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. 2007 Dec;61(12):1062–1068. doi: 10.1136/jech.2006.056341

Table 2 Incidence of end‐of‐life decisions by place of death in non‐sudden deaths in Belgium, Denmark, Sweden and Switzerland*.

Hospital Home Care home p Value† Total‡
Belgium, no. of non‐sudden deaths§ (% of all deaths) 1054 (71.5%) 417 (53.3%) 457 (73.8%) <0.001 1938 (65.7%)
 Physician‐assisted death 2.6 4.3** 2.0 0.101 2.8
  Euthanasia or physician‐assisted suicide 0.3 1.4** 0.0 0.005 0.5
  Life‐ending without explicit patient request 2.3 2.6 2.0 0.804 2.3
 Alleviation of pain/symptoms 34.4 38.3 26.0 <0.001 33.3
  Taking into account life‐shortening 30.0 32.5 23.2 0.005 28.9
  Partly intending life‐shortening 4.5 5.8 2.8 0.099 4.3
  Non‐treatment decision 22.4 17.7** 26.0 0.012 22.2
  Taking into account life‐shortening 9.9 6.5** 10.7 0.060 9.3
  Explicitly intending life‐shortening 12.5 11.3 15.3 0.179 12.9
Denmark, no. of non‐sudden deaths§ (% of all deaths) 736 (63.9%) 413 (56.2%) 762 (86.0%) <0.001 1954 (66.5%)
 Physician‐assisted death 0.7 2.7** 0.9 0.015 1.2
  Euthanasia or physician‐assisted suicide 0.0 0.7 0.1 0.034 0.2
  Life‐ending without explicit patient request 0.7 1.9 0.9 0.131 1.0
 Alleviation of pain/symptoms 37.1 46.2 37.5 0.005 39.0
  Taking into account life‐shortening 33.3 42.1** 35.3** 0.011 35.7
  Partly intending life‐shortening 3.8 4.1 2.2 0.110 3.3
  Non‐treatment decision 27.0 14.5** 18.9** <0.001 20.9
  Taking into account life‐shortening 11.7 6.1** 9.4** 0.007 9.5
  Explicitly intending life‐shortening 15.4 8.5** 9.4** <0.001 11.4
Sweden, no. of non‐sudden deaths§ (% of all deaths) 948 (67.9%) 315 (46.7%) 842 (78.8%) <0.001 2145 (66.0%)
 Physician‐assisted death 0.4 0.3 0.4 0.999 0.4
  Euthanasia or physician‐assisted suicide 0.0 0.0 0.0 0.0
  Life‐ending without explicit patient request 0.4 0.3 0.4 0.999 0.4
 Alleviation of pain/symptoms 29.2 29.8 33.3 0.168 30.8
  Taking into account life‐shortening 28.6 29.8 32.5 0.189 30.2
  Partly intending life‐shortening 0.6 0.0 0.7 0.387 0.6
  Non‐treatment decision 27.2 17.5** 16.0** <0.001 21.4
  Taking into account life‐shortening 8.6 5.4 6.3** 0.069 7.3
  Explicitly intending life‐shortening 18.5 12.1** 9.7** <0.001 14.1
Switzerland, no. of non‐sudden deaths§ (% of all deaths) 1044 (83.7%) 354 (46.6%) 867 (77.0%) <0.001 2283 (68.0%)
 Physician‐assisted death 0.4 5.1** 1.2** <0.001 1.5
  Euthanasia or physician‐assisted suicide 0.1 3.4** 0.6** <0.001 0.9
  Life‐ending without explicit patient request 0.3 1.7** 0.6 0.018 0.6
 Alleviation of pain/symptoms 34.3 33.3 30.3 0.158 32.4
  Taking into account life‐shortening 31.1 28.0 26.6 0.081 28.7
  Partly intending life‐shortening 3.2 5.4 3.7 0.170 3.7
  Non‐treatment decision 41.3 32.8** 43.1 0.003 40.8
  Taking into account life‐shortening 8.8 7.3 13.2 0.001 10.3
  Explicitly intending life‐shortening 32.6 25.4** 29.9 0.038 30.5

*All data are weighted (i.e. adjusted for stratification and sociodemographic characteristics).

†Fisher's exact test for differences between home, hospital and care home.

‡This includes a small number of deaths in other places. Totals might not add up.

§Number of deaths (and percentage within total number of deaths in hospital, at home, etc.) in which an end‐of‐life decision was possible (i.e. not sudden or unexpected, and when the physician first saw the patient before the the patient's death).

**The probability remained statistically higher or lower than for hospitals (reference category) in a logistic regression controlling for age, sex and cause of death.