To study the reported medical practice of euthanasia
in Belgium since implementation of the euthanasia
Analysis of the anonymous database of all euthanasia
cases reported to the Federal Control and Evaluation Committee Euthanasia
cases reported by physicians for review between implementation of the euthanasia
law on September 22nd, 2002 and December 31, 2007 (n = 1917).
Frequency of reported euthanasia
cases, characteristics of patients and the decision for euthanasia
, drugs used in euthanasia
cases, and trends in reported cases over time.
The number of reported euthanasia
cases increased every year from 0.23% of all deaths in 2002 to 0.49% in 2007. Compared with all deaths in the population, patients who died by euthanasia
were more often younger (82.1% of patients who received euthanasia
compared with 49.8% of all deaths were younger than 80, P
< 0.001), men (52.7% vs. 49.5%, P
= 0.005), cancer patients (82.5% vs. 23.5%, P
< 0.001), and more often died at home (42.2% vs. 22.4%, P
< 0.001). Euthanasia
was most often performed with a barbiturate, sometimes in combination with neuromuscular relaxants (92.4%) and seldom with morphine (0.9%). In almost all patients, unbearable physical (95.6%) and/or psychological suffering (68%) were reported. A small minority of cases (6.6%) concerned nonterminal patients, mainly suffering from neuromuscular diseases.
The frequency of reported euthanasia
cases has increased every year since legalization. Euthanasia
is most often chosen as a last resort at the end of life by younger patients, patients with cancer, and seldom by nonterminal patients.