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Table 5 Factors associated with burdensome feelings after the most recent case of euthanasiaa

From: Physicians’ experiences with euthanasia: a cross-sectional survey amongst a random sample of Dutch physicians to explore their concerns, feelings and pressure

 Not burdensomeBurdensomeUnivariable logistic regression analysis
N = 121N = 119
N (%)N (%)OR (95% CI)
Patient characteristics
 Gender
  Male60 (49.6%)67 (56.3%)Reference
  Female61 (50.4%)52 (43.7%)0.76 (0.46–1.27)
 Age (year)
   ≤ 6431 (25.6%)32 (26.9%)Reference
  65–7952 (43.0%)55 (46.2%)1.03 (0.55–1.91)
  ≥ 8038 (31.4%)32 (26.9%)0.82 (0.41–1.61)
 Cancer
  No52 (43.0%)55 (46.6%)Reference
  Yes69 (57.0%)63 (53.4%)0.86 (0.52–1.44)
 Presence psychiatric disorder
  No114 (94.2%)111 (93.3%)Reference
  Yes7 (5.8%)8 (6.7%)1.17 (0.41–3.35)
 Life-expectancy
  < 1 month26 (21.5%)24 (20.2%)Reference
  1–5 months55 (45.5%)45 (37.8%)0.89 (0.45–1.75)
  ≥ 6 months40 (33.1%)50 (42.0%)1.35 (0.68–2.71)
 Communication possible
  Less than good (reasonable-barely)9 (7.4%)10 (8.4%)Reference
  Good112 (92.6%)109 (91.6%)0.88 (0.34–2.24)
 Opinions of relatives regarding the request
  Not supporting (neutral, divided, opposing)6 (5.0%)7 (5.9%)Reference
  Supporting115 (95.0%)112 (94.1%)0.84 (0.27–2.56)
Physician characteristics
 Specialty
  General practitioner86 (72.9%)86 (74.8%)Reference
  Elderly care physician15 (12.7%)17 (14.8%)1.13 (0.53–2.41)
  Medical specialist14 (11.9%)6 (5.2%)0.43 (0.16–1.17)
  Psychiatrist3 (2.5%)6 (5.2%)2.00 (0.49–8.26)
 Gender
  Male61 (50.8%)60 (50.8%)Reference
  Female59 (49.2%)58 (49.2%)1.00 (0.60–1.66)
 Age (year)
  ≤ 3932 (26.4%)22 (18.5%)Reference
  40–5440 (33.1%)60 (50.4%)2.18 (1.11–4.28)
  ≥ 5549 (40.5%)37 (31.1%)1.10 (0.55–2.19)
 Number of explicit request received in the last year
  025 (20.7%)35 (29.4%)2.49 (1.15–5.39)
  131 (25.6%)45 (37.8%)2.58 (1.24–5.39)
  233 (27.3%)21 (17.6%)1.13 (0.51–2.51)
  ≥ 332 (26.5%)18 (15.1%)Reference
 I felt pressured by the patient and/or his relatives to perform EAS as soon as possible
  No100 (82.6%)85 (71.4%)Reference
  Yes21 (17.4%)34 (28.6%)1.91 (1.03–3.53)
 I was concerned about administering the lethal drugs
  No91 (75.8%)68 (58.6%)Reference
  Yes29 (24.2%)48 (41.4%)2.22 (1.27–3.87)
 Occurrence of complications or adverse events during the performance of EAS
  No114 (95.8%)110 (92.4%)Reference
  Yes5 (4.2%)9 (7.6%)1.87 (0.61–5.74)
 I sought support to process the EAS
  No79 (65.8%)69 (58.0%)Reference
  Yes41 (34.2%)50 (42.0%)1.40 (0.83–2.36)
  1. a Missings varied between 5 and 12 (2.0–4.9%). Bold indicates statistical significance (p < 0.05)