Article Figures & Data
Figures
- Figure 1.
Primary diagnosis of patients who requested MAID
- Figure 2.
Medical assistance in dying process and timeline
Tables
- Table 1.
Characteristics of patients who requested, completed, or did not complete MAID at The Ottawa Hospital in Ontario
PATIENT CHARACTERISTICS PATIENTS WHO REQUESTED MAID (N = 84) PATIENTS WHO COMPLETED MAID (N = 50) PATIENTS WHO DID NOT COMPLETE MAID (N = 34) P VALUE Mean (SD) age 68.7 (15.2) 69.4 (14.2) 67.7 (16.6) .61 Sex, n (%) • Male 46 (54.8) 30 (60.0) 16 (47.0) .24 • Female 38 (45.2) 20 (40.0) 18 (53.0) Neighbourhood, n (%) • Urban 77 (91.7) 43 (86.0) 34 (100.0) .02 • Rural 7 (8.3) 7 (14.0) 0 (0.0) Marital status, n (%) • Married or common law 52 (61.9) 33 (66.0) 19 (55.9) .49 • Single* 29 (34.5) 16 (32.0) 13 (38.2) • Unknown 3 (3.6) 1 (2.0) 2 (5.9) Religious, n (%) • Yes 29 (34.5) 18 (36.0) 11 (35.3) .62 • No 46 (54.8) 28 (56.0) 18 (52.9) • Unknown 9 (10.7) 4 (8.0) 5 (14.7) Place of residence, n (%) • Home with family 43 (51.2) 30 (60.0) 13 (38.2) .06 • Home alone 14 (16.7) 7 (14.0) 7 (20.6) • Retirement home 12 (14.3) 7 (14.0) 5 (14.7) • Nursing home 9 (10.7) 4 (8.0) 5 (14.7) • Other hospital 2 (2.4) 2 (4.0) 0 (0.0) • Unknown 4 (4.8) 0 (0.0) 4 (11.8) Has family physician, n (%) 78 (92.8) 47 (94.0) 31 (91.2) .68 Family physician provides palliative care, n (%) • Yes 24 (28.6) 12 (24.0) 12 (35.3) .06 • No 30 (35.7) 23 (46.0) 7 (20.6) • Unknown 30 (35.7) 15 (30.0) 15 (44.1) Regional palliative care provider available, n (%) 76 (90.5) 46 (92.0) 30 (88.2) .71 MAID—medical assistance in dying.
↵* Includes widowed and divorced individuals.
MAID VARIABLES PATIENTS WHO REQUESTED MAID, N (%) (N = 84) PATIENTS WHO COMPLETED MAID, N (%) (N =50) PATIENTS WHO DID NOT COMPLETE MAID, N (%) (N = 34) P VALUE No. of reasons for MAID request • 1 9 (10.7) 5 (10.0) 4 (11.8) .01 • 2 or more 67 (79.8) 44 (88.0) 23 (67.6) • Unknown 8(9.5) 1 (2.0) 7 (20.6) Reasons for MAID request • Physical suffering 65 (77.4) 42 (84.0) 23 (67.6) .08 • Psychological suffering 8(9.5) 6 (12.0) 2 (5.9) .46 • Poor quality of life 23 (27.4) 15 (30.0) 8 (23.5) .51 • Loss of autonomy 31 (36.9) 19 (38.0) 12 (35.3) .8 • Fear of dying 1 (1.2) 1 (2.0) 0 (0.0) > .99 • Loss of dignity 3 (3.6) 2 (4.0) 1 (2.9) > .99 ESAS completed .23 • Yes 20 (23.8) 13 (26.0) 7 (20.6) • No 57 (67.9) 35 (70.0) 22 (64.7) • Unknown 7 (8.3) 2 (4.0) 5 (14.7) Patient had previous MAID request .07 • Yes 3 (3.6) 1 (2.0) 2 (5.9) • No 78 (92.9) 49 (98.0) 29 (85.3) • Unknown 3 (3.6) 0 (0.0) 3 (8.8) MAID assessment location* • Inpatient 23 (28.8) 13 (26.0) 10 (33.3) .24 • Outpatient 55 (68.8) 37 (74.0) 18 (60.0) • Unknown 2 (2.5) 0 (0.0) 2 (6.7) ESAS—Edmonton Symptom Assessment Scale, MAID—medical assistance in dying.
↵* Four patients passed away before first assessment.
- Table 3.
Palliative care involvement in patients who requested, completed, or did not complete MAID
CHARACTERISTIC PATIENTS WHO REQUESTED MAID, N (%) PATIENTS WHO COMPLETED MAID, N (%) PATIENTS WHO DID NOT COMPLETE MAID, N (%) P VALUE Previous contact with community PC physician (n = 84) .71 • Yes 23 (27.4) 15 (30.0) 8 (23.5) • No 55 (65.5) 31 (62.0) 24 (70.6) • Unknown 6 (7.1) 4 (8.0) 2 (5.9) Involvement of PC before MAID request in any setting (n = 84) .69 • Yes 50 (59.5) 30 (60.0) 20 (58.8) • No 33 (39.3) 19 (38.0) 14 (41.2) • Unknown 1 (1.2) 1 (2.0) 0 (0.0) Offered PC after MAID request (n = 84) .26 • Yes 39 (46.4) 22 (44.0) 17 (50.0) • No 39 (46.4) 26 (52.0) 13 (38.2) • Unknown 6 (7.1) 2 (4.0) 4 (11.8) Offered PC after MAID request among patients with previous PC involvement (n = 50) .14 • Yes 19 (38.0) 9 (30.0) 10 (50.0) • No 26 (52.0) 19 (63.3) 7 (35.0) • Unknown 5 (10.0) 2 (6.7) 3 (15.0) Offered PC after MAID request among patients with no or unknown previous PC involvement (n = 34) .39 • Yes 20 (58.8) 13 (65.0) 7 (50.0) • No 13 (38.2) 7 (35.0) 6 (42.8) • Unknown 1 (2.9) 0 (0.0) 1 (7.1) Involvement of TOH PC before and after MAID request (n = 84) .32 • Yes 39 (46.4) 21 (42.0) 18 (52.9) • No 45 (53.6) 29 (58.0) 16 (47.1) Involvement of TOH PC among patients with outpatient MAID request (n = 55)* .79 • Yes 17 (30.9) 11 (29.7) 6 (33.3) • No 38 (69.1) 26 (70.3) 12 (66.7) Timing of TOH PC involvement among patients with outpatient MAID assessments (n = 17) .21 • Before MAID request 14 (82.4) 10 (90.9) 4 (66.7) • After MAID request 3 (17.6) 1 (9.1) 2 (33.3) Involvement of TOH PC among patients with inpatient MAID assessments (n = 23)* .86 • Yes 18 (78.3) 10 (76.9) 8 (80.0) • No 5 (21.7) 3 (23.1) 2 (20.0) Timing of TOH PC involvement among patients with inpatient MAID assessments (n = 18) .62 • Before MAID request 15 (83.3) 9 (90.0) 6 (75.0) • After MAID request 3 (16.7) 1 (10.0) 2 (25.0)
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