04/16/2026
A retrospective cohort study described medical assistance in dying (MAID) among adolescent and young adult patients with in Alberta, Canada. Among 34 individuals aged 15 to 39 years at cancer diagnosis who received MAID before age 45, symptom burden increased steadily particularly for tiredness, pain, and poor well-being in the year prior to MAID, with sharp rises beginning around five months before provision.
Specialist palliative care was most often initiated less than three months before death, and qualitative themes included social isolation, loss of meaningful activities, and a desire for control. These data indicate that symptom escalation and advanced cancer diagnosis may serve as prompts for timelier palliative care referrals in this population.
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