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Research ArticleResearch

Reasons for requesting medical assistance in dying

Ellen Wiebe, Jessica Shaw, Stefanie Green, Konia Trouton and Michaela Kelly
Canadian Family Physician September 2018, 64 (9) 674-679;
Ellen Wiebe
Clinical Professor in the Department of Family Practice at the University of British Columbia in Vancouver and a family physician who practises in women’s health and assisted death.
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  • For correspondence: ellenwiebe@gmail.com
Jessica Shaw
Assistant Professor in the Faculty of Social Work at the University of Calgary in Alberta.
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Stefanie Green
Clinical faculty member at the University of British Columbia and a family physician practising in assisted death and infant circumcision.
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Konia Trouton
Clinical Professor in the Department of Family Practice at the University of British Columbia and a family physician practising in women’s health and assisted death.
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Michaela Kelly
Master’s degree candidate at the University of London.
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    Table 1.

    Primary diagnoses related to medical assistance in dying requests: N = 250.

    PRIMARY DIAGNOSESASSISTED DEATH (N=112), N (%)ASSESSMENT ONLY (N=92), N (%)NATURAL DEATH (N=11), N (%)NOT ELIGIBLE (N=35), N (%)
    Malignancy48 (42.9)52 (56.5)7 (63.6)9 (25.7)
    Neurological disease25 (22.3)19 (20.7)2 (18.2)4 (11.4)
    End-organ failure27 (24.1)11 (12.0)1 (9.1)2 (5.7)
    Other12 (10.7)10 (10.9)1 (9.1)20 (57.1)
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    Table 2.

    First and second most important reasons for the request for assisted death: N = 250; 6 charts had no reasons, 56 had only 1 reason, and some gave 3 or 4 reasons, but only the first 2 reasons were coded.

    REASONSASSISTED DEATH (N=112), N (%)ASSESSMENT ONLY (N=92), N (%)NATURAL DEATH (N=11), N (%)NOT ELIGIBLE (N=35), N (%)
    Loss of control and independence59 (52.7)34 (37.0)1 (9.1)12 (34.3)
    Loss of ability to do enjoyable and meaningful activities55 (49.1)35 (38.0)2 (18.2)10 (28.6)
    Illness-related suffering (pain, nausea, etc)67 (59.8)34 (37.0)4 (36.4)23 (65.7)
    Fear of future suffering27 (24.1)50 (54.3)2 (18.2)11 (31.4)
    Previous negative experience around death and dying4 (3.6)1 (1.1)0 (0.0)1 (2.9)
    • View popup
    Table 3.

    First and second most important reasons for request by diagnosis in patients with completed assisted deaths: N = 112; 12 charts had only 1 reason.

    REASONSMALIGNANCY (N=48), N (%)NEUROLOGICAL DISEASE (N=25), N (%)END-ORGAN FAILURE (N=27), N (%)OTHER (N=12), N (%)TOTAL (N=112), N (%)
    Loss of control and independence25 (52.1)14 (56.0)13 (48.1)7 (58.3)59 (52.7)
    Loss of ability to do enjoyable and meaningful activities21 (43.8)16 (64.0)14 (51.9)4 (33.3)55 (49.1)
    Illness-related suffering (pain, nausea, etc)35 (72.9)7 (28.0)15 (55.6)10 (83.3)67 (59.8)
    Fear of future suffering11 (22.9)9 (36.0)6 (22.2)1 (8.3)27 (24.1)
    Previous negative experience around death and dying1 (2.1)1 (4.0)1 (3.7)1 (8.3)4 (3.6)
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Canadian Family Physician: 64 (9)
Canadian Family Physician
Vol. 64, Issue 9
1 Sep 2018
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Reasons for requesting medical assistance in dying
Ellen Wiebe, Jessica Shaw, Stefanie Green, Konia Trouton, Michaela Kelly
Canadian Family Physician Sep 2018, 64 (9) 674-679;

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Ellen Wiebe, Jessica Shaw, Stefanie Green, Konia Trouton, Michaela Kelly
Canadian Family Physician Sep 2018, 64 (9) 674-679;
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