دورية أكاديمية
End-of-life practices in the Netherlands under the Euthanasia Act.
| العنوان: | End-of-life practices in the Netherlands under the Euthanasia Act. |
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| المؤلفون: | van der Heide A; Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands. a.vanderheide@erasmusmc.nl, Onwuteaka-Philipsen BD, Rurup ML, Buiting HM, van Delden JJ, Hanssen-de Wolf JE, Janssen AG, Pasman HR, Rietjens JA, Prins CJ, Deerenberg IM, Gevers JK, van der Maas PJ, van der Wal G |
| المصدر: | The New England journal of medicine [N Engl J Med] 2007 May 10; Vol. 356 (19), pp. 1957-65. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Massachusetts Medical Society Country of Publication: United States NLM ID: 0255562 Publication Model: Print Cited Medium: Internet ISSN: 1533-4406 (Electronic) Linking ISSN: 00284793 NLM ISO Abbreviation: N Engl J Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Boston, Massachusetts Medical Society. |
| مواضيع طبية MeSH: | Euthanasia/*trends , Suicide, Assisted/*trends, Aged ; Aged, 80 and over ; Analgesics, Opioid/administration & dosage ; Cause of Death ; Euthanasia/legislation & jurisprudence ; Euthanasia/statistics & numerical data ; Female ; Follow-Up Studies ; Humans ; Hypnotics and Sedatives/administration & dosage ; Male ; Middle Aged ; Netherlands ; Suicide, Assisted/legislation & jurisprudence ; Suicide, Assisted/statistics & numerical data ; Surveys and Questionnaires ; Withholding Treatment/statistics & numerical data ; Withholding Treatment/trends |
| مستخلص: | Background: In 2002, an act regulating the ending of life by a physician at the request of a patient with unbearable suffering came into effect in the Netherlands. In 2005, we performed a follow-up study of euthanasia, physician-assisted suicide, and other end-of-life practices. Methods: We mailed questionnaires to physicians attending 6860 deaths that were identified from death certificates. The response rate was 77.8%. Results: In 2005, of all deaths in the Netherlands, 1.7% were the result of euthanasia and 0.1% were the result of physician-assisted suicide. These percentages were significantly lower than those in 2001, when 2.6% of all deaths resulted from euthanasia and 0.2% from assisted suicide. Of all deaths, 0.4% were the result of the ending of life without an explicit request by the patient. Continuous deep sedation was used in conjunction with possible hastening of death in 7.1% of all deaths in 2005, significantly increased from 5.6% in 2001. In 73.9% of all cases of euthanasia or assisted suicide in 2005, life was ended with the use of neuromuscular relaxants or barbiturates; opioids were used in 16.2% of cases. In 2005, 80.2% of all cases of euthanasia or assisted suicide were reported. Physicians were most likely to report their end-of-life practices if they considered them to be an act of euthanasia or assisted suicide, which was rarely true when opioids were used. Conclusions: The Dutch Euthanasia Act was followed by a modest decrease in the rates of euthanasia and physician-assisted suicide. The decrease may have resulted from the increased application of other end-of-life care interventions, such as palliative sedation. (Copyright 2007 Massachusetts Medical Society.) |
| التعليقات: | Comment in: N Engl J Med. 2007 May 10;356(19):1911-3. (PMID: 17494924) |
| المشرفين على المادة: | 0 (Analgesics, Opioid) 0 (Hypnotics and Sedatives) |
| تواريخ الأحداث: | Date Created: 20070515 Date Completed: 20070517 Latest Revision: 20151119 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1056/NEJMsa071143 |
| PMID: | 17494928 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1533-4406 |
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| DOI: | 10.1056/NEJMsa071143 |