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Use of palliative chemotherapy and ICU admissions in gastric and esophageal cancer patients in the last phase of life - a nationwide observational study

BESSELING, Joost ; REITSMA, Jan ; VAN ERKELENS, Judith A. ; SCHEPENS, Maike H. J. ; SIROEN, Michiel P. C. ; ZIEDSES DES PLANTES, Cathelijne M. P. ; VAN BERGE HENEGOUWEN, Mark I. ; BEEREPOOT, Laurens V. ; VAN VOORTHUIZEN, Theo ; VAN ZUYLEN, Lia ; VERHOEVEN, Rob H. A. ; VAN LAARHOVEN, Hanneke
Cancers, 05/01/2021, vol.13, n°1, p. 1-10

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Euthanasia in the Netherlands - a claims data cross-sectional study of geographical variation

GROENEWOUD, A. Stef ; ATSMA, Femke ; ARVIN, Mina ; WESTERT, Gert P. ; BOER, Theo A.
BMJ supportive and palliative care, 14/01/2021, p. 1-11

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Thème : Santé. Cote : eD01.05

EUTHANASIE ; PAYS-BAS ; STATISTIQUE ; MILIEU

BACKGROUND: The annual incidence of euthanasia in the Netherlands as a percentage of all deaths rose from 1.9% in 1990 to 4.4% in 2017. Scarce literature on regional patterns calls for more detailed insight into the geographical variation in euthanasia and its possible explanations.
OBJECTIVES: This paper (1) shows the geographical variation in the incidence of euthanasia over time (2013-2017); (2) identifies the associations with demographic, socioeconomic, preferential and health-related factors; and (3) shows the remaining variation after adjustment and discusses its meaning.
DESIGN, SETTING AND METHODS: This cross-sectional study used national claims data, covering all healthcare claims during 12 months preceding the death of Dutch insured inhabitants who died between 2013 and 2017. From these claims all euthanasia procedures by general practitioners were selected (85% of all euthanasia cases). Rates were calculated and compared at three levels: 90 regions, 388 municipalities and 196 districts in the three largest Dutch cities. Data on possibly associated variables were retrieved from national data sets. Negative binomial regression analysis was performed to identify factors associated with geographical variation in euthanasia.
RESULTS: There is considerable variation in euthanasia ratio. Throughout the years (2013-2017) the ratio in the three municipalities with the highest incidence was 25 times higher than in the three municipalities with the lowest incidence. Associated factors are age, church attendance, political orientation, income, self-experienced health and availability of voluntary workers. After adjustment for these characteristics a considerable amount of geographical variation remains (factor score of 7), which calls for further exploration.
CONCLUSION: The Netherlands, with 28 years of legal euthanasia, experiences large-scale unexplained geographical variation in the incidence of euthanasia. Other countries that have legalised physician-assisted dying or are in the process of doing so may encounter similar patterns. The unexplained part of the variation may include the possibility that part of the euthanasia practice may have to be understood in terms of underuse, overuse or misuse.

Origine : PubMed

The final act - an ethical analysis of Pia Dijkstra's euthanasia for a completed life

HOLZMAN, T. J.
Journal of bioethical inquiry, 15/01/2021, p. 1-11

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Life-sustaining treatment preferences in older patients when referred to the emergency department for acute geriatric assessment - a descriptive study in a Dutch hospital

ERMERS, Daisy J. M. ; VAN BEUNINGEN-VAN WIJK, Marit P. H. ; RIT, Evi Peters ; STALPERS-KONIJNENBURG, Sonja C. ; TAEKEMA, Diana G. ; BOSCH, Frank H. ; ENGELS, Yvonne ; VAN MIERLO, Patricia J. W. B.
BMC GERIATRICS, 14/01/2021, vol.21, n°1, p. 1-9

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The perspectives of people with dementia on their future, end of life, and on being cared for by others - a qualitative study

BOLT, Sascha R. ; VAN DER STEEN, Jenny T. ; KHEMAI, Chandni ; SCHOLS, Jos Mga ; ZWAKHALEN, Sandra Mg ; MEIJERS, Judith Mm
Journal of clinical nursing, 12/01/2021, p. 1-15

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The role of research in improving responsiveness of palliative care to migrants and other underserved populations in the Netherlands - a qualitative interview study

TORENSMA, M. ; ONWUTEAKA-PHILIPSEN, B. D. ; DE VOOGD, X. ; WILLEMS, D. L. ; SUURMOND, J. L.
BMC palliative care, 06/01/2021, vol.20, n°1, p. 1-11

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Timely identification of patients in need of palliative care using the double surprise question - a prospective study on outpatients with cancer

ERMERS, Daisy JM ; KUIP, Evelien JM ; VELDHOVEN, CMM ; SCHERS, Henk J ; PERRY, Marieke ; BRONKHORST, Ewald M ; VISSERS, Kris CP ; ENGELS, Yvonne
PALLIATIVE MEDICINE, 11/01/2021, 11 p.

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Euthanasia and assisted suicide in the context of psychiatric disorders - sharing experiences from the low countries

DOM, Geert ; STOOP, Heidi ; HAEKENS, An ; STERCKX, Sigrid
Psychiatria Polska, 31/08/2020, vol.54, n°4, p. 661-672

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Added value of early consultation of an inpatient palliative care team in hospitalized older patients with high symptom burden - a prospective comparative study

NAAKTGEBOREN, Myrthe W. ; MAGDELIJNS, Fabienne J. H. ; JANSSEN, Daisy J. A. ; VAN DEN BEUKEN-VAN EVERDINGEN, Marieke H. J.
The American journal of hospice and palliative care, 30/12/2020, 7 p.

