{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:34:56Z","timestamp":1792082096832,"version":"4.4.0"},"reference-count":15,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Med Ethics"],"accepted":{"date-parts":[[2019,2,13]]},"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The Supreme Court of Canada removed the prohibition on physicians assisting in patients dying on 6 February 2015. Bill C-14, legalising medical assistance in dying (MAID) in Canada, was subsequently passed by the House of Commons and the Senate on 17 June 2016. As this remains a divisive issue for physicians, the Canadian Neurosurgical Society (CNSS) has recently published a position statement on MAID.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We conducted a cross-sectional survey to understand the views and perceptions among CNSS members regarding MAID to inform its position statement on the issue. Data was collected from May to June 2016.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 300 active membes of the CNSS who recevied the survey, 89 respondents completed the survey, 71% of whom were attending neurosurgeons and 29% were neurosurgery residents. Most respondents,74.2%, supported the right of physicians to participate in MAID with 7.8% opposing. 37% had current patients in their practice fitting the criteria for MAID. 23.6% had been asked by patients to assist with MAID, but only 11% would consider personally providing it. 84% of neurosurgeons surveyed supported the physicians\u2019 right to conscientious objection to MAID while 21% thought attending surgeons should be removed from the inquiry and decision-making process. 43.8% agreed that the requirment to refer a patient to a MAID service should be mandatory. Glioblastoma multiforme (65%), quadriplegia\/quadriparesis secondary to spinal tumour\/trauma (54%) and Parkinson\u2019s disease (24%) were the most common suggested potential indications for MAID among the neurosurgical population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our results demonstrate that most neurosurgeons in Canada are generally supportive of MAID in select patients. However, they also strongly support the physicians\u2019 right to conscientious objection.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/medethics-2018-105160","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T17:25:24Z","timestamp":1552411524000},"page":"309-313","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Canadian neurosurgeons\u2019 views on medical assistance in dying (MAID): a cross-sectional survey of Canadian Neurosurgical Society (CNSS) members"],"prefix":"10.1136","volume":"45","author":[{"given":"Alwalaa","family":"Althagafi","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Ekong","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian W","family":"Wheelock","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saint John Regional Hospital, Saint John, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Moulton","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Gorman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Moncton Hospital, Moncton, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kesh","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Surgery, McMaster University Faculty of Health Sciences, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Christie","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Fleetwood","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of British Columbia Faculty of Medicine - Vancouver Island Health, Victoria, B.C., Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sean","family":"Barry","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Dalhousie University Faculty of Medicine, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,3,12]]},"reference":[{"key":"2025092414570703000_45.5.309.1","unstructured":"Bill C-14. An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying), 1st Session, 42nd Parliament. http:\/\/laws-lois.justice.gc.ca\/PDF\/2016_3.pdf."},{"key":"2025092414570703000_45.5.309.2","unstructured":"Carter v. Canada (Attorney General), 2015 SCC 5 331. 2015 https:\/\/scc-csc.lexum.com\/scc-csc\/scc-csc\/en\/item\/14637\/index.do."},{"key":"2025092414570703000_45.5.309.3","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.109-5136"},{"key":"2025092414570703000_45.5.309.4","unstructured":"Canadian Neurosurgical Society. Canadian Neurological Sciences Federation. Calgary: Canadian Neurosurgical Society, 2018."},{"key":"2025092414570703000_45.5.309.5","unstructured":"Canadian Medical Association. Neurosurgery profile. Ottawa: Canadian Medical Association, 2019."},{"key":"2025092414570703000_45.5.309.6","doi-asserted-by":"publisher","DOI":"10.1017\/cjn.2017.51"},{"key":"2025092414570703000_45.5.309.7","doi-asserted-by":"crossref","first-page":"18","DOI":"10.12927\/hcq.2017.25222","article-title":"Public and Professional Insights on End-of-Life Care: Results of the 2016 Health Care in Canada Survey","volume":"20","author":"Montague","year":"2017","journal-title":"Healthc Q"},{"key":"2025092414570703000_45.5.309.8","doi-asserted-by":"publisher","DOI":"10.1177\/0269216312448507"},{"key":"2025092414570703000_45.5.309.9","unstructured":"Oliver P , Wilson M , Malpas P . New Zealand doctors\u2019 and nurses\u2019 views on legalising assisted dying in New Zealand. 2017."},{"key":"2025092414570703000_45.5.309.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.05.015"},{"key":"2025092414570703000_45.5.309.11","doi-asserted-by":"publisher","DOI":"10.1080\/20502877.2016.1151252"},{"key":"2025092414570703000_45.5.309.12","doi-asserted-by":"publisher","DOI":"10.4306\/pi.2014.11.1.32"},{"key":"2025092414570703000_45.5.309.13","doi-asserted-by":"publisher","DOI":"10.1186\/s10194-015-0548-y"},{"key":"2025092414570703000_45.5.309.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2015.01.005"},{"key":"2025092414570703000_45.5.309.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2017.07.019"}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/medethics-2018-105160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T21:57:15Z","timestamp":1758751035000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/medethics-2018-105160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,12]]},"references-count":15,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,13]]},"published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1136\/medethics-2018-105160"],"URL":"https:\/\/doi.org\/10.1136\/medethics-2018-105160","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"value":"0306-6800","type":"print"},{"value":"1473-4257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,12]]}}}