European study highlights frequency of medical end-of-life decisions in terminally ill pts

Authors of a study in this week's issue of THE LANCET illustrate how medical end-of-life decisions frequently precede dying in a range of European countries.

There are few data about the frequency of end-of-life decisions made involving doctors and terminally ill patients. Medical decision-making for patients with life-threatening diseases entails a balanced consideration of medical, ethical, psychosocial, and societal aspects. These considerations and the legal background in each country could modify end-of-life decision-making practices and attitudes of doctors, patients, and other people involved. Medical end-of-life decisions include: whether to withhold or withdraw potentially life-prolonging treatment-eg, mechanical ventilation, tube-feeding, and dialysis; whether to alleviate pain or other symptoms with, for example, opioids, benzodiazepines, or barbiturates in doses large enough to hasten death as a possible or certain side effect; and whether to consider euthanasia or doctor-assisted suicide, which can be defined as the administration, prescription, or supply of drugs to end life at the patient's explicit request.

Agnes van der Heide from Erasmus University, Rotterdam, The Netherlands, and colleagues assessed over 20,000 deaths in six European countries (Belgium, Denmark, Italy, The Netherlands, Sweden, and Switzerland). Around half of deaths were of people aged 80 years or older. The investigators used a questionnaire to establish which deaths involved end-of-life decisions of attending physicians.

Around a third of deaths happened suddenly or unexpectedly and did not therefore involve end-of-life decisions. Such decisions were common among the remaining two-thirds of deaths, ranging from 23% in Italy to half of deaths in Switzerland. Administration of drugs with the explicit intention of hastening death varied between countries: about 1% or less in Denmark, Italy, Sweden, and Switzerland, 182% in Belgium, and 340% in the Nether

Contact: Joe Santangelo

Page: 1 2 3

Related medicine news :

1. ESC releases the first European Guidelines on Percutaneous Coronary Interventions (PCI)
2. The European Society of Cardiology launches Women at Heart
3. Use of potentially inappropriate medications among elderly common in some European countries
4. European folic acid policies are not effective enough
5. New European cancer figures for 2004 major efforts needed against the big four killers
6. Third of European cancer patients use complementary and alternative therapies
7. A new service from the European Patent Office
8. European study highlights persistent 3 decade increase in childhood cancer incidence
9. European nations urged to ratify international treaty on tobacco control
10. Increased investment in radiotherapy will improve cure rates for European cancer patients
11. ESA looking for more European women to volunteer for WISE bed-rest study in Toulouse next year

Post Your Comments:

(Date:8/5/2020)... ... August 05, 2020 , ... Hypoglycemia (low blood ... length of hospital stay, or even death. A researcher at the VA Maryland ... 2 diabetes to see if the use of continuous glucose monitoring devices can ...
(Date:8/5/2020)... ... August 05, 2020 , ... Today, YPO Africa ... leading trade and investment platform for Africa, announced that they have entered into a ... and Invest Africa to support each other in their African impact efforts, with an ...
(Date:8/3/2020)... MORRISTOWN, N.J. (PRWEB) , ... August 03, 2020 ... ... Schools in Florida will launch its Suite360:Mental Health and Prevention program district-wide, developed ... Abuse and Child Trafficking Prevention. , Florida schools and districts must provide ...
(Date:7/31/2020)... , ... July 31, 2020 , ... ... Meridian Clinical Research’s internal medicine site in Savannah, GA. Visitors included ... OWS. , In May, the federal government announced the OWS program to accelerate ...
(Date:7/22/2020)... ... 22, 2020 , ... Whatever we call them – sunspots, age spots, liver ... glow,” notes Angie Seelal, a Certified Registered Physician Assistant specializing in Dermatology with ... later and make us look older.” , In terms of the name, ‘sunspots’ or ...
Breaking Medicine News(10 mins):
(Date:8/3/2020)... ... August 03, 2020 , ... ... Operations Planning services for small business owners. These plans help ensure ... or communicate with their teams for 30-90 days as a result of sickness ...
(Date:7/31/2020)... ... July 31, 2020 , ... As one of the most prominent and ... of Missouri City, TX, with a wide range of professional dental services for many ... dental facility that is not far from the previous clinic location. Dr. Simone Ellis’s ...
(Date:7/22/2020)... N.J. (PRWEB) , ... July 22, 2020 , ... ... transparency management technology, is proud to announce the addition of Moderna to its ... sponsors, who rely on its technology for trial disclosure management, patient engagement and ...
Breaking Medicine Technology:
Cached News: