Deeper examination of process involved is necessary, medical-ethics expert notes
TUESDAY, July 10 (HealthDay News) -- The rates of euthanasia and assisted suicide in the Netherlands in 2010 were comparable to the rates before the practices became legal in 2002, a new study finds.
In euthanasia, a doctor administers lethal drugs to a patient who has requested that his or her life be ended. In assisted suicide, a patient self-administers lethal drugs provided by a doctor.
Researchers analyzed the Netherlands' death-registry data and found that the total number of euthanasia and assisted-suicide deaths in 2010 was 4,050, slightly less than 3 percent of all deaths.
The rates of euthanasia and assisted suicide in the Netherlands decreased between 2002 and 2005, but increased between 2005 and 2010. The increase was due largely to a rise in the number of patients requesting to end their lives, the researchers said.
The study was published online July 10 in the journal The Lancet.
Contrary to concerns expressed by critics, these findings show that "the frequency of physicians ending a patient's life in the absence of an explicit request does not seem to be increased in countries where euthanasia is legalized," lead author Bregje Onwuteaka-Philipsen, a professor at the VU University Medical Centre in Amsterdam, said in a journal news release. "In the Netherlands, it decreased significantly."
Euthanasia is legal in three countries: the Netherlands, Belgium and Luxembourg. Assisted suicide is legal in the aforementioned countries, as well as in Switzerland and the U.S. states of Montana, Oregon and Washington.
Dr. Bernard Lo, director of the program in medical ethics at the University of California, San Francisco, said in an accompanying editorial that the researchers should be commended "for their careful, rigorous study."
"But additional information from in-depth interviews in cases that raise ethical concerns is needed," said Lo, who also is president of the Greenwall Foundation, a bioethics research-funding foundation in New York City.
"How do physicians think through these difficult cases? What key ethical or clinical concepts are uncertain, misunderstood or might need modification? How do doctors talk with patients and families about these cases, and are there missed opportunities to improve such discussions?" Lo said. "By answering these questions, physicians can improve the quality of care for dying patients and their families irrespective of their views on euthanasia and physician-assisted suicide."
The U.S. National Institute on Aging offers a guide on comfort and care (http://www.nia.nih.gov/health/publication/end-life-helping-comfort-and-care ) for people nearing death.
SOURCE: The Lancet, news release, July 10, 2012