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[Euthanasia and cancer].

J Norum1, M Leknes

  • 1Kreftavdelingen, Regionsykehuset, Tromsø.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 2, 1999
PubMed
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Cancer patients

Area of Science:

  • Oncology
  • Medical Ethics

Background:

  • Euthanasia is a recognized clinical practice globally.
  • Understanding patient attitudes towards euthanasia is crucial for ethical care.

Purpose of the Study:

  • To investigate cancer patients' attitudes towards euthanasia.
  • To identify factors influencing patient support for euthanasia.

Main Methods:

  • A systematic review of Medline-indexed case reports and questionnaire studies (1992-1997).
  • Analysis of 9 publications involving 459 cancer patients from the USA, Canada, and Holland.

Main Results:

  • Approximately one-third of cancer patients surveyed expressed support for euthanasia.
  • Younger patients (under 50), those with better performance status, and non-religious individuals showed higher support rates.

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  • Psychological factors, including loss of control, burden on family, and loss of dignity, were more influential than physical factors.

    • Conclusions:

    • Psychological distress significantly impacts cancer patients' views on euthanasia.
    • A "help to live" approach requires increased healthcare provider time and resources, challenging current healthcare system limitations.