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September 27, 2000

Quality of Life at the End of Life

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(12):1513-1515. doi:10.1001/jama.284.12.1512

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.

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