Stephen J.LurieMD, PhD, Senior EditorPhil B.FontanarosaMD, Executive Deputy Editor
To the Editor: Drs Morrison and Siu1 suggested that patients with advanced dementia may not benefit from hospitalization for hip fracture or pneumonia. However, I am concerned that the authors have grouped together patients with Global Deterioration Scale (GDS)2 scores of 6 or 7 and refer to both groups as having "end-stage dementia." They do not report how many of the patients had a GDS score of 6 and how many had a score of 7.
Doody RS. Mortality From Pneumonia and Hip Fractures in Patients With Advanced Dementia. JAMA. 2000;284(19):2447. doi:10.1001/jama.284.19.2447