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dc.creatorvan der Heide, Agnesen
dc.creatorOnwuteaka-Philipsen, Bregje D.en
dc.creatorRurup, Mette L.en
dc.creatorBuiting, Hilde M.en
dc.creatorvan Delden, Johannes J.M.en
dc.creatorHanssen-de Wolf, Johanna E.en
dc.creatorJanssen, Anke G.J.M.en
dc.creatorPasman, H. Roeline W.en
dc.creatorRietjens, Judith A.C.en
dc.creatorPrins, Cornelis J.M.en
dc.creatorDeerenberg, Ingeborg M.en
dc.creatorGevers, Joseph K.M.en
dc.creatorvan der Maas, Paul J.en
dc.creatorvan der Wal, Gerriten
dc.date.accessioned2016-01-08T23:21:14Zen
dc.date.available2016-01-08T23:21:14Zen
dc.date.created2007-05-10en
dc.date.issued2007-05-10en
dc.identifierdoi:10.1056/NEJMsa071143en
dc.identifier.bibliographicCitationNew England Journal of Medicine 2007 May 10; 356(19): 1957-1965en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=End-of-life+practices+in+the+Netherlands+under+the+Euthanasia+Act&title=New+England+Journal+of+Medicine+&volume=356&issue=19&date=2007-05&au=van+der+Heide,+Agnes;+Onwuteaka-Philipsen,+Bregje+D.;+Rurup,+Mette+L.;+Buiting,+Hilde+M.;+van+Delden,+Johannes+J.M.;+Hanssen-de+Wolf,+Johanna+E.;+Janssen,+Anke+G.J.M.;+Pasman,+H.+Roeline+W.;+Rietjens,+Judith+A.C.;+Prins,+Cornelis+J.M.;+Deerenberg,+Ingeborg+M.;+Gevers,+Joseph+K.M.;+van+der+Maas,+Paul+J.;+van+der+Wal,+Gerriten
dc.identifier.urihttp://dx.doi.org/10.1056/NEJMsa071143en
dc.identifier.urihttp://hdl.handle.net/10822/964527en
dc.description.abstractBACKGROUND: 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.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:306961en
dc.subjectAssisted Suicideen
dc.subjectDeathen
dc.subjectEuthanasiaen
dc.subjectLifeen
dc.subjectMethodsen
dc.subjectPhysiciansen
dc.subjectQuestionnairesen
dc.subjectSufferingen
dc.subjectSuicideen
dc.subject.classificationSuicide / Assisted Suicideen
dc.subject.classificationHealth Personnel Attitudes Toward Deathen
dc.subject.classificationProlongation of Life and Euthanasiaen
dc.titleEnd-of-Life Practices in the Netherlands Under the Euthanasia Acten
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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