The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
End-of-Life Practices in the Netherlands under the Euthanasia Act
Open accessAbstract
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.
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Cites
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Euthanasia and other medical decisions concerning the end of life
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Self-citationEnd-of-life decision-making in six European countries: descriptive study
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Self-citationvan der Maas, P. J., van der Wal, G., Haverkate, I., de Graaff, C. L. M., Kester, J. G. C., Onwuteaka-Philipsen, B. D., van der Heide, A., Bosma, J. M., & Willems, D. L. (1996) · New England Journal of Medicine · doi:10.1056/nejm199611283352227 · Cited by 631
Self-citationThe use of opioids and sedatives at the end of life
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End-of-life decisions in medical practice in Flanders, Belgium: a nationwide survey
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Physicians' Experiences with the Oregon Death with Dignity Act
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Euthanasia and other end-of-life decisions in the Netherlands in 1990, 1995, and 2001
Onwuteaka-Philipsen, B. D., van der Heide, A., Koper, D., Keij-Deerenberg, I., Rietjens, J. A., Rurup, M. L., Vrakking, A. M., Georges, J. J., Muller, M. T., van der Wal, G., et al. (2003) · The Lancet · doi:10.1016/s0140-6736(03)14029-9 · Cited by 286
Self-citationEvaluation of the notification procedure for physician-assisted death in The Netherlands
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Self-citationPhysicians' Experiences with the Oregon Death with Dignity Act
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Cited by
Battin, M. P., van der Heide, A., Ganzini, L., van der Wal, G., & Onwuteaka-Philipsen, B. D. (2007) · Journal of Medical Ethics · doi:10.1136/jme.2007.022335 · Cited by 283
Steck, N., Egger, M., Maessen, M., Reisch, T., & Zwahlen, M. (2013) · Medical Care · doi:10.1097/mlr.0b013e3182a0f427 · Cited by 179
Rietjens, J. A. C., van der Maas, P. J., Onwuteaka-Philipsen, B. D., van Delden, J. J. M., & van der Heide, A. (2009) · Journal of Bioethical Inquiry · doi:10.1007/s11673-009-9172-3 · Cited by 138
Self-citationLegalizing euthanasia or assisted suicide: the illusion of safeguards and controls
Pereira, J. (2011) · Current Oncology · doi:10.3747/co.v18i2.883 · Cited by 133
Dees, M., Vernooij‐Dassen, M., Dekkers, W., & van Weel, C. (2010) · Psycho-Oncology · doi:10.1002/pon.1612 · Cited by 125
Metadata
- Authors
- van der Heide, A., Onwuteaka-Philipsen, B. D., Rurup, M. L., Buiting, H. M., van Delden, J. J. M., Hanssen-de Wolf, J. E., Janssen, A. G. J. M., Pasman, H. R. W., Rietjens, J. A. C., Prins, C. J. M., Deerenberg, I. M., Gevers, J. K. M., van der Maas, P. J., & van der Wal, G.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2007-05-10
- Volume
- 356
- Issue
- 19
- Pages
- 1957-1965
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2103831377
- Cited by
- 451
- References
- 22
- FWCI
- 48.66
- Type
- journal article
- Language
- en
- Open access
- bronze
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- van der Heide, A., Onwuteaka-Philipsen, B. D., Rurup, M. L., Buiting, H. M., van Delden, J. J. M., Hanssen-de Wolf, J. E., Janssen, A. G. J. M., Pasman, H. R. W., Rietjens, J. A. C., Prins, C. J. M., Deerenberg, I. M., Gevers, J. K. M., van der Maas, P. J., & van der Wal, G. (2007). End-of-Life Practices in the Netherlands under the Euthanasia Act. New England Journal of Medicine. https://doi.org/10.1056/nejmsa071143
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