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Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience

Background: Medical assistance in dying (MAID) was legislatively enacted in Canada in June 2016. Most studies of patients who received MAID grouped patients with cancer and non-cancer diagnoses. Our goal was to analyze the characteristics of oncology patients who received MAID in a Canadian tertiary...

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Autores principales: Liu, Tony, Liu, Wei, Leung, Aaron, Jia, Sangyang, Lee, Patsy, Liu, Luke, Mutsaers, Adam, Miller, Sue, Honarmand, Kimia, Malik, Shiraz, Qu, Melody, Ball, Ian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777282/
https://www.ncbi.nlm.nih.gov/pubmed/36547153
http://dx.doi.org/10.3390/curroncol29120739
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author Liu, Tony
Liu, Wei
Leung, Aaron
Jia, Sangyang
Lee, Patsy
Liu, Luke
Mutsaers, Adam
Miller, Sue
Honarmand, Kimia
Malik, Shiraz
Qu, Melody
Ball, Ian
author_facet Liu, Tony
Liu, Wei
Leung, Aaron
Jia, Sangyang
Lee, Patsy
Liu, Luke
Mutsaers, Adam
Miller, Sue
Honarmand, Kimia
Malik, Shiraz
Qu, Melody
Ball, Ian
author_sort Liu, Tony
collection PubMed
description Background: Medical assistance in dying (MAID) was legislatively enacted in Canada in June 2016. Most studies of patients who received MAID grouped patients with cancer and non-cancer diagnoses. Our goal was to analyze the characteristics of oncology patients who received MAID in a Canadian tertiary care hospital. Methods: We conducted a retrospective review of all patients with cancer who received MAID between June 2016 and July 2020 at London Health Sciences Centre (LHSC). We describe patients’ demographics, oncologic characteristics, symptoms, treatments, and palliative care involvement. Results: Ninety-two oncology patients received MAID. The median age was 72. The leading cancer diagnoses among these patients were lung, colorectal, and pancreatic. At the time of MAID request, 68% of patients had metastatic disease. Most patients (90%) had ECOG performance status of 3 or 4 before receiving MAID. Ninety-nine percent of patients had distressing symptoms at time of MAID request, most commonly pain. One-third of patients with metastatic or recurrent cancer received early palliative care. The median time interval between the first MAID assessment and receipt of MAID was 7 days. Interpretation: Most oncology patients who received MAID at LHSC had poor performance status and almost all had distressing symptoms. The median time interval between first MAID assessment and receipt of MAID was shorter than expected. Only one-third of patients with metastatic or recurrent cancer received early palliative care. Improving access to early palliative care is a priority in patients with advanced cancer. Study registration: We received research approval from Western University’s Research Ethics Board (REB) with project ID number 115367, and from Lawson’s Research Database Application (ReDA) with study ID number 9579.
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spelling pubmed-97772822022-12-23 Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience Liu, Tony Liu, Wei Leung, Aaron Jia, Sangyang Lee, Patsy Liu, Luke Mutsaers, Adam Miller, Sue Honarmand, Kimia Malik, Shiraz Qu, Melody Ball, Ian Curr Oncol Article Background: Medical assistance in dying (MAID) was legislatively enacted in Canada in June 2016. Most studies of patients who received MAID grouped patients with cancer and non-cancer diagnoses. Our goal was to analyze the characteristics of oncology patients who received MAID in a Canadian tertiary care hospital. Methods: We conducted a retrospective review of all patients with cancer who received MAID between June 2016 and July 2020 at London Health Sciences Centre (LHSC). We describe patients’ demographics, oncologic characteristics, symptoms, treatments, and palliative care involvement. Results: Ninety-two oncology patients received MAID. The median age was 72. The leading cancer diagnoses among these patients were lung, colorectal, and pancreatic. At the time of MAID request, 68% of patients had metastatic disease. Most patients (90%) had ECOG performance status of 3 or 4 before receiving MAID. Ninety-nine percent of patients had distressing symptoms at time of MAID request, most commonly pain. One-third of patients with metastatic or recurrent cancer received early palliative care. The median time interval between the first MAID assessment and receipt of MAID was 7 days. Interpretation: Most oncology patients who received MAID at LHSC had poor performance status and almost all had distressing symptoms. The median time interval between first MAID assessment and receipt of MAID was shorter than expected. Only one-third of patients with metastatic or recurrent cancer received early palliative care. Improving access to early palliative care is a priority in patients with advanced cancer. Study registration: We received research approval from Western University’s Research Ethics Board (REB) with project ID number 115367, and from Lawson’s Research Database Application (ReDA) with study ID number 9579. MDPI 2022-12-01 /pmc/articles/PMC9777282/ /pubmed/36547153 http://dx.doi.org/10.3390/curroncol29120739 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Liu, Tony
Liu, Wei
Leung, Aaron
Jia, Sangyang
Lee, Patsy
Liu, Luke
Mutsaers, Adam
Miller, Sue
Honarmand, Kimia
Malik, Shiraz
Qu, Melody
Ball, Ian
Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience
title Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience
title_full Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience
title_fullStr Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience
title_full_unstemmed Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience
title_short Medical Assistance in Dying in Oncology Patients: A Canadian Academic Hospital’s Experience
title_sort medical assistance in dying in oncology patients: a canadian academic hospital’s experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9777282/
https://www.ncbi.nlm.nih.gov/pubmed/36547153
http://dx.doi.org/10.3390/curroncol29120739
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