To the Editor Ms Moore and colleagues1 noted that the US health care system provides many dying patients with unwanted medical interventions. They acknowledged the widespread and increasing use of the Physician Orders for Life-Sustaining Treatment (POLST) program and appealed for greater research about the effectiveness of POLST in supporting informed, patient-centered decision making. We agree but diverge in our views about the strength of existing evidence.
Tolle SW, Moss AH, Hickman SE. Assessing Evidence for Physician Orders for Life-Sustaining Treatment Programs. JAMA. 2016;315(22):2471-2472. doi:10.1001/jama.2016.4024