuda, Y, Nakazato, N, Tamaki, K (2004). Evaluation of end of life care in cancer patients at a teaching hospital in Japan. J. Med. Ethics 30: 264-267 [Abstract] [Full Text]  
• Junod Perron, N, Morabia, A, de Torrente, A (2002). Evaluation of do not resuscitate orders (DNR) in a Swiss community hospital. J. Med. Ethics 28: 364-367 [Abstract] [Full Text]  
• Cherniack, E P (2002). Increasing use of DNR orders in the elderly worldwide: whose choice is it?. J. Med. Ethics 28: 303-307 [Abstract] [Full Text]  
• Sirio, C. A., Tajimi, K., Taenaka, N., Ujike, Y., Okamoto, K., Katsuya, H. (2002). A Cross-Cultural Comparison of Critical Care Delivery : Japan and the United States. Chest 121: 539-548 [Abstract] [Full Text]