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From reciprocity to autonomy in physician-assisted death - an ethical analysis of the dutch supreme court ruling in the albert heringa case

FLORIJN, B. W.
The American journal of bioethics, 23/12/2020, 9 p.

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Euthanasia and physician-assisted suicide in patients with multiple geriatric syndromes

VAN DEN BERG, Vera ; VAN THIEL, Ghislaine ; ZOMERS, Margot ; HARTOG, Iris ; LEGET, Carlo ; SACHS, Alfred ; UITERWAAL, Cuno ; VAN WIJNGAARDEN, Els
JAMA internal medicine, 07/12/2020, p. 1-6

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Inclusion of palliative care in health care policy for older people - a directed documentary analysis in 13 of the most rapidly ageing countries worldwide

PIVODIC, Lara ; SMETS, Tinne ; GOTT, Merryn ; SLEEMAN, Katherine E. ; ARRUE, Borja ; CARDENAS TURANZAS, Marylou ; PECHOVA, Karolina ; KODBA-CEH, Hana ; LO, Tong Jen ; NAKANISHI, Miharu ; RHEE, YongJoo ; TEN KOPPEL, Maud ; WILSON, Donna M. ; VAN DEN BLOCK, Lieve
PALLIATIVE MEDICINE, 09/12/2020, Pagination inconnue

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From reciprocity to autonomy in physician-assisted death - an ethical analysis of the Dutch supreme court ruling in the Albert Heringa case

FLORIJN, B. W.
The American journal of bioethics, 23/12/2020, p. 1-8

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Faire dormir en fin de vie - pourquoi et comment décide-t-on de pratiquer une sédation ?

BROUCKE, Marion
ASP LIAISONS, 11/2020, n°60, p. 26-28

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Professionals guidance about palliative medicine in chronic heart failure - a mixed-method study

AMENT, Stephanie M. C. ; MAESSEN, José M. C. ; BOYNE, Josiane ; SCHOLS, Jos M. G. A. ; STOFFERS, Henri E. J. H. ; BELLERSEN, Louise ; BRUNNER-LA ROCCA, Hans-Peter ; ENGELS, Yvonne ; JANSSEN, Daisy J. A. ; VAN DEN BEUKEN-EVERDINGEN, Marieke
BMJ supportive and palliative care, 26/11/2020, p. 1-8

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Advance care planning in patients with advanced cancer - a 6-country, cluster-randomised clinical trial

KORFAGE, Ida J. ; CARRERAS, Giulia ; ARNFELDT CHRISTENSEN, Caroline M. ; BILLEKENS, Pascalle ; BRAMLEY, Louise ; BRIGGS, Linda ; BULLI, Francesco ; CASWELL, Glenys ; CERV, Branka ; VAN DELDEN, Johannes J. M. ; DELIENS, Luc ; DUNLEAVY, Lesley ; EECLOO, Kim ; GORINI, Giuseppe ; GROENVOLD, Mogens ; HAMMES, Bud ; INGRAVALLO, Francesca ; JABBARIAN, Lea J. ; KARS, Marijke C. ; KODBA-CEH, Hana ; LUNDER, Urska ; MICCINESI, Guido ; MIMIC, Alenka ; OZBIC, Polona ; PAYNE, Sheila ; POLINDER, Suzanne ; POLLOCK, Kristian ; PRESTON, Nancy J. ; SEYMOUR, Jane Elizabeth ; SIMONIC, Anja ; THIT JOHNSEN, Anna ; TOCCAFONDI, Alessandro ; VERKISSEN, Mariëtte N. ; WILCOCK, Andrew ; ZWAKMAN, Marieke ; VAN DER HEIDE, Agnes ; RIETJENS, Judith A. C.
PLOS MEDICINE, 11/2020, vol.17, n°11, p. 1-16

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Preferences in end of life care substantially differ between the Netherlands and Japan - results from a cross-sectional survey study

GROENEWOUD, A. Stef ; SASAKI, Noriko ; WESTERT, Gert P. ; IMANAKA, Yuichi
Medicine, 30/10/2020, vol.99, n°44, p. 1-8

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Supporting GPs around euthanasia requests from people with dementia - a qualitative analysis of Dutch nominal group meetings

SCHUURMANS, Jaap ; VOS, Stephanie ; VISSERS, Pim ; TILBURGS, Bram ; ENGELS, Yvonne
The British journal of general practice, 2020, vol.70, n°700, p. e833-e842

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Physicians’ perspectives on estimating and communicating prognosis in palliative care - a cross-sectional survey

ENGEL, Marijanne ; VAN DER ARK, Andrée ; VAN ZUYLEN, Lia ; VAN DER HEIDE, Agnes
BJGP open, 23/09/2020, p. 1-11

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A dignified last phase of life for patients with a migration background - a qualitative study

DE VOOGD, X. ; OOSTERVELD-VLUG, M. G. ; TORENSMA, M. ; ONWUTEAKA-PHILIPSEN, B. D. ; WILLEMS, D. L. ; SUURMOND, J. L.
PALLIATIVE MEDICINE, 2020, vol.34, n°10, p. 1385-1392

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