# End-of-life in cancer patients: Medicolegal implications and ethical challenges in Europe

**Authors:** Susanna Marinelli, Nicola Di Fazio, Miriam Ottaviani, Gianpietro Volonnino, Simona Zaami, Lina De Paola

PMC · DOI: 10.1515/med-2025-1218 · Open Medicine · 2025-06-10

## TL;DR

This paper examines end-of-life care and assisted suicide for cancer patients in Europe, highlighting legal, ethical, and regional differences.

## Contribution

The study provides a comparative analysis of EOL policies across European regions and advocates for a balanced, patient-centered approach.

## Key findings

- Significant disparities in EOL care practices exist across Southern, Central, and Northern European countries.
- Legal frameworks and cultural attitudes influence euthanasia practices and patient autonomy.
- Collaborative efforts are needed to harmonize regulations with ethical care for cancer patients.

## Abstract

This study explores the complexities and distinctive traits of end-of-life (EOL) care and assisted suicide in cancer patients across Europe, and the challenges they entail. It analyzes various countries in the Southern, Central, and Northern regions. Legal, ethical, and cultural dimensions of euthanasia are examined. Differences in practices across Europe are highlighted.

The aim of this study is to provide an overview of EOL care policies in Europe by delving into the legislative/policy-making approaches of three selected nations, and implications thereof.

Disparities between regions are identified, to figure out margins for improvement. This includes advocating for a balanced approach that both upholds legal frameworks and respects patient autonomy. By doing so, the ultimate objective is to foster a culture of ethical and empathetic EOL care for cancer patients throughout Europe, ensuring that their needs and preferences are prioritized till the end. Advocacy for a balanced approach is recommended.

Ultimately, the findings herein presented point to the need for a collaborative effort among policymakers, healthcare providers, and communities to build a more holistic approach to end-of-life care that harmonizes legal regulations with the ethical imperative of respecting individual choice in an environment marked by sensitivity and compassion.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full text

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## Figures

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Source: https://tomesphere.com/paper/PMC12163574