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Comment & Response
October 18, 2016

Palliative Care–Led Meetings for Families of ICU Patients

Author Affiliations
  • 1Department of Social Work, St Louis Children’s Hospital, St Louis, Missouri
  • 2Division of Pediatric Critical Care Medicine, Washington University School of Medicine, St Louis, Missouri
  • 3Division of Newborn Medicine, Washington University School of Medicine, St Louis, Missouri
JAMA. 2016;316(15):1597-1598. doi:10.1001/jama.2016.14316

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.

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