The Council for International Organizations of Medical Sciences (CIOMS) was established
jointly by the World Health Organization (WHO) and the United Nations Educational, Scientific …

Background An important issue in the debate about terminal sedation is the extent to which
it differs from euthanasia. We studied clinical differences and similarities between both …

Objective: To study and compare the incidence and main background characteristics of do-not-resuscitate
(DNR) decision making in six European countries. Design: Retrospective. …

End-of-Life Decisions in the Netherlands over 25 Years | NEJM Skip to main content NEJM
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Background Since pregnant women are severely underrepresented in clinical research,
many take the position that the exclusion of pregnant women from research must be justified …

Background Advance care planning (ACP) supports individuals to define, discuss, and record
goals and preferences for future medical treatment and care. Despite being internationally …

In 2015, euthanasia accounted for 4.5% of deaths in the Netherlands, of which 93% were
performed by a GP. Historically, a conflict of physician’s duties—to alleviate unbearable …

There are many ways in which doctors influence the circumstances and/or the timing of a
patient’s death. Some of these are accepted as normal medical practice—for instance, when a …

Respect for autonomy is well known as a core element of normative views on good care.
Most often it is interpreted in a liberal way, with a focus on independence and self-determination…

In the Dutch nationwide study on medical decisions concerning the end of life (MDEL) life-terminating
acts without the explicit request of the patient (LAWER) were noted in 0·8% of all …