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Table 5 Characteristics associated with consultations perceived as difficult by SCEN physicians for the assessment of due care criteria and patient characteristics, 2016–2017

From: Complexities in consultations in case of euthanasia or physician-assisted suicide: a survey among SCEN physicians

 Multivariable odds ratio (95% CI)
 The assessment of due care criteriaPatient characteristics
Difficult (score ≥ 4)139 (14.8)a97 (10.3)a
SCEN physician 
 Number of consultations per year
   < 5
  5–9  
  10–14  
   ≥ 15  
Attending physician
 Profession
  General practitioner11
  Medical specialist0.93 (0.32–2.73)3.02 (1.09–8.35)
  Elderly care physician0.62 (0.24–1.61)0.99 (0.37–2.68)
 Works at End of life clinic1.82 (0.85–3.89)0.64 (0.25–1.63)
 Certainty of decision before consultation
  Already promised to grant the request11
  Decided to grant the request0.72 (0.36–1.44)0.74 (0.35–1.55)
  Probably wants to grant the request1.93 (0.97–3.83)1.27 (0.6–2.7)
  Doubts about/doesn’t want to grant the request4.69 (1.71–12.88)3.52 (1.22–10.18)
Patient
 Age
   < 70 years11
  70–79 years0.37 (0.18–0.75)0.41 (0.18–0.92)
   ≥ 80 years0.41 (0.21–0.79)1 (0.52–1.89)
 Sex (female)
 Residency
  Home11
  Care/nursing home1.52 (0.76–3.05)1.72 (0.8–3.69)
  Hospital1.45 (0.48–4.41)5.08 (1.8–14.31)
  Hospice2 (0.76–5.24)3.27 (1.32–8.1)
 Main diagnosis
  Cancer11
  Heart failure/CVA3.54 (1.44–8.66)2.17 (0.87–5.39)
  MS/ALS0.79 (0.16–3.89)0.94 (0.2–4.45)
  COPD1.18 (0.29–4.75)0.66 (0.15–2.89)
  Accumulation of age-related health problems/dementia/psychiatric disorder13.52 (6.4–28.56)2.91 (1.31–6.43)
  Other5.05 (2.42–10.53)1.35 (0.56–3.27)
 Besides main diagnosis alsob
  Physical illness
  Psychiatric disorder8.24 (3.11–21.86)
  Accumulation of age-related health problems1.96 (0.87–4.46)
  Dementia
  Psychosocial or existential problems2.25 (1.07–4.71)2.24 (1.07–4.72)
 Reasons to request EAS
  Loss of dignity
  Overall weakness0.93 (0.57–1.54)1.22 (0.69–2.17)
  Being tired with life0.94 (0.34–2.57)1.47 (0.52–4.18)
  Pointless suffering
  Knowing that suffering will not get better
  Fear of suffocation0.62 (0.21–1.8)
  Invalidity
  Depression
  Dependency
  Not wanting to be a burden for family1.67 (0.7–4)1.3 (0.49–3.5)
  Physical sufferingc0.69 (0.41–1.15)0.87 (0.49–1.52)
  1. N number, CI confidence interval; ¶, not significant in univariable analysis, thus not included in multivariable analysis; aNumber (percentage); bMissing values = 153; cIncludes pain, vomiting and dyspnea; Missing values ranging from 1 to 35