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PAS in Oregon NEJM 2/22/01;344(8):605-7

PAS in Oregon NEJM 2/22/01;344(8):605-7. 1998 1999 2000 Total no. who died 16 27 27 70 EOL issues: finances 0 0 1 1 (1%) burden 2 7 17 26 (37) autonomy 12 21 25 58 (83) lost enjoyment 11 22 21 54 (77) bod. functions 9 16 21 46 (66)

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PAS in Oregon NEJM 2/22/01;344(8):605-7

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  1. PAS in OregonNEJM 2/22/01;344(8):605-7 1998 1999 2000 Total no. who died 16 27 27 70 EOL issues: finances 0 0 1 1 (1%) burden 2 7 17 26 (37) autonomy 12 21 25 58 (83) lost enjoyment 11 22 21 54 (77) bod. functions 9 16 21 46 (66) pain 2 7 8 17 (24) psych eval. 5 10 5 20 (29) days req to death 15-75 15-289 15-377 min. to death 10-690 4-1560 5-75

  2. PAS in OregonNEJM 2/22/01;344(8):605-7NEJM 2/7/02;346(6):450-2 1998 1999 2000 2001 Total no. Rx’s written 24 33 39 44 140 no. who died 16 27 27 21 91 EOL issues: finances 0 0 1 1 (1%) burden 2 7 17 26 (37) autonomy 12 21 25 58 (83) lost enjoyment 11 22 21 54 (77) bod. functions 9 16 21 46 (66) pain 2 7 8 17 (24) psych eval. 5 10 5 20 (29) days req to death 15-75 15-289 15-377 min. to death 10-690 4-1560 5-75

  3. Physician-Assisted Suicides in OregonNEJM 2/22/01;344(8):605-7 NEJM 2/7/02;346(6):450-2 1998 1999 2000 2001 2002 Total no. Rx’s written 24 33 39 44 58 198 no. who died 16 27 27(21)* 21(17)* 38 (30)* 129 EOL issues: finances 0 0 1 1 (1%) burden 2 7 17 26 (37) autonomy 12 21 25 58 (83) lost enjoyment 11 22 21 54 (77) bodily functions 9 16 21 46 (66) pain 2 7 8 17 (24) psych eval. 28 (23) days from req. to death 15-75 15-289 15-377 min. to death 10-690 4-1560 5-75 * individuals assisted by Compassion in Dying (80%)

  4. Physician-Assisted Suicides in OregonNEJM 2/22/01, 2/7/02 OR Dept Human Services 1998 - 2003 2004 Total (7 yrs) no. Rx’s written 265 60 325 no. who died 171 37 208 (75-80%*) no. MD’s 14-42 / yr 40 ? EOL issues: finances 4 (2%) 2 (5%) 6 (3%) burden 60 (36%) 14 (38%) 74 (36%) autonomy 145 (87%) 32 (87%) 177 (87%) lost enjoyment 138 (83%) 34 (92%) 172 (84%) bodily functions 97 (58%) 24 (65%) 121 (59%) pain 37 (22%) 8 (22%) 45 (22%) psych eval. 37% - 5% 2 (5%) 32 (16%) days from request to death 15 – 593 15 - 737 time to death 5 min – 48 hr 5 min – 38 hr * assisted by Compassion in Dying

  5. Physician-Assisted Suicides in OregonOregon Dept Human Services 1998 - 2004 2005 Total (8 yrs) no. Rx’s written 325 64 389 no. who died 208 38 246 (75-80%*) EOL issues: finances 6 (3%) 1 (3%) 7 (3%) burden 74 (36%) 16 (42%) 90 (37%) autonomy 177 (87%) 30 (79%) 207 (86%) lost enjoyment 172 (84%) 34 (89%) 206 (85%) bodily functions 121 (59%) 17 (45%) 138 (57%) pain 45 (22%) 9 (24%) 54 (22%) psych eval. 37% - 5% 2 (5%) 32 (16%) days from request to death 15 – 737 15 – 1009 15 – 1009 (2 ¾ yr) time to death 4 min – 48 hr 5 min – 9.5 hr 4 min – 48 hr * assisted by Compassion in Dying

  6. Physician-Assisted Suicides in OregonOregon Dept Human Services 1998 - 2005 2006 Total (9 yrs) no. Rx’s written 391 65 456 no. who died 246 46 292 (75-80%*) EOL issues: lost enjoyment 206 (84%) 44 (96%) 250 (86%) autonomy 207 (84%) 44 (96%) 251 (86%) bodily functions 138 (57%) 27 (59%) 165 (57%) burden 90 (37%) 20 (43%) 110 (38%) pain 54 (22%) 22 (48%) 76 (26%) finances 7 (3%) 0 (0%) 7 (2%) psych eval. 37% - 4% 2 (4%) 36 (13%) days from req. to death 15 – 1009 15 – 747 15 – 1009 (2 ¾ yr) time to death 4 min – 48 hr 1 min – 16.5 hr 1 min – 48 hr * assisted by Compassion in Dying

  7. Physician-Assisted Suicides in OregonOregon Dept Human Services 1998 - 2006 2007 Total (10 yrs) no. Rx’s written 456 85 541 no. who died 292 49 341 (75-80%*) EOL issues: lost enjoyment 250 (86%) 42 (86%) 250 (74%) autonomy 251 (86%) 49 (100%) 300 (88%) bodily functions 165 (57%) 31 (63%) 196 (57%) burden 110 (38%) 22 (63%) 132 (39%) pain 76 (26%) 16 (33%) 92 (27%) finances 7 (2%) 2 (0.4%) 9 (3%) psych eval. 37% - 0% 0 (0%) 36 (11%) days from req. to death 15 – 1009 15 – 747 15 – 1009 (2 ¾ yr) time to death 1 min – 83 hr 6 min – 83 hr 1 min – 83 hr * assisted by Compassion in Dying

  8. Physician-Assisted Suicides in OregonOregon Dept Human Services 1998 - 2007 2008 Total (11 yrs) no. Rx’s written 541 88 629 no. who died 341 60 401 (75-80%*) EOL issues: lost enjoyment 292 (86%) 55 (63%) 347 (81%) autonomy 300 (88%) 57 (65%) 357 (83%) bodily functions 196 (57%) 37 (42%) 233 (54%) burden 132 (39%) 20 (23%) 152 (35%) pain 92 (27%) 3 (3%) 95 (22%) finances 9 (3%) 2 (2%) 11 (3%) psych eval. 37% - 0% 2 (2%) 38 (9%) days from req. to death 15 – 1009 15 – 747 15 – 1009 (2 ¾ yr) time to death 1 min – 83 hr 6 min – 83 hr 1 min – 83 hr * assisted by Compassion in Dying

  9. Physician-Assisted Suicides in OregonOregon Dept Human Services 1998 - 2008 2009 Total (12 yrs) no. Rx’s written 629 95 724 no. who died 401 59 460 (75-80%*) EOL issues: lost enjoyment 347 (86%) 51 (86%) 398 (87%) autonomy 357 (88%) 58 (97%) 415 (90%) bodily functions 233 (58%) 54 (92%) 287 (62%) burden 152 (35%) N/A pain 95 (22%) N/A finances 11 (3%) N/A psych eval. 37% - 0% 0 (0%) days from req. to death 15 – 1009 N/A 15 – 1009 (2 ¾ yr) time to death 1 min – 83 hr 2 min – 104 hr 1 min – 104 hr * assisted by Compassion in Dying

  10. 11 years of physician-assisted suicide in Oregon.

  11. Reports of MD non-compliance with PAS law, and penalties for non-compliance

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