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End-of-Life Practices in the Netherlands under the Euthanasia Act

Open access
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, Gerrit·2007·New England Journal of Medicine

Abstract

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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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
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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CoChat. (2026). Citation check: End-of-Life Practices in the Netherlands under the Euthanasia Act. https://app.cochat.ai/papers/10.1056/nejmsa071143
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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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