Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
To the Editor: Dr Liao and colleagues1 did not address the factors that patients themselves
have highlighted as determinants in quality of life, particularly in relation
to end-of-life care. By defining quality of life in terms of days in the hospital
or nursing home, number and length of disability in 5 ADLs, and duration of
impairment in 3 measures of cognitive function, they entirely neglect the
mental health issues that strongly contribute to quality of life.
Paukstis-Laje R, Laje G. Quality of Life at the End of Life. JAMA. 2000;284(12):1513-1515. doi:10.1001/jama.284.12.1512