To the Editor In a multicenter randomized clinical trial, Dr Carson and colleagues1 found that among 365 surrogate decision makers of patients with chronic critical illness, the use of 2 structured palliative care–led informational and emotional support meetings compared with usual care did not reduce anxiety or depression symptoms and may have increased posttraumatic stress disorder symptoms at 3-month follow-up. The results may be influenced by a number of aspects of the study design.
Remy AM, Remy KE, Rosenbaum JL. Palliative Care–Led Meetings for Families of ICU Patients. JAMA. 2016;316(15):1597-1598. doi:10.1001/jama.2016.14316