title: Differences between terminally ill cancer patients who died after euthanasia had been performed and terminally ill cancer patients who did not request euthanasia.
abstract: Palliative care, directed at improving the quality of life of terminally ill patients, is generally not aimed at any form of postponing or hastening death. It is possible that high quality palliative care could prevent requests for euthanasia. However, empirical evidence on this issue is scarce. In a national survey of end-of-life medical decisions in The Netherlands the subject of care at the end of life has been addressed. Data on terminally ill cancer patients who died after their request was granted and euthanasia had been performed were compared with those of terminally ill cancer patients who did not request euthanasia. The results show that the prevalence and severity of symptoms e.g., pain, feeling unwell, nausea, was higher in patients who died after their request was granted and euthanasia had been performed. No differences concerning the treatment of symptoms or the care provided were found between the two groups. The results suggest that the practice of euthanasia is mainly related to the patient's suffering.
authors.affiliation: Department of Public and Occupational Health, Institute for Research in Extramural Medicine, VU Medical Center, Amsterdam. j.georges@vumc.nl
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Georges
authors.forename: Bregje D
authors.initials: BD
authors.lastname: Onwuteaka-Philipsen
authors.forename: Gerrit
authors.initials: G
authors.lastname: van der Wal
authors.forename: Agnes
authors.initials: A
authors.lastname: van der Heide
authors.forename: Paul J
authors.initials: PJ
authors.lastname: van der Maas
mesh_terms: D000328:Adult; D000368:Aged; D033101:Euthanasia, Active, Voluntary; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology*; D009426:Netherlands / Q000453:epidemiology; D010166:Palliative Care; D011446:Prospective Studies; D013727:Terminal Care; D019452:Terminally Ill