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52/100

✓ Peer-reviewed alzhub usefulness score 52 out of 100. End-of-life care

Topic: Risk, prevention and care in population studies

Participants included 202 physicians and three nurse specialists who assumed similar medical responsibilities. Acceptability was higher in the Netherlands (66%) than in other countries (23%-44%, OR 0.16-0.41, p = 0.003-0.03). Dutch clinicians were more often willing to perform euthanasia upon request of a person with dementia (58%) than clinicians in other countries (18%-34%, OR 0.16-0.17, p = 0.007-0.03), except for Israel (40%, OR 0.48, p = 0.07). Two coping styles, planning (OR 0.77, 95% CI [0.59, 1.00]) and religious coping (OR 0.71, 95% CI [0.60, 0.84]), were associated with lower acceptability of euthanasia. Being religious (OR 0.47, 95% CI [0.24, 0.93]), training in palliative care (OR 0.48, 95% CI [0.26, 0.91]), and using emotional social support as coping style (OR 0.77, 95% CI [0.62, 0.95]) were associated with lower willingness to perform euthanasia upon request of a person with dementia. Clinicians' perspectives on the acceptability of euthanasia for people with dementia varied across countries and individuals, with diversity related to coping styles, training in palliative care, and religion.

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

APA 7th

Xu, J., Smaling, H. J. A., Nakanishi, M., Shinan‐Altman, S., Radbruch, L., Gaertner, J., et al. (2025). Acceptability of Euthanasia for People With Dementia: Perspectives of Clinicians From Six Countries. American Journal of Geriatric Psychiatry. https://doi.org/10.1016/j.jagp.2025.08.003

Vancouver

Xu J, Smaling HJA, Nakanishi M, Shinan‐Altman S, Radbruch L, Gaertner J, et al. Acceptability of Euthanasia for People With Dementia: Perspectives of Clinicians From Six Countries. American Journal of Geriatric Psychiatry. 2025. doi:10.1016/j.jagp.2025.08.003. PMID: 40957850.

BibTeX

@article{xu2025-40957850,
  author  = {Xu, Jingyuan and Smaling, Hanneke J. A. and Nakanishi, Miharu and Shinan‐Altman, Shiri and Radbruch, Lukas and Gaertner, Jan and Achterberg, Wilco P. and Mehr, David R. and others},
  title   = {{Acceptability of Euthanasia for People With Dementia: Perspectives of Clinicians From Six Countries}},
  journal = {American Journal of Geriatric Psychiatry},
  year    = {2025},
  doi     = {10.1016/j.jagp.2025.08.003},
  pmid    = {40957850},
  url     = {https://doi.org/10.1016/j.jagp.2025.08.003}
}

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Key findings

Participants included 202 physicians and three nurse specialists who assumed similar medical responsibilities.
Acceptability was higher in the Netherlands (66%) than in other countries (23%-44%, OR 0.16-0.41, p = 0.003-0.03).
Dutch clinicians were more often willing to perform euthanasia upon request of a person with dementia (58%) than clinicians in other countries (18%-34%, OR 0.16-0.17, p = 0.007-0.03), except for Israel (40%, OR 0.48, p = 0.07).
Two coping styles, planning (OR 0.77, 95% CI [0.59, 1.00]) and religious coping (OR 0.71, 95% CI [0.60, 0.84]), were associated with lower acceptability of euthanasia.
Being religious (OR 0.47, 95% CI [0.24, 0.93]), training in palliative care (OR 0.48, 95% CI [0.26, 0.91]), and using emotional social support as coping style (OR 0.77, 95% CI [0.62, 0.95]) were associated with lower willingness to perform euthanasia upon request of a person with dementia.

Why it matters

This survey of clinicians in six countries found that acceptability of euthanasia for people with dementia varied widely, being higher in the Netherlands than elsewhere. It addresses end-of-life policy and practice, not the treatment, cure or prevention of Alzheimer's disease.

Study details

Study designcross-sectional
Participants202
Effect sizeOR 0.16-0.41; OR 0.16-0.17; OR 0.48
Evidence strengthLow

How this study scored 52/100

Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomized / blinded because the record does not state it.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (American Journal of Geriatric Psychiatry)
Journal's citation record	2 / 4	American Journal of Geriatric Psychiatry: journal h-index 178 (OpenAlex, 2026-10-29)
Study design	4 / 12	A snapshot of people at one point in time
Strength of evidence	1 / 5	Rated “low” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	4 / 5	2025 — within 3 year(s) of the newest study here
Sample size	2 / 4	202 participants
Effect reported	3 / 3	Effect reported with a statistic (interval, p-value, ratio or similar)
Studied in people	3 / 3	Studied in people (participant count stated)
Randomized / blinded	0 / 2	No randomization or blinding stated — scores zero (not stated in the record — scored 0)
Times cited	1 / 7	Cited 3 times (OpenAlex, 2026-10-10)
Citations per year	1 / 5	1.0 citations a year over 3 year(s) since 2025
Impact for its field and year	2 / 6	Cited 2.5× the average for papers of its field and year (OpenAlex FWCI)
Cited by studies here	0 / 6	No other study in this library cites it
Still being cited	1 / 4	Cited 3 times in 2024–2026 (2026 still in progress; OpenAlex)
Senior author's track record	3 / 4	Last-listed author Jenny Theodora van der Steen: h-index 56 (OpenAlex, whole career)
Institution's track record	1 / 3	King's College London: institution h-index 1,348 (OpenAlex)
Multicenter collaboration	3 / 3	OpenAlex lists 11 institution(s) in 7 countries
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 40957850)
Free to read	2 / 2	Free to read
Total	52 / 100	—

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Read the original

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

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