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BACKGROUND In 1991 a new procedure for reporting physician-assisted deaths was introduced in the Netherlands that led to a tripling in the number of reported cases. In 1995, as part of an evaluation of this procedure, a nationwide study of euthanasia and other medical practices concerning the end of life was begun that was identical to a study conducted in(More)
OBJECTIVE For many nursing home patients in the advanced stages of dementia, a decision to start or forgo treatment has to be taken at the end of their life. It is very important for the peace of mind of all involved in such decision-making that there is agreement on which decision is in the best interest of the patient. It is thus important to investigate(More)
BACKGROUND Terminal sedation in patients nearing death is an important issue related to end-of-life care. OBJECTIVE To describe the practice of terminal sedation in the Netherlands. DESIGN Face-to-face interviews. SETTING The Netherlands. PARTICIPANTS Nationwide stratified sample of 482 physicians; 410 responded and 211 of these reported(More)
BACKGROUND In the Netherlands, the proportion of patients with amyotrophic lateral sclerosis (ALS) who choose the option of euthanasia or physician-assisted suicide (PAS) is relatively high (20%). The objective of this study was to determine which factors influence end-of-life practices in ALS and whether rates are changing over time. METHODS In a cohort(More)
BACKGROUND Legalization of euthanasia and physician-assisted suicide has been heavily debated in many countries. To help inform this debate, we describe the practices of euthanasia and assisted suicide, and the use of life-ending drugs without an explicit request from the patient, in Flanders, Belgium, where euthanasia is legal. METHODS We mailed a(More)
n engl j med 361;11 nejm.org september 10, 2009 1119 cell transplantation for multiple myeloma. N Engl J Med 2009; 360:2645-54. Paul E, Sutlu T, Deneberg S, et al. Impact of chromosome 13 2. deletion and plasma cell load on long-term survival of patients with multiple myeloma undergoing autologous transplantation. Oncol Rep 2009;22:137-42. Facon T,(More)
feel uncomfortable ignoring bacteriuria and/or py-uria, despite an absence of relevant clinical manifestations. Although many health care providers realize that excessive antimicrobial use can be harmful and should be avoided, some clearly need to be reminded about the complete absence of evidence supporting antimicrobial therapy for abnormal urinalysis(More)
BACKGROUND Nurses and social workers caring for people with intellectual disabilities are increasingly confronted with clients in need of end-of-life care. Previous studies, however, suggest that professionals in intellectual disability care services lack knowledge and experience concerning end-of-life care. Moreover, the proportion of nurses within the(More)
CONTEXT The practice of euthanasia and physician-assisted suicide (EAS) is always complex, but some cases are more complex than others. The nature of these unusually complex cases is not known. OBJECTIVES To identify and categorize the characteristics of EAS requests that are more complex than others. METHODS We held in-depth interviews with 28 Dutch(More)
OBJECTIVE To obtain in-depth information about the views of patients and physicians on suffering in patients who requested euthanasia in whom the request was not granted or granted but not performed. Design In-depth interviews with a topic list. Setting Patients' homes and physicians' offices. Participants 10 patients who explicitly requested euthanasia but(More)