Table 4.

Trend periods and annual percentage of change in the search term for each term in Germany.

Trend periods		Annual change (95% CI; %)	P value
Palliative care
	2004-2014	6.12 (2.93 to 9.40)	<.001
	2014-2020	14.39 (7.06 to 22.23)	<.001
Euthanasia
	2004-2009	−14.95 (−21.80 to −7.50)	<.001
	2009-2015	4.13 (−4.26 to 13.26)	.28
	2015-2018	−16.83 (−42.88 to 21.08)	.27
	2018-2020	24.97 (−14.17 to 81.95)	.20
Advance health care directive
	2004-2008	−15.42 (−22.03 to −8.25)	<.001
	2008-2012	5.19 (−7.49 to 19.62)	.39
	2012-2020	−3.30 (−5.98 to −0.55)	.01