ArticleJournal of the American Geriatrics Society2020
Physicians' and Public Attitudes Toward Euthanasia in People with Advanced Dementia.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 40 citations in OpenAlex.
- Attitudes of older adults toward active euthanasia in advanced Alzheimer's disease.Journal of Alzheimer's disease : JAD · 2026Article
- Euthanasia in advanced dementia: an empirical study of the decision-making process based on advance directives.Age and ageing · 2026Article
- Bringing up the end of life and euthanasia. A mixed method study on consultations with people with dementia and their families in the hospital setting.Palliative medicine · 2026Article
- Not wanting to be a burden: wishing euthanasia to protect loved ones from the dementia.Palliative care and social practice · 2026Article
- Understanding death wishes in later life: a narrative review.Frontiers in psychiatry · 2026Review
- Exploring the public attitudes toward euthanasia legalization in China, especially among individuals with mental disorders: a national cross-sectional study.Archives of public health = Archives belges de sante publique · 2025Article
- Scenario-Based Ethical Reasoning Among Healthcare Trainees and Practitioners: Evidence from Dental and Medical Cohorts in Romania.Healthcare (Basel, Switzerland) · 2025Article
- Cross-sectional survey on public attitudes and factors related to physician-assisted dying in Taiwan.BMJ open · 2025Article
- Capacity assessment for euthanasia in dementia: A qualitative study of 60 Dutch cases.Journal of the American Geriatrics Society · 2025Article
- Physicians' Perceptions of the Quality of Palliative Care and of the Importance of Collaboration in Interdisciplinary Teams in Norwegian Nursing Homes.Journal of multidisciplinary healthcare · 2025Article
- One third of physicians discuss exit strategies with patients with amyotrophic lateral sclerosis: Results from nationwide surveys among German and Polish neurologists.Brain and behavior · 2024Article
- Public Attitudes Toward Ethics and Practices in End-of-Life Decision-Making for Neonates.JAMA network open · 2024Article
- Demographic influences on Lithuanian physicians' attitudes toward medical assistance in dying: a cross-sectional study.Frontiers in psychiatry · 2024Article
- Interventions that may increase control at the end of life in persons with dementia: the cross-cultural CONT-END acceptability study protocol and pilot-testing.BMC palliative care · 2023Article
- Assisted Suicide and Euthanasia in Mental Disorders: Ethical Positions in the Debate between Proportionality, Dignity, and the Right to Die.Healthcare (Basel, Switzerland) · 2023Review
- The ethics of euthanasia in dementia: A qualitative content analysis of case summaries (2012-2020).Journal of the American Geriatrics Society · 2022Article
- Attitudes toward the Legalization of Euthanasia or Physician-Assisted Suicide in South Korea: A Cross-Sectional Survey.International journal of environmental research and public health · 2022Article
- Euthanasia and assisted suicide: An in-depth review of relevant historical aspects.Annals of medicine and surgery (2012) · 2022Review
- Euthanasia in Dementia: A Narrative Review of Legislation and Practices in the Netherlands and Belgium.Frontiers in psychiatry · 2022Review
- Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
objectivesTo explore the opinion of the Dutch general public and of physicians regarding euthanasia in patients with advanced dementia.
designA cross-sectional survey.
settingThe Netherlands.
participantsRandom samples of 1,965 citizens (response = 1,965/2,641 [75%]) and 1,147 physicians (response = 1,147/2,232 [51%]). MEASUREMENTS: The general public was asked to what extent they agreed with the statement "I think that people with dementia should be eligible for euthanasia, even if they no longer understand what is happening (if they have previously asked for it)." Physicians were asked whether they were of the opinion that performing euthanasia is conceivable in patients with advanced dementia, on the basis of a written advance directive, in the absence of severe comorbidities. Multivariable logistic regression was performed to identify factors associated with the acceptance of euthanasia.
resultsA total of 60% of the general public agreed that people with advanced dementia should be eligible for euthanasia. Factors associated with a positive attitude toward euthanasia were being female, age between 40 and 69 years, and higher educational level. Considering religion important was associated with lower acceptance. The percentage of physicians who considered it acceptable to perform euthanasia in people with advanced dementia was 24% for general practitioners, 23% for clinical specialists, and 8% for nursing home physicians. Having ever performed euthanasia before was positively associated with physicians considering euthanasia conceivable. Being female, having religious beliefs, and being a nursing home physician were negatively associated with regarding performing euthanasia as conceivable.
conclusionThere is a discrepancy between public acceptance of euthanasia in patients with advanced dementia and physicians' conceivability of performing euthanasia in these patients. This discrepancy may cause tensions in daily practice because patients' and families' expectations may not be met. It urges patients, families, and physicians to discuss mutual expectations in these complex situations in a comprehensive and timely manner. J Am Geriatr Soc 68:2319-2328, 2020.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